Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Laurels Of Defiance The during CMS and state inspections, most recent first.
A resident with impaired cognition and mobility, dependent on staff for all ADLs and requiring frequent incontinence checks, did not receive timely incontinence care as outlined in their care plan and facility policy. Staff failed to check and change the resident for several hours, resulting in the resident remaining in soiled briefs and developing skin redness. Facility policy and the DON confirmed the expectation for two-hourly checks, which was not followed.
Surveyors identified multiple infection control deficiencies, including a CNA failing to wear gloves while assisting a resident on contact precautions, another CNA delivering a meal without performing hand hygiene after coughing into her hand, and the absence of required enhanced barrier precaution signage for a resident with an indwelling urinary catheter. These actions were not in accordance with facility policies and affected three residents.
Failure to Provide Timely Incontinence Care
Penalty
Summary
A deficiency was identified when a resident with multiple complex medical conditions, including impaired cognition, mobility impairment, and incontinence of bowel and bladder, did not receive timely incontinence care as required by their care plan and facility policy. The resident was dependent on staff for all activities of daily living and required incontinence checks every two hours. Documentation showed that after incontinence care was provided in the early morning, there was no further record of checks or care for several hours. Staff interviews confirmed that the resident was not checked for incontinence during shift changes, and the resident reported not receiving timely assistance. Direct observation revealed the resident remained in soiled briefs for an extended period, resulting in skin redness. Both CNAs involved acknowledged this was the first incontinence check since the start of their shift, despite the resident being known to require frequent checks due to heavy incontinence. The facility's policy and the Director of Nursing confirmed the expectation for two-hourly checks, which was not met in this instance.
Infection Control Lapses in PPE Use, Hand Hygiene, and Precaution Signage
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices for three residents. For one resident with a diagnosis of C. difficile and on contact isolation, a CNA adjusted the resident's oxygen tubing without donning gloves, despite gloves being available and facility policy requiring glove use for contact precautions. Another resident, with multiple diagnoses including hemiplegia and dysphagia, was served a meal by a CNA who coughed into her hand and shirt collar, then delivered and set up the meal tray without performing hand hygiene until after the task, contrary to the facility's hand hygiene policy. Additionally, a third resident with an indwelling urinary catheter did not have the required enhanced barrier precaution signage posted outside the room, as confirmed by an LPN. Facility policy mandates signage for residents with indwelling medical devices to indicate the type of precautions and required PPE. These lapses were identified through observation, medical record review, staff interviews, and policy review, and affected three of five residents reviewed for infection control practices.
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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 Defiance
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookview Healthcare Center | 1.8 mi | ★★★★★ | 3 | 0 |
| Vancrest Health Care Ctr Of Ho | 12.7 mi | ★★★★★ | 6 | 0 |
| Gardens Of Paulding The | 14.8 mi | ★★★★★ | 9 | 0 |
| Lutheran Home | 15.1 mi | ★★★★★ | 0 | 0 |
| Northcrest Rehab And Nursing Center | 15.8 mi | ★★★★★ | 1 | 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 July 2026) and official state health department websites.