Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Eastland Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
Inaccurate neurological assessment documentation followed unwitnessed falls for two residents. One resident with severe cognitive impairment had neuro checks charted after hospital transfer, including a documented 11:00 A.M. assessment even though hospital records showed the resident was already at the hospital. Another resident with multiple chronic conditions had neuro checks charted during a hospital stay, and staff confirmed the entries did not match the resident’s actual location or the care provided. Facility policy required accurate dating and timing of neuro assessments and proper correction of charting errors.
A resident with multiple chronic conditions and severe cognitive impairment experienced increased pain and swelling in the left knee, which was reported by two CNAs to a nurse. The RN assessed the knee but did not notify the physician, believing the symptoms were due to existing cellulitis. The physician and CNP were not informed until several days later, when an x-ray revealed a fracture and the resident was sent to the ER. This resulted in a failure to promptly report a significant change in condition.
Two residents experienced worsening or development of pressure ulcers due to the facility's failure to provide comprehensive assessment, monitoring, and individualized interventions. One resident's sacral ulcer progressed to Stage IV with infection and osteomyelitis due to missed treatments, inaccurate orders, and lack of preventive care, while another resident developed a Stage III ankle ulcer with missed assessments and preventive measures. Staff lacked wound care training, and documentation and communication lapses contributed to the deficiencies.
Surveyors found that insulin pens and vials on two medication carts were opened, undated, and lacked resident identifiers, as confirmed by an LPN and an RN. This failure to properly label and date insulin was not in accordance with facility policy and had the potential to affect multiple residents receiving insulin.
Surveyors found that food items were stored directly on the floor in the kitchen's dry storage area, contrary to facility policy, and observed unsanitary conditions such as dusty light fixtures, ceiling cracks, and peeling paint over food preparation and serving areas. These deficiencies had the potential to affect nearly all residents who consumed food from the kitchen.
A resident with chronic pressure ulcer wounds did not have enhanced barrier precautions implemented as required, despite the care plan indicating the need for such measures. There was no physician order for enhanced barrier precautions, and the facility could not provide a relevant policy. This issue was identified through record review and staff interviews.
Two residents who required meal assistance, both with significant cognitive and physical impairments, were observed being fed by CNAs who stood over them rather than sitting, contrary to dignified dining procedures. Staff interviews confirmed awareness of proper protocol but revealed a preference for standing, affecting the quality of care for these and potentially other residents needing dining assistance.
A resident with dysphagia and a recommendation for one-on-one meal supervision was left unsupervised in the dining room while eating, despite being on a mechanically altered diet and requiring assistance. This lack of supervision was confirmed by a CNA and had the potential to affect multiple residents with swallowing difficulties.
A resident receiving in-center dialysis did not have required pre- and post-dialysis assessments performed or documented, and communication with the dialysis center was inconsistent. Multiple communication sheets were missing or incomplete, and staff interviews confirmed that the established process for monitoring and documenting dialysis care was not consistently followed, contrary to facility policy.
A resident with chronic pain received PRN Oxycodone/Acetaminophen without clear numeric definitions for 'moderate' or 'severe' pain in the physician orders. Nursing staff and the DON confirmed that the orders lacked specific parameters, resulting in the medication being administered based on subjective judgment rather than defined criteria, contrary to facility policy.
A resident with multiple health conditions required specific wound care, but an LPN failed to follow proper infection control practices during a dressing change. The LPN did not wash hands between glove changes, violating the facility's hand hygiene policy, which led to a deficiency finding.
A resident alleged that a staff member pushed him, causing a fall and back pain. The facility failed to report this allegation to the state agency immediately, as required by policy. The DON was informed by hospital staff but did not notify the Administrator due to a lack of documentation. The Administrator only became aware of the incident through a surveyor, leading to noncompliance with state regulations.
A resident with intact cognition alleged being pushed by a staff member, leading to a fall. The facility delayed initiating an investigation and suspending the accused staff member, contrary to its policy. The Director of Nursing was aware of the allegation but did not report it to the Administrator due to lack of documentation. The facility could not substantiate the abuse claim.
The facility failed to conduct a comprehensive continence assessment for a resident with multiple diagnoses, leading to inconsistent documentation and lack of appropriate interventions. Interviews revealed conflicting information about the resident's continence status, and the facility's policy for thorough assessment was not followed.
A resident with multiple medical conditions did not receive timely lab tests and physician notifications, leading to delayed treatment. Additionally, there was an error in medication administration where both old and new dosages of thyroid supplement were given due to a failure to discontinue the previous dosage.
A resident with multiple diagnoses, including malnutrition and C-difficile colitis, did not receive timely nutritional supplements and was not weighed weekly as ordered, resulting in a significant weight loss. Staff interviews and observations confirmed the facility's failure to follow policies for weight assessment and nutritional support.
Inaccurate Neurological Assessment Documentation After Falls
Penalty
Summary
The facility failed to maintain accurate medical records related to neurological assessments after unwitnessed falls for two residents. For one resident with diagnoses including encephalopathy, COPD, psychotic disturbance, and severe cognitive impairment, the record showed neurological checks documented at 11:00 A.M. after a fall with facial injury, but hospital records showed the resident had already been admitted to the hospital at 9:54 A.M. that same day and was present there at 11:00 A.M. The administrator confirmed the 11:00 A.M. documentation existed and confirmed the hospital admission time. For another resident with diagnoses including metabolic encephalopathy, diabetes, emphysema, dysphagia, and vascular disease, the record showed a fall with head and leg pain, emergency transport to the hospital, and a return from the hospital with a diagnosis of closed head injury. The neurological assessment form documented checks at times when the resident was at the hospital, including entries initialed by an RN, and the form continued through the period when the resident was not in the facility. Staff interviews confirmed the resident had been transferred to the hospital and that no additional neurological checks were completed while the resident was away. Facility policies required neurological assessments after unwitnessed falls and required the date and time of assessments to be documented accurately in the medical record. The charting policy stated that if an error is made, staff are to line through the error with a single line and correct it. Interviews with the regional nurse, RN, administrator, and regional director of operations confirmed the neurological assessment documentation for both residents did not match the actual times the residents were in the facility and contained documentation errors.
Failure to Timely Notify Physician of Change in Resident Condition
Penalty
Summary
A deficiency occurred when the facility failed to promptly notify a resident's physician of a significant change in condition. The resident, who had multiple medical diagnoses including dementia, major depressive disorder, COPD, diabetes, osteoporosis, heart failure, and hypertension, was admitted with severely impaired cognition and required assistance with activities of daily living. On two consecutive days, the resident complained to two CNAs about increased pain and swelling in her left knee, which prevented participation in daily activities. Both CNAs observed the swelling and reported it to the nurse on duty. The RN assessed the knee and administered routine pain medication but did not notify the physician, attributing the symptoms to cellulitis for which the resident was already being treated. Subsequent review and interviews revealed that the cellulitis was unrelated to the resident's knee, as it was associated with a wound on the lower leg. The physician and CNP were not informed of the increased pain and swelling until several days later, at which point an x-ray revealed distal fracture fragments and the resident was sent to the emergency room for further evaluation. The failure to timely report the change in condition to the physician was confirmed through closed medical record review and staff interviews, affecting one resident out of three reviewed for change in condition.
Failure to Implement Comprehensive Pressure Ulcer Prevention and Care
Penalty
Summary
The facility failed to develop and implement a comprehensive and individualized pressure ulcer program, resulting in the development and worsening of pressure ulcers for two residents. One resident, who was cognitively impaired, dependent on staff for activities of daily living, and at high risk for skin breakdown, was admitted with a Stage III pressure ulcer to the sacrum and a Stage IV ulcer to the left knee. There was a lack of proper assessment, monitoring, and intervention to prevent further decline. The resident's sacral ulcer deteriorated to a Stage IV with infection and osteomyelitis, with contributing factors including missed and duplicate treatment applications, missed antibiotic doses, and a lack of effective pressure-reducing interventions. Documentation revealed multiple missed wound care treatments, incomplete or inaccurate orders, and failure to consistently implement preventive measures such as turning, repositioning, and barrier cream application. Staff interviews revealed that wound care orders were not always accurately transcribed or implemented, and that key staff, including the LPN responsible for wound care and the DON, lacked formal wound care training. There were also lapses in communication between the wound care provider, nursing staff, and medical director, resulting in continued use of outdated or inappropriate wound care orders. The resident did not receive consistent monitoring of vital signs or daily skilled charting while on antibiotics, and there was a delay in transferring the resident to the hospital despite evidence of wound deterioration and infection. A second resident, also cognitively impaired and dependent on staff, was identified as being at moderate risk for skin breakdown. This resident developed a right lateral ankle wound that was not classified or consistently assessed. Weekly skin assessments were missed for multiple weeks, and preventive interventions such as heel floating and turning/repositioning were not consistently implemented or documented. Observations confirmed that the resident was not turned or had heels floated as required, and the wound was later identified as a Stage III pressure ulcer. Facility policy required weekly wound measurements and documentation, which was not followed for either resident.
Insulin Storage and Labeling Deficiency
Penalty
Summary
Surveyors observed that insulin medications, including Basaglar KwikPen, Insulin Lispro vials, Tresiba FlexTouch, Admelog, and Lantus, were stored on the 100 and 300 hall medication carts without proper labeling. Specifically, these insulin pens and vials were found to be opened, undated, and lacking resident identifiers. These observations were confirmed during interviews with both an LPN and an RN, who verified the presence of undated and unlabeled insulin on the respective medication carts. The facility's policy on medication storage requires that all drugs and biologics be stored in a safe, secure, and orderly manner, in their original packaging or dispensing systems, and that any containers with missing or incomplete labels be returned to the pharmacy for proper labeling before storage. The failure to label and date insulin pens and vials, as well as to include resident identifiers, was found to be inconsistent with this policy. This deficiency had the potential to affect six residents who received insulin on the affected halls.
Unsanitary Food Storage and Kitchen Conditions
Penalty
Summary
The facility failed to store food in a sanitary manner, as observed during multiple inspections of the kitchen's dry storage and food preparation areas. Specifically, three cans of three bean salad, a case of hot dog buns, a case of sliced pineapple rings, and two cases of snack pack puddings were found stored directly on the floor in the dry storage room. Staff interviews confirmed that these food items had been received and placed on the floor two days prior to the observation. Additionally, the facility's policy requires that food in dry storage areas be kept off the floor at least 18 inches, which was not followed. Further observations revealed unsanitary conditions in the food preparation and serving areas, including a dusty light fixture over the steam wells, a two-foot-long crack with visible paint chips in the painted ceiling, and a four-foot crack with peeling paint hanging down two inches from the ceiling directly over clean food trays and open drinking cups. Staff interviews confirmed the presence of these issues, as well as a dusty ceiling fan over the steam wells. These conditions had the potential to affect 73 of 76 residents who consumed food from the kitchen.
Failure to Implement Enhanced Barrier Precautions for Resident with Chronic Wounds
Penalty
Summary
The facility failed to implement enhanced barrier precautions for a resident with chronic pressure ulcer wounds. Record review showed that the resident was admitted with multiple diagnoses, including adult failure to thrive, Alzheimer's disease, anxiety disorder, metabolic encephalopathy, and difficulty walking. The resident's care plan indicated the need for enhanced barrier precautions due to chronic wounds, but there was no corresponding physician order for these precautions during the resident's stay. Additionally, the facility was unable to provide a policy on enhanced barrier precautions. This deficiency was confirmed through interviews and review of facility documentation.
Failure to Provide Dignified Dining Assistance
Penalty
Summary
The facility failed to provide dignified dining assistance to two residents who required help with their meals. One resident, with moderate cognitive impairment and muscle wasting, was observed being fed by a CNA who stood over him during the meal. This was confirmed by a registered nurse, who stated that there was no reason for the CNA to stand while feeding the resident, and that this was not a dignified dining procedure. The resident's medical records indicated a need for assistance with all meals, as ordered by the physician. Another resident, with severe cognitive impairment, protein-calorie malnutrition, cerebral infarction, aphasia, muscle wasting, dysphagia, vascular dementia, and poor vision, was also observed being fed by CNAs who stood over him while he was in bed. Both CNAs acknowledged during interviews that they were aware they should sit while assisting with feeding, but stated they preferred to stand. The resident's care plan and physician orders documented the need for assistance with all meals due to his medical conditions. These observations were made during dining and had the potential to affect additional residents who required assistance with meals.
Failure to Supervise Resident at Risk for Choking During Meals
Penalty
Summary
The facility failed to provide required supervision in the dining room for a resident identified as being at risk for choking. Resident #33, who had diagnoses including dysphagia, cognitive communication deficit, and vascular dementia, was assessed as needing one-on-one supervision and assistance with meals and was on a mechanically altered diet. Despite these documented needs, observation showed that Resident #33 and another resident were left unsupervised in the dining room while feeding themselves. This lack of supervision was confirmed by a CNA, who acknowledged that the resident at risk for choking was unsupervised during the meal period. The deficiency had the potential to affect 23 other residents identified as having dysphagia.
Failure to Perform and Document Pre/Post Dialysis Assessments and Communication
Penalty
Summary
The facility failed to ensure proper communication with the dialysis center and did not perform required pre- and post-dialysis assessments for a resident dependent on renal dialysis. Medical record review showed that the resident, who had multiple diagnoses including end stage renal disease and was cognitively intact, had physician orders for in-center dialysis three times weekly. However, these orders did not specify requirements for pre- or post-dialysis assessments. Documentation revealed that there were no progress notes or assessments related to pre- or post-dialysis care for the resident over a period of several weeks. Further review of dialysis communication records indicated multiple missing communication sheets and numerous instances where pre- and post-dialysis assessments were not documented. Interviews with nursing staff and the DON confirmed that the process was to send a communication sheet with the resident to the dialysis center and to document vital signs, shunt site checks, and any new orders, but this was not consistently done. The facility's own hemodialysis policy required ongoing assessment and communication, including monitoring the access site before and after dialysis, but these steps were not followed as evidenced by the missing documentation and incomplete records.
Lack of Defined Parameters for PRN Pain Medication Administration
Penalty
Summary
The facility failed to ensure that proper parameters were identified for as needed (PRN) pain medications for one resident. Review of the medical record showed that the resident had multiple diagnoses, including chronic pain, and was prescribed Oxycodone/Acetaminophen with instructions to administer one tablet every six hours as needed for severe pain. However, the order did not define what constituted 'severe' pain. The medication administration record indicated that the resident received the PRN medication daily over a two-week period, with pain levels at the time of administration ranging from zero to nine. A subsequent order for the same medication for moderate pain also lacked a definition for 'moderate' pain. Interviews with nursing staff and the Director of Nursing confirmed that the orders did not specify numeric parameters for 'moderate' or 'severe' pain, and staff relied on their own judgment or the resident's request for medication. The facility's policy required that pain management interventions reflect the severity of pain, but this was not reflected in the physician orders or the medication administration process for this resident.
Infection Control Deficiency During Dressing Change
Penalty
Summary
The facility failed to adhere to proper infection control practices during a dressing change for a resident. The resident, who was admitted with conditions including anterior cord syndrome, atrial fibrillation, chronic kidney disease, and peripheral vascular disease, required specific wound care orders for a wound on the superior sternum. The physician's orders specified cleansing the wound with normal saline, applying a hydroconductive dressing, and covering it with a super absorbent dressing, to be changed on specific days and as needed. During an observation of the dressing change, an LPN was noted to have cleaned her hands and donned gloves before removing the old dressing, which had a moderate amount of bloody drainage. However, the LPN failed to wash her hands between glove changes, instead using hand sanitizer only after the procedure was completed. This was in violation of the facility's hand hygiene policy, which requires the use of an alcohol-based hand rub or soap and water after removing gloves. The LPN confirmed during an interview that she did not wash her hands between glove changes, leading to the deficiency finding.
Failure to Report Alleged Abuse in a Timely Manner
Penalty
Summary
The facility failed to report an allegation of physical abuse involving a resident to the state agency immediately as required. The resident, who had intact cognition and required supervision with activities of daily living, alleged that a staff member pushed him during an altercation, causing him to fall and experience back pain. This incident was reported to hospital staff during the resident's admission, but the facility did not initiate a Self-Reported Incident (SRI) until several days later, after being informed by a surveyor. The facility's policy mandates that such allegations be reported to the Ohio Department of Health immediately, but this was not adhered to. Interviews with facility staff revealed a breakdown in communication and reporting procedures. The Director of Nursing (DON) was informed of the allegation by hospital staff but did not report it to the Administrator due to a lack of official documentation. The Administrator was unaware of the incident until informed by the surveyor. Despite the resident's report being documented in hospital records, which were accessible to facility staff, the allegation was not communicated to the appropriate authorities in a timely manner, resulting in noncompliance with state regulations.
Failure to Protect Resident from Potential Abuse During Investigation
Penalty
Summary
The facility failed to protect residents from potential abuse during an investigation involving a resident who alleged being pushed by a staff member, leading to a fall. The resident, who had intact cognition and required assistance with activities of daily living, reported the incident to hospital staff after being admitted with back pain. The facility's Self-Reported Incident (SRI) was initiated several days after the alleged incident, and the staff member accused of abuse was not suspended until the facility was informed by a surveyor. Interviews revealed that the Director of Nursing (DON) was aware of the allegation but did not inform the Administrator due to a lack of official documentation. The Administrator confirmed that staff should report abuse allegations immediately and that accused staff should be suspended pending investigation. Despite the facility's policy requiring immediate removal of accused staff, the Social Services Director (SSD) involved was not suspended until days later. The facility was unable to substantiate the abuse allegation.
Failure to Conduct Comprehensive Continence Assessment
Penalty
Summary
The facility failed to complete a comprehensive assessment of continence for a resident, identified as Resident #27, who was admitted with diagnoses including diabetes, bipolar disorder, and septic arthritis of the left leg. The initial nursing admission assessment documented the resident as continent, despite noting that the resident was wet during both day and night. A subsequent Minimum Data Set (MDS) assessment indicated that the resident required supervision with toileting and was frequently incontinent of bowel and bladder. However, there was no further assessment or documentation to address the incontinence identified in the MDS assessment. Interviews with the resident and a nursing assistant revealed conflicting information about the resident's continence status. The resident reported only a few bladder accidents, while the nursing assistant stated that the resident was incontinent of bowel and bladder all the time. The facility's policy required a thorough assessment to determine factors contributing to urinary incontinence, but no such comprehensive assessment was conducted. The Regional Director of Clinical Services confirmed the lack of a comprehensive assessment, noting that only the admission nursing assessment was available.
Failure to Complete Lab Tests and Notify Physician Timely
Penalty
Summary
The facility failed to ensure laboratory testing was completed as ordered, timely notification of the physician regarding the results, and proper medication administration for a resident. The resident, who had a history of C-difficile colitis, hypothyroidism, and other conditions, was admitted from the hospital and required specific lab tests and medication adjustments. On one occasion, the resident's condition changed, prompting a new order for a CBC test and urinalysis, but the CBC was not completed until five days later, and the physician was not notified of the lab results until several days after they were available. The laboratory results revealed several abnormal levels, including a very high TSH and very low Vitamin D, but these were not communicated to the medical provider in a timely manner. Additionally, there was a failure to properly document and follow up on the orders, leading to a delay in addressing the resident's medical needs. The DON confirmed that the results were not reviewed with the provider as documented and that the CBC was not obtained promptly. Furthermore, there was an error in medication administration where the resident received both the old and new dosages of thyroid supplement medication due to a failure to discontinue the previous dosage. This error was acknowledged by the ADON, who admitted to being distracted and not discontinuing the old dosage. The facility provided documentation that the nurse who administered the medication later corrected the record, but no explanation was given for why the medication was left on the MAR, potentially leading to further errors.
Failure to Maintain Resident's Nutritional Status
Penalty
Summary
The facility failed to ensure a resident maintained acceptable parameters of nutritional status, including body weight. Resident #2, who was admitted from the hospital with multiple diagnoses including C-difficile colitis, dysphagia, and malnutrition, was not provided with the recommended nutritional supplements in a timely manner. Despite a recommendation for a house shake to be added to the resident's lunch tray on 03/25/24, the order was not obtained until 04/15/24, and the resident did not receive the supplement consistently as observed on 04/22/24. Additionally, the resident's weight was not monitored weekly as ordered, with no evidence of weighing since admission on 03/20/24 until the surveyor's request on 04/23/24, revealing a 6.2-pound weight loss. The resident's medical record indicated a history of significant weight loss and malnutrition, with a physician's order for weekly weights and nutritional supplements to support calorie intake. However, the facility's failure to follow up on these recommendations and orders resulted in the resident not receiving the necessary nutritional support. Interviews with staff confirmed that the resident did not receive the prescribed supplements and that weights were not recorded as required. The resident's nutritional status was further compromised by the lack of consistent meal assistance and monitoring. Observations and interviews revealed that the facility's policies and procedures for weight assessment and intervention were not followed. The multidisciplinary team did not prevent, monitor, or intervene for the resident's undesirable weight loss, as evidenced by the lack of recorded weights and the absence of nutritional supplements on the medication administration record. The deficiency was confirmed by multiple staff members, including the Director of Nursing and the Certified Nurse Practitioner, who acknowledged the importance of regular weight monitoring and nutritional support for the resident's health and well-being.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 975 citations issued within 25 miles in the last 12 months — including the 10 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Majestic Care Of Whitehall | 2.7 mi | ★★★★★ | 9 | 0 |
| Mcnaughten Pointe Nursing And Rehab | 2.8 mi | ★★★★★ | 8 | 0 |
| Wexner Heritage House | 3.2 mi | ★★★★★ | 26 | 0 |
| Mother Angeline Mccrory Manor | 3.9 mi | ★★★★★ | 1 | 0 |
| Allbridge Rehabilitation And Nursing Center | 4 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Eastland Rehabilitation And Nursing Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.