Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Elizabeth Scott Community during CMS and state inspections, most recent first.
Inadequate Infection Surveillance Program: The facility failed to maintain an adequate infection surveillance program for all residents. Infection control logs for several months did not identify the pathogen associated with infections, and the ADON/IP confirmed there was no tracking of pathogens and could not explain how trends and patterns were tracked beyond mapping. The facility policy required the IP to gather and interpret surveillance data and identify the pathogen to determine whether infection criteria were met.
Failure to Monitor Psychotropic Medications: Five residents receiving psychotropic meds, including antidepressants, antipsychotics, and anti-anxiety meds, had no documented monitoring for effectiveness or adverse reactions/side effects in the MAR, TAR, or clinical record. The residents had diagnoses such as dementia, Alzheimer’s disease, depression, anxiety, and insomnia, and the DON verified the lack of routine monitoring documentation. The care plans listed general monitoring interventions, but the records did not show where findings were documented.
A resident with dementia and heart conditions did not receive appropriate treatment for constipation, despite facility policy requiring intervention after 72 hours without a bowel movement. The resident experienced two five-day periods without documented bowel movements in July, and only one treatment was administered. The facility's electronic medical record system failed to alert nurses, leading to a deficiency in care.
A facility failed to clean used bedpans, affecting a resident who was cognitively intact and admitted with an infection and inflammatory reaction to a knee prosthesis. A used, uncovered bedpan was observed twice in the resident's bathroom, and the resident confirmed its use throughout the day. An LPN verified the situation, and the DON identified four other residents using bedpans. The facility's infection control policy aimed to prevent, identify, and control infections.
The facility failed to ensure residents received or were offered influenza and pneumococcal vaccinations per CDC recommendations. A resident's POA consented to a flu vaccine, but there was no record of administration. Another resident was documented as declining the pneumococcal vaccine, but no declination was recorded. An LPN confirmed these discrepancies.
The facility failed to ensure a clean environment for a resident, as fecal matter was observed on the toilet riser in the resident's bathroom. Despite housekeeping cleaning the room, the issue persisted, and both the resident and an LPN confirmed the deficiency. The facility lacked a policy for maintaining a clean, homelike environment.
Inadequate Infection Surveillance Program
Penalty
Summary
Provide and implement an infection prevention and control program. The facility failed to maintain an adequate infection surveillance program, affecting all residents in the facility with a census of 54. Review of the infection control surveillance logs for December 2025 through May 2026 showed that the pathogen associated with infections was not identified. During interview on 06/11/26 at 1:55 P.M., the ADON, who also served as the facility's Infection Preventionist, confirmed there was no tracking of the pathogen associated with the infections identified during those months and could not explain how the facility tracked trends and patterns other than mapping. Review of the facility policy titled, Surveillance for Infections, dated September 2017, stated the Infection Preventionist was responsible for gathering and interpreting surveillance data and that the surveillance system was to capture epidemiologically important data used to interpret the overall surveillance data. The policy also stated the pathogen must be identified to determine whether the resident met the criteria for the definition of infections.
Failure to Monitor Psychotropic Medication Use
Penalty
Summary
The facility failed to adequately monitor residents for the effectiveness of, and adverse reactions or side effects to, psychotropic medications for five residents reviewed for unnecessary medications. The record review, staff interview, and policy review showed that residents receiving antidepressant, antipsychotic, anti-anxiety, and related psychotropic medications did not have documented monitoring in the MAR, TAR, or other clinical record entries showing effectiveness or side effects. The care plans for these residents included general interventions to give medications as ordered and to monitor/document side effects and effectiveness, but they did not identify where those findings were documented. Resident #10 had diagnoses including osteoporosis and unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance, or anxiety. The resident’s record showed orders for sertraline for depression and quetiapine for depression, and a physician progress note later described dementia with behavior disturbances, anxiety, insomnia, and advanced progressive-labile behaviors. The family refused a psychiatric consult. Despite these psychotropic orders, there was no documentation in June 2026 showing monitoring for effectiveness or adverse reactions/side effects, and the DON verified there was no evidence the resident was routinely monitored. Resident #49 had diagnoses including dementia with behavioral disturbances, bipolar II disorder, Alzheimer’s disease, anxiety disorder, type II diabetes, and major depressive disorder. The resident received escitalopram and Seroquel, with orders that included monitoring for side effects and documenting negative findings in nurses’ notes. Resident #5 had dementia, major depressive disorder, mental disorder, and anxiety disorder and received buspirone, Zoloft, and Ativan. Resident #20 had Alzheimer’s disease, dementia, major depressive disorder, and insomnia and received lorazepam and Seroquel. Resident #29 had dementia, Alzheimer’s disease, anxiety, and depression and received sertraline and Seroquel. For each of these residents, the record contained no evidence of routine monitoring for effectiveness or adverse reactions/side effects, and the DON confirmed the lack of such documentation. The facility policy stated residents receiving psychoactive medication would be monitored by RN/LPN at appropriate intervals for behavioral changes, but the records reviewed did not show that this occurred.
Failure to Treat Constipation in Resident
Penalty
Summary
The facility failed to provide appropriate treatment for constipation for a resident with dementia, heart disease, and heart failure. The resident was admitted with impaired cognition and was occasionally incontinent of stool, requiring assistance for toileting hygiene. The care plan indicated the resident was frequently incontinent of bowel and bladder, with interventions to document bowel movements and provide incontinence care to prevent pressure ulcers. However, the medical record showed no documented bowel movements for two separate five-day periods in July 2024, and the resident received only one treatment for constipation during the month. Interviews with the Unit Manager confirmed the lack of documented bowel movements and the absence of treatment for constipation during the specified periods. The facility's policy required standing physician orders to be implemented when a resident had no bowel movement for 72 hours, with available treatments including Milk of Magnesia, Dulcolax suppository, and Fleets enema. Despite this policy, the resident did not receive the necessary interventions, and the electronic medical record system failed to alert nurses to the issue, resulting in a deficiency in care.
Failure to Clean Used Bedpans
Penalty
Summary
The facility failed to ensure that used bedpans were cleaned after use, affecting one resident reviewed for bedpan use. Resident #210, who was cognitively intact and admitted with an infection and inflammatory reaction to a right knee prosthesis, was observed with a used, uncovered bedpan sitting on top of the toilet riser in her bathroom. This observation was made twice on the same day, with the resident confirming she had used the bedpan throughout the day. An LPN verified the presence of the used bedpan and stool on the toilet riser. The Director of Nursing identified four other residents who also used bedpans. The facility's infection prevention and control policy, dated 11/16, stated that the facility would maintain an infection control program for preventing, identifying, and controlling infections.
Failure to Administer or Document Vaccinations
Penalty
Summary
The facility failed to ensure that residents received or were offered influenza and pneumococcal vaccinations according to CDC recommendations. Resident #5, who has multiple diagnoses including cerebral atherosclerosis and dementia, was admitted with a record indicating that vaccines were offered and declined. However, the social service progress notes later showed that the resident's Power of Attorney consented to the flu vaccine, yet there was no record of the vaccine being administered. An LPN confirmed the lack of documentation for the vaccine administration despite the consent being given. Resident #26, with diagnoses such as encephalopathy and acute respiratory failure, was documented as having declined the pneumococcal vaccine. However, there was no record of this declination in the medical record. An LPN verified the absence of documentation for the declination. The facility's policies on vaccine administration were reviewed, and it was found that they did not align with CDC guidelines, which recommend vaccinations for adults over 65, unless contraindicated or refused.
Failure to Maintain Clean Environment
Penalty
Summary
The facility failed to maintain a clean and safe environment for its residents, as evidenced by the presence of fecal matter on the toilet riser in the bathroom of a resident. The resident, who was cognitively intact and had been admitted with an infection and inflammatory reaction to a right knee prosthesis, was affected by this deficiency. Observations on two separate occasions on the same day revealed that fecal matter remained on the toilet riser, despite housekeeping having cleaned the room earlier. Interviews with the resident and a Licensed Practical Nurse confirmed the presence of the fecal matter. Additionally, the facility administrator acknowledged that there was no existing policy for maintaining a clean, homelike environment.
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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.
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Nursing homes near Maumee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Addison Heights Health And Rehabilitation Center | 1.5 mi | ★★★★★ | 16 | 0 |
| Ridgewood Manor | 2 mi | ★★★★★ | 9 | 0 |
| Lutheran Village At Wolfcreek | 2.3 mi | ★★★★★ | 0 | 0 |
| Spring Meadows Nursing, A Villa Center | 2.4 mi | ★★★★★ | 0 | 0 |
| Lakes Of Monclova Health Campus The | 2.7 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.