Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Massillon, The during CMS and state inspections, most recent first.
Failure to Implement Nutritional Interventions for Weight Loss: A resident admitted with moderate protein calorie malnutrition, COPD, and fractures had poor intake documented on nutritional screenings and an RD recommended a house supplement for nutrition and weight maintenance. No MD order was entered for the supplement, the resident then had significant weight loss on weekly weights, and the record showed no evidence the MD/NP were notified or that any nutritional intervention was implemented before discharge.
A resident with significant physical and communication impairments did not receive a comprehensive, individualized care plan to address her needs. Staff were unaware of proper wheelchair fit and necessary equipment, leading to discomfort and fear of falling, while recommended communication strategies and tools were not implemented or provided, resulting in ongoing frustration for the resident.
A resident receiving wound care for a coccyx wound was exposed from the upper back to the ankles while two nurses performed the procedure without pulling the privacy curtain. The resident's roommate was present and able to see the exposed areas, in violation of facility policy requiring privacy during care.
A resident with multiple complex medical conditions did not have a comprehensive, person-centered care plan that addressed all needs and preferences. The care plan failed to include interventions for repeated refusals of incontinence care, sensitivity to light during nighttime care, preference for certain staff, and reluctance to use a wheelchair due to fear of falling. Staff interviews confirmed these issues were ongoing and not addressed in the care plan.
A resident with cognitive impairment and multiple medical conditions did not consistently receive bathing as scheduled or according to her preference for showers. Staff provided bed baths due to the resident's fear and discomfort with the shower chair, but this was not addressed in the care plan or consistently documented. Nursing staff were unaware of missed scheduled baths and the resident's issues with the shower chair, and required documentation and communication of refusals were lacking.
A resident with significant communication impairments did not receive speech therapy as frequently as prescribed in their treatment plan due to the lack of a full-time speech therapist. Documentation and interviews revealed inconsistent therapy sessions, unclear caregiver training, and absence of recommended communication tools, resulting in ongoing communication difficulties and frustration for the resident.
A resident with significant medical needs was prescribed and administered Macrobid for a urinary tract infection, despite lab results indicating the presence of Klebsiella pneumoniae, which was not sensitive to this antibiotic. The facility's antibiotic stewardship policy required the use of lab results to guide antibiotic selection, but this protocol was not followed, resulting in the administration of an ineffective medication.
A resident with a history of traumatic brain injury and cognitive dysfunction eloped from the facility despite being under one-on-one supervision. The resident exhibited aggressive and agitated behavior, leading staff to allow him to close his door for privacy. During this time, he manipulated the window mechanism to exit the facility. The elopement was discovered when staff found the room unoccupied and the window open. The resident was later found at a local business and returned without injury.
A facility failed to conduct tuberculosis screening for a resident upon admission, as required by their policy. The resident, admitted with anxiety, depression, and hypertension, did not receive the necessary Mantoux test until after a readmission. The Director of Nursing confirmed the oversight, which was identified during a non-compliance investigation.
The facility failed to issue refunds to discharged residents in a timely manner, affecting two residents. A resident was due a refund of $1,572.00, which was paid almost six weeks late. Another resident was due a refund of $8,548.60, which was also paid late. The facility's policy requires refunds within 30 days of discharge, which was not followed.
Failure to Implement Nutritional Interventions for Significant Weight Loss
Penalty
Summary
The facility failed to ensure nutritional interventions were implemented to maintain the nutritional status of Resident #148, who was admitted with diagnoses including moderate protein calorie malnutrition, COPD, a wedge compression fracture of L1, and a displaced fracture of the medial malleolus of the left tibia. The resident was ordered a regular diet with regular texture and regular consistency liquids, and the admission weight was 152.0 pounds. Early documentation noted trace edema to both lower extremities on 09/10/25, no edema on 09/11/25, and nutritional risk screenings on 09/12/25 and 09/15/25 identified moderate decrease in food intake and moderate protein calorie malnutrition while the resident remained at 152 pounds. An initial nutritional evaluation on 09/16/25 documented varied meal intakes and recommended a house supplement of 120 ml twice daily for nutrition and weight maintenance, but no physician order was added for the supplement. The resident then had a weekly weight of 142.6 pounds on 09/17/25 and a re-weight of 144.3 pounds on 09/18/25, reflecting significant weight loss. The record contained no evidence that the physician or NP were notified of the re-weight or confirmed weight loss, and no nutritional intervention was documented before the resident discharged home. The RD later documented the significant weight loss after discharge, and the DT confirmed the supplement recommendation was never ordered.
Failure to Accommodate Resident's Physical and Communication Needs
Penalty
Summary
The facility failed to provide a comprehensive, resident-centered treatment plan to accommodate the physical and communication needs of a resident with multiple complex diagnoses, including encephalopathy, type 2 diabetes, aphasia, hemiplegia, and cognitive impairment. Occupational therapy notes indicated ongoing issues with wheelchair fit and support, with the resident expressing fear of falling and discomfort due to improper leg support. Staff interviews revealed uncertainty about the appropriateness of the wheelchair, lack of awareness of the resident's concerns, and inconsistent use of necessary equipment such as a properly sized footbox. Observations confirmed the resident's legs were inadequately supported, and staff resorted to using pillows as a makeshift solution. In addition to physical needs, the resident's communication challenges were not adequately addressed. Speech therapy discharge recommendations included specific strategies and training for staff to facilitate communication, such as using visual aids and concrete directions. However, interviews with staff indicated a lack of awareness or training on these techniques, and the resident reported ongoing frustration with her ability to communicate. The care plan included interventions for impaired communication, but the resident was not provided with communication tools until after surveyor intervention. Throughout the period reviewed, there was a lack of coordination and follow-through among therapy, nursing, and direct care staff regarding both the resident's physical and communication needs. Staff were unclear about the equipment provided, the training received, and the interventions required to support the resident's well-being and dignity. These deficiencies resulted in the resident not achieving or maintaining her highest level of well-being, as evidenced by her fear, discomfort, and frustration.
Failure to Provide Privacy During Wound Care Procedure
Penalty
Summary
During a wound care procedure for a resident admitted with congestive heart failure and morbid obesity, two nurses assisted the resident in removing her incontinence brief and turning her on her side. This action resulted in the resident being exposed from her upper back to her ankles. The resident was cognitively intact and shared the room with another resident, who was present and able to see the exposed areas during the procedure. The privacy curtain between the two beds was not pulled prior to the start of the wound care, contrary to the facility's Clean Dressing Change policy, which requires privacy to be provided before beginning such procedures. The oversight was only addressed after a surveyor inquired about the curtain, at which point the nurse confirmed that the curtain should have been used to provide privacy.
Failure to Develop and Implement Comprehensive Person-Centered Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan that addressed all of a resident's needs. The resident in question had multiple complex diagnoses, including encephalopathy, type 2 diabetes, aphasia, generalized anxiety disorder, chronic pain syndrome, cerebral infarction, dysphagia, hemiplegia, and major depressive disorder. The care plans on record addressed some needs, such as functional deficits, incontinence, and neurological status, but did not include interventions for several specific issues. Notably, there was no care plan or intervention for the resident's repeated refusals of incontinence care, sensitivity to light during nighttime care, preference for certain staff, or desire to sleep through scheduled care times. Additionally, an intervention for a bowel and bladder program was listed, but the resident was never actually on such a program. Interviews with staff and the resident revealed ongoing issues that were not addressed in the care plan. The resident frequently refused incontinence care, especially at night, citing discomfort and a dislike of being woken up or having lights turned on. The resident also expressed a preference for certain caregivers and would refuse care from others, particularly male staff. Staff confirmed these refusals and noted that documentation of refusals was done under behavior monitoring, but these behaviors were not specifically addressed in the care plan. The Director of Nursing acknowledged that interventions for these specific refusals and preferences were not included in the care plan. Additionally, the resident had concerns about the use and fit of her wheelchair, expressing fear of falling and discomfort with the equipment provided. Occupational therapy notes indicated ongoing assessment and modification of the wheelchair, but interviews with staff revealed uncertainty about whether the wheelchair fit properly or was appropriate for the resident's needs. There was no care plan in place to address the resident's fear of using the wheelchair or her reluctance to get out of bed, despite these being ongoing issues. This lack of comprehensive, individualized planning resulted in the resident's needs and preferences not being fully addressed.
Failure to Provide Scheduled and Preferred Bathing for Dependent Resident
Penalty
Summary
Facility staff failed to ensure that a resident who was dependent on staff for activities of daily living (ADLs) received bathing in accordance with her preferences and scheduled care. The resident, who had significant medical conditions including encephalopathy, type 2 diabetes, aphasia, chronic pain syndrome, hemiplegia, and cognitive impairment, required substantial to maximal assistance for bathing and personal hygiene. The care plan indicated a preference for showers and required staff to report refusals of ADL care to the nurse. However, the care plan did not address the resident's use of or fear of the shower chair. Documentation of bathing was inconsistent and did not specify the type of bathing provided. The resident was not bathed on several scheduled days, and behavior monitoring records did not clarify which care was refused. Interviews revealed that the resident preferred showers but was afraid of or experienced pain with the shower chair, resulting in bed baths being provided instead. Staff interviews confirmed that the resident was not consistently bathed as scheduled and that refusals or issues with bathing were not always communicated or documented as required. The Unit Manager and DON were unaware of the resident's discomfort with the shower chair and the missed scheduled baths. Facility policy required showers or baths to be scheduled according to person-centered care, but this was not consistently followed for the resident in question.
Failure to Provide Prescribed Speech Therapy Services
Penalty
Summary
The facility failed to provide a resident with the specialized rehabilitative services of speech therapy as required by the resident’s plan of treatment. The resident, who had a history of encephalopathy, aphasia, dysarthria, cerebral infarction, dysphagia, hemiplegia, and cognitive impairment, was admitted with significant communication challenges. The speech therapy plan called for treatment five times a week for six weeks, but documentation showed inconsistent delivery of services, with the resident receiving therapy fewer times than prescribed in several weeks. The speech therapy discharge summary included recommendations for ongoing strategies and caregiver training to support the resident’s communication needs. However, interviews with the Rehabilitation Director revealed uncertainty about what specific training was provided to caregivers, which caregivers received it, and whether any visual aids or communication tools were supplied to the resident. The Rehabilitation Director also confirmed that the lack of a full-time speech therapist led to irregular therapy sessions, as services were only provided when a therapist was available. The resident expressed ongoing frustration and difficulty with communication, both with family and caregivers, and indicated a need for additional speech therapy. Observations during interviews confirmed the resident’s communication struggles and emotional distress related to these challenges. The deficiency was identified during a complaint investigation and affected one resident reviewed for therapy services.
Inappropriate Antibiotic Prescribing for UTI
Penalty
Summary
A resident with multiple complex medical conditions, including encephalopathy, diabetes, aphasia, and hemiplegia, was admitted to the facility and later experienced a change in condition. Following abnormal urinalysis results, the on-call physician was notified and a verbal order was given for Macrobid, an antibiotic, to be administered. The resident received at least one dose of Macrobid as documented in the medication administration record. However, subsequent review by a certified nurse practitioner revealed that Macrobid did not cover the organisms identified in the resident's urine culture, specifically Klebsiella pneumoniae, which was not sensitive to Macrobid according to the sensitivity testing. The facility's policy on antibiotic stewardship requires the use of antibiograms and lab results to guide appropriate antibiotic selection. Despite this, the initial antibiotic prescribed was not effective against the identified bacteria. The Assistant Director of Nursing confirmed that Macrobid did not meet the criteria for administration in this case. This failure to ensure the resident was ordered an appropriate antibiotic for a urinary tract infection constituted a deficiency, as it did not align with the facility's established protocols for infection control and antibiotic stewardship.
Resident Elopement Due to Inadequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision to prevent the elopement of a resident, identified as Resident #131, who had a history of traumatic brain injury, depression, and hypertension. Upon admission, the resident was noted to be at risk for exit-seeking and wandering due to cognitive dysfunction and impulsivity. Despite having a care plan that included the application of a wanderguard and one-on-one supervision, the resident managed to elope from the facility. On the day of the incident, the resident exhibited agitation and aggressive behavior, including verbal insults and sexually inappropriate actions towards staff. The resident was placed under one-on-one supervision with 15-minute checks, but due to increasing agitation, the supervising staff allowed the resident to close his door, believing it would help him calm down. During this time, the resident manipulated the window mechanism in his room, removed the screen, and exited the facility. The elopement was discovered when staff noticed the resident was missing from his room and the window was open. The facility initiated its elopement policy, notified the police, and began a search. The resident was found at a local business and returned to the facility without injury. Interviews revealed that the resident had prior knowledge of how to manipulate the window mechanism, which contributed to his ability to elope despite the supervision measures in place.
Failure to Conduct Tuberculosis Screening on Admission
Penalty
Summary
The facility failed to ensure that residents were screened for tuberculosis upon admission, affecting one resident out of three reviewed for tuberculosis screening. The resident in question was admitted with diagnoses including anxiety, depression, and hypertension. Upon review of the resident's medical records and physician's orders for August 2024, it was found that there were no orders for tuberculosis screening, and the medication administration record confirmed that the screening was not administered after admission. An interview with the Director of Nursing verified that the tuberculosis screening for the resident was not completed after her admission in August 2024 and was only conducted after a readmission in October 2024. The facility's policy, dated January 2023, required all first-time residents to be screened for tuberculosis on admission using a Mantoux test, which was not adhered to in this case. This deficiency was identified during a non-compliance investigation under Complaint Number OH00160053.
Delayed Refunds to Discharged Residents
Penalty
Summary
The facility failed to issue refunded monies to discharged residents in a timely manner, affecting two residents out of three reviewed for refunds. Resident #145, who was a private pay resident, was admitted and later discharged, with a final payment made on 03/13/24. After settling the facility balance, a refund of $1,572.00 was due by 04/13/24 but was only approved on 05/17/24 and paid out on 05/22/24, almost six weeks late. The administrator confirmed the delay during an interview. Similarly, Resident #160, also a private pay resident, was discharged with a final payment made on 07/01/23. A refund of $8,548.60 was due by 07/30/23 but was approved on 07/26/23 and paid out on 08/04/23, indicating a late payment. The Business Office Manager confirmed this delay. The facility's policy requires refunds to be issued within 30 days of discharge, which was not adhered to in these cases.
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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 Massillon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Amherst Meadows Skilled Nursing And Rehab | 1.6 mi | ★★★★★ | 2 | 0 |
| Meadow Wind Health Care Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Hanover Healthcare Center | 2.1 mi | ★★★★★ | 16 | 0 |
| Altercare Of Nobles Pond, Inc | 2.8 mi | ★★★★★ | 7 | 0 |
| Rose Lane Nursing And Rehabilitation | 3.1 mi | ★★★★★ | 15 | 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.