Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Mapleview Country Villa during CMS and state inspections, most recent first.
A facility failed to ensure residents ordered a pureed diet received all menu items during lunch meal service. Pureed bread was not available or served to five residents on a pureed diet, and the DM confirmed it was not provided while dietary staff stated it had not been prepared. The menu and diet spreadsheet showed the pureed meal should have included a pureed dinner roll with margarine along with the other pureed items.
A cognitively intact but fully ADL-dependent resident with multiple serious diagnoses, including cancer, severe protein-calorie malnutrition, seizures, and DM2, was observed on multiple occasions to have long, dirty fingernails. The resident reported that nail care occurred only when requested and was not part of routine bathing or hygiene. A CNA confirmed that nail care was typically done on shower days, but this resident received only bed baths, and the CNA was unsure when the last bed bath or nail care occurred. This practice did not align with the facility’s ADL care policy, which required staff to assist dependent residents with personal hygiene, including nail care.
A resident’s pressure-sensitive call light was found placed on the floor mat beside the bed instead of within reach. The resident could not see or reach it and said he did not know where it was. A CNA confirmed it had been placed there after instruction from an LPN, while the resident’s care plan and facility policy both required the call light to always be within reach.
A resident with multiple psychiatric and medical diagnoses, including bipolar disorder, PTSD, and a history of suicidal behavior, was hospitalized for suicidal ideations with a plan and returned with new diagnoses of GAD and suicidal ideations. Review of the chart found no evidence that the Ohio Department of Mental Health was notified for PASRR review, and a Social Service Designee confirmed the notification was not made.
A resident with severe cognitive impairment and diabetes was administered insulin outside of physician-ordered parameters, resulting in severe hypoglycemia and hospitalization. An LPN gave short-acting insulin despite a BG level below the hold threshold, and the resident's insulin was not administered with all meals as ordered over several months. The facility failed to ensure medication was given according to prescriber instructions.
A deficiency occurred when the facility did not provide enough nursing staff to meet resident needs across three units, resulting in periods where no staff were present on one unit. Residents experienced long waits for incontinence care, repositioning, and assistance with meals, with some left in soiled briefs for hours and others missing scheduled activities. Staff interviews and observations confirmed that nurses and CNAs were unable to keep up with care demands, and incident logs showed an increase in resident falls during this period.
A resident with multiple chronic conditions repeatedly requested assistance and a cup of tea, but staff failed to respond promptly or provide the requested beverage for nearly three hours. The resident was also unable to eat breakfast in the dining room as preferred due to delays in assistance, resulting in unmet needs and a lack of respect for the resident's dignity and choices.
Two residents with significant medical conditions were found without call lights within reach, resulting in unmet care needs and distress. One resident was left calling for help with the call light behind the bed, while another had to physically get up to access the call light, which was on the floor. Staff confirmed the call lights were not accessible, and facility policy required call lights to be within reach.
A resident with advanced cognitive and physical impairments was not assisted with eating and drinking as required. Staff failed to position the resident upright, make food and drink accessible, or provide encouragement and hands-on assistance during meals. Documentation of meal intake and assistance was inconsistent, and staff interviews revealed a lack of awareness and adherence to the resident's care plan and nutritional needs.
Surveyors identified that two residents received oxygen therapy without required signage indicating oxygen use at their room entrances, as mandated by facility policy. Additionally, one resident was administered oxygen without an active physician order. These deficiencies were confirmed by nursing staff and through review of medical records and facility policy.
A resident with dementia, anxiety, and depression disclosed a history of childhood sexual abuse and experienced flashbacks and delusions, but staff did not assess for trauma or document triggers and interventions in the care plan or Kardex. Social services and psych providers were not notified or involved in trauma assessment after the resident's disclosure, and staff were unaware of the resident's trauma history or care needs related to trauma. The facility's policy lacked procedures for trauma assessment and care planning.
The facility did not post required signage for a resident on droplet isolation due to parvovirus and failed to ensure staff were aware of the type of transmission-based precautions in place. Additionally, an LPN used a blood pressure cuff on two residents without sanitizing it between uses, despite the residents' immunocompromised and chronic health conditions. Facility policies lacked clear instructions on signage and communication of TBP requirements.
A resident's medications, including uncapped eye drops and nasal spray, were improperly left at the bedside by an LPN, leading to missed and late doses. The resident, with multiple diagnoses, did not self-administer the medications, and facility policies were not followed, resulting in non-compliance with medication administration procedures.
A resident's medications, including eye drops, nasal spray, and pain relief gel, were improperly left uncapped and accessible on a soiled bedside table without an order for self-administration. The LPN admitted to forgetting to return the medications to the cart, and the ADON confirmed that medications should not be left at the bedside. Facility policies require medications to be stored in a cart unless there is a written order for bedside storage.
The facility failed to maintain a sanitary kitchen and ensure food items were not expired, potentially affecting all residents receiving food. Observations revealed expired milk and sandwiches, inadequate dish machine rinse temperatures, and insufficient sanitizer levels. Staff confirmed these issues, and policies were not followed regarding food storage and expiration.
A facility failed to implement a comprehensive care plan for a resident with a cardiac pacemaker. The care plan required monitoring for pacemaker failure symptoms and vital signs, but there were no monitoring orders in place, and assessments were not completed on several days. An LPN confirmed the lack of documentation and assessments, indicating a failure to adhere to the care plan.
A resident with a complex medical history was discharged from an LTC facility with an incomplete discharge summary. The summary inaccurately stated that no care was provided during the resident's two-day stay, despite the resident's significant medical needs. Interviews revealed that the RN responsible for the summary misunderstood the documentation requirements, leading to the omission of essential medical information.
Pureed Diet Meal Item Omission
Penalty
Summary
The facility failed to ensure residents ordered a pureed diet received all food items listed on the menu. During lunch meal service, pureed bread was not available on the steam table or served to residents ordered a pureed diet. The Dietary Manager confirmed that pureed bread was not served to Residents #2, #24, #50, #68, and #70, and a dietary staff member confirmed she had not prepared pureed bread for the lunch meal. Review of the facility menu showed the lunch meal included chicken teriyaki, fried rice, steamed broccoli, a dinner roll with margarine, black forest cake, and a beverage, and the diet spreadsheet showed the pureed diet should have included pureed chicken teriyaki, pureed fried rice, pureed steamed broccoli, pureed dinner roll with margarine, smooth and thick sweet and sour sauce, and pureed black forest cake.
Failure to Provide Adequate Nail Care for Dependent Resident
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate nail care as part of activities of daily living (ADL) assistance for a dependent resident. The resident was admitted with multiple significant diagnoses, including severe protein-calorie malnutrition, basal cell carcinoma of the scalp and neck, secondary malignant neoplasm of the bone, convulsions, type 2 diabetes mellitus, anxiety disorder, and absence of the right eye. Her MDS showed intact cognition with a BIMS score of 14, but she required maximum assistance with upper body dressing and was dependent on staff for lower body dressing, toileting, showering, personal hygiene, and mobility. Her care plan identified an ADL self-care, mobility, and functional performance deficit related to cancer, diabetes, and seizures, and documented that she was dependent on staff for personal hygiene tasks. During an interview and observation, surveyors noted that the resident’s fingernails were long and dirty. The resident reported that staff only cleaned and trimmed her fingernails when she specifically asked and that she was unsure when they were last cleaned; she also stated that nail care was not included as part of her routine bathing or hygiene. A subsequent observation again found long and dirty fingernails, which was confirmed by both the resident and a CNA. The CNA stated that fingernails were cleaned on shower days but that this resident received only bed baths, and the CNA was unsure when the resident last had a bed bath or when her nails were last cleaned. The facility’s ADL Care policy, reviewed on 01/06/25, stated that staff were expected to assist dependent residents with maintenance of personal hygiene, including nail care, indicating that this expected care was not being consistently provided.
Call Light Not Kept Within Resident Reach
Penalty
Summary
The facility failed to keep Resident #7’s call light within reach. During observation, the resident was lying in bed and the pressure-sensitive call light was found placed in the middle of the floor mat to the left side of the bed, which was lower than bed height. Resident #7 stated that if he needed help he would press the call light but did not know where it was, and he was unable to see or reach it from his position. A CNA confirmed the call light had been placed on the floor mat next to the bed, stating she had been instructed by an LPN to place it there so it would activate if the resident fell out of bed. The LPN later stated she had instructed the CNA to place the call light on the side of the resident’s bed and not on the floor mat. The resident’s care plan for fall risk directed that the touch-sensitive call light always be in reach when in the room, and the facility policy stated call lights are to be placed within reach of the resident.
Failure to Notify State Agency of Mental Health Change
Penalty
Summary
The facility failed to notify the appropriate state agency, the Ohio Department of Mental Health, of a significant change in a resident’s mental health condition as required for PASRR review. Resident #1 was admitted with diagnoses including bipolar disorder, PTSD, mild cognitive impairment, Parkinsonism, chronic kidney disease, diabetes, insomnia, osteoarthritis, and a personal history of suicidal behavior. The resident later had an inpatient psychiatric hospitalization for suicidal ideations with a plan, and upon return to the facility had additional diagnoses of generalized anxiety disorder and suicidal ideations documented in the discharge summary. Review of the electronic and hard charts found no evidence that the state agency was notified of the new diagnoses or decline, and a Social Service Designee confirmed the notification had not been made.
Significant Insulin Administration Error Resulting in Resident Harm
Penalty
Summary
A significant medication error occurred when a resident with severe cognitive impairment and multiple comorbidities, including diabetes mellitus type 2, was not administered insulin according to physician orders. The resident's order specified that ten units of Novolog insulin should be given with meals and held if the blood glucose (BG) level was less than 110 mg/dL. Despite this, the insulin was administered at a BG level of 97 mg/dL, which was below the hold threshold. This error resulted in the resident being found unresponsive with a BG of 37 mg/dL, displaying symptoms such as flushing, drooling, sweating, and moaning, and requiring emergency intervention and hospitalization for hypoglycemia. Further review revealed that the resident's insulin was only administered at lunch and dinner, not with all meals as ordered, from the time the order was written. This discrepancy was not identified during routine audits or after the resident's return from the hospital, despite the discharge order specifying insulin with meals three times daily. The error in administration times persisted for several months and was confirmed by staff interviews and review of medication administration records. The facility's policy required medications to be administered in accordance with prescriber orders, but this was not followed in the case of the resident's insulin regimen. The incident was documented in the facility's incident logs and medical records, and staff interviews confirmed the failure to adhere to the prescribed insulin parameters and schedule.
Failure to Provide Adequate Staffing Results in Unmet Resident Needs
Penalty
Summary
The facility failed to provide adequate nursing staff to meet the needs of residents in the Rosewood residential area, which included three units. On multiple occasions, there was only one nurse covering all three units during the night shift, with only one nursing assistant assigned to each of the front and middle units, and no nursing assistant assigned to the back unit. This resulted in periods where no staff were present on the back unit, leaving residents without timely assistance for incontinence care, repositioning, or other needs. Observations documented strong odors of urine, unanswered call lights, and residents waiting extended periods for help, including one resident who had to get up from a recliner and walk around the bed to access the call light, and another resident who was left in a soiled brief for several hours, resulting in skin irritation. Staff interviews confirmed the lack of adequate coverage, with the nurse on duty having to perform both nursing and nursing assistant duties for the back unit, and nursing assistants reporting difficulty completing care due to being alone and unable to leave their assigned units. Residents and their private aides also reported frequent delays in receiving assistance, with some residents not being able to get up for breakfast or to the dining room as scheduled, and others missing meals or not receiving requested beverages. The lack of staff also led to situations where mechanical lifts and two-person assist tasks were either delayed or performed with only one staff member, contrary to care requirements. Review of facility records showed that the majority of residents in these units required moderate to total assistance with activities of daily living, incontinence care, and mechanical lifts. Incident logs indicated a rising trend in resident falls over recent months. Staffing data revealed that while the facility met the minimum required direct care hours, actual staff assignments left units inadequately covered, especially on weekends and night shifts. Facility policies required regular incontinence care and call light accessibility, but these were not consistently followed due to insufficient staffing.
Failure to Honor Resident's Dignity and Preferences for Timely Assistance
Penalty
Summary
A deficiency was identified when a resident with diagnoses including diabetes mellitus type 2, congestive heart failure, dementia, and peripheral vascular disease was not treated with dignity and respect. The resident was observed repeatedly calling for help from their room early in the morning, but a CNA who was present on the unit did not respond or inquire about the resident's needs. Shortly after, an LPN entered the unit, acknowledged the resident's request for tea, but stated that she needed to get report first and would provide the tea later. The resident was left without water or tea at the bedside, and no bedside table was within reach. Over the course of several hours, the resident continued to wait for the requested tea, and multiple observations confirmed that the request was not fulfilled. The resident also expressed a desire to eat breakfast in the dining room, but remained in bed due to the need for a second staff member to assist with the transfer. By the time assistance was available, breakfast service in the dining room had ended, and the resident was required to eat in their room. The resident continued to express disappointment about not receiving tea and not being able to eat in the dining room as preferred. Eventually, the resident was transferred to a wheelchair and received a breakfast tray in their room, but the tray contained coffee instead of the requested tea. The LPN acknowledged not checking to ensure the resident received tea and only provided it nearly three hours after the initial request. Throughout this period, the resident's repeated requests for assistance and specific preferences were not promptly addressed, resulting in a failure to honor the resident's right to dignity, respect, and self-determination.
Failure to Maintain Call Lights Within Reach for Two Residents
Penalty
Summary
The facility failed to maintain call lights within reach for two residents, resulting in unmet needs and distress. One resident with Parkinson's disease, diabetes, dementia, and an overactive bladder was found lying in bed without a sheet or blanket, calling out for help. The call light was observed on the floor behind the headboard, out of the resident's reach. The resident reported feeling wet and unable to find the call light, expressing frustration and alleging that staff hid the call light due to frequent use. Both the RN and CNA assigned to the unit confirmed the call light was not in reach but denied intentionally placing it out of reach. Another resident with chronic atrial fibrillation, sick sinus syndrome, and a cognitive communication deficit was found in a recliner with a strong odor of urine in the room. The call light was on the floor, out of reach, and the resident described having to get up and walk around the bed to access it. The resident expressed difficulty in keeping the call light nearby and requested assistance. Multiple observations confirmed the call light remained unanswered for an extended period, and staff verified the call light was not accessible. Facility policy required call lights to be within reach and for staff to be attentive to resident needs.
Failure to Assist Cognitively Impaired Resident with Eating and Drinking
Penalty
Summary
A deficiency was identified when a resident with Alzheimer's disease, diabetes, hypertension, right hip fracture, and anxiety disorder was not provided with necessary assistance during mealtimes. The resident, who was dependent on staff for eating and drinking due to impaired cognition and physical limitations, was observed sitting in a reclined Broda chair with her meal tray placed out of reach. Staff failed to position her upright, uncover her food, unwrap her silverware, or provide a straw for her milk. No encouragement or assistance was offered, and the tray was removed without any attempt to help the resident eat or drink. Documentation in the electronic medical record showed inconsistent and incomplete entries regarding the resident's meal intake and assistance provided. On several occasions, there was no documentation of meal intake or refusals, and the resident's intake varied from refusing to eat to consuming up to 75 percent of meals. The care plan and nutritional assessment indicated that the resident was unable to make her needs known and required substantial to maximum assistance with eating, yet these interventions were not consistently implemented by staff. Interviews with staff revealed a lack of understanding and follow-through regarding the resident's needs. One CNA, new to the facility, stated she was told the resident did not eat breakfast and therefore did not attempt to assist her. The LPN assigned to the unit was unaware of any specific instructions regarding the resident's eating habits. Both the dietitian and RN/unit manager confirmed that the resident was dependent on staff for eating and drinking and should have been properly assisted, including being positioned upright and having her food and drink made accessible.
Failure to Ensure Proper Oxygen Signage and Physician Orders
Penalty
Summary
Surveyors found that the facility failed to ensure proper respiratory care for residents requiring oxygen therapy. Specifically, two residents were observed receiving oxygen without the required signage indicating oxygen use at the entry to their rooms, as mandated by facility policy. One resident with diagnoses including emphysema, COPD with acute exacerbation, and respiratory failure was observed using oxygen at two liters per minute via nasal cannula, but there was no sign posted to indicate oxygen was in use. This was confirmed by an LPN, and the facility's policy required such signage. Another resident was observed twice receiving oxygen via nasal cannula from a concentrator, also without any oxygen safety sign displayed in the room or on the doorway, which was confirmed by an RN. Additionally, review of the medical record for the second resident revealed that there was no active physician order for oxygen administration, despite the resident receiving oxygen. This was verified by an LPN. The facility's policy required checking for a physician's order for oxygen administration and posting an oxygen in use sign. The lack of signage and absence of a physician order for oxygen administration were identified as deficiencies during the survey.
Failure to Provide Trauma-Informed Care and Assess for Trauma After Resident Disclosure
Penalty
Summary
The facility failed to provide trauma-informed care in accordance with professional standards of practice for a resident with a history of trauma and mental health diagnoses. The resident, admitted with dementia, COPD, anxiety disorder, mood disorder, and depression, reported a history of childhood sexual abuse and experienced flashbacks, hallucinations, and delusions related to this trauma. Despite these disclosures, there was no evidence that the facility's social services or psychiatric providers assessed the resident for trauma following her statements, nor were any trauma-related triggers or interventions documented in her care plan or Kardex. The deficiency was identified after the resident alleged rough treatment by a CNA, which she later recanted, attributing her statements to confusion and flashbacks from past trauma. Multiple assessments and progress notes failed to document any follow-up or trauma assessment after the incident, and staff interviews revealed a lack of awareness regarding the resident's trauma history, triggers, or appropriate interventions. The facility's policy on trauma-informed care did not include procedures for assessing residents for trauma or ensuring that triggers were identified and addressed in the plan of care. Interviews with facility staff, including the administrator, social service designee, CNA, and psychiatric nurse practitioner, confirmed that the resident's trauma history was not communicated or incorporated into her care planning. The lack of documentation and communication resulted in the resident's trauma history and related care needs being unaddressed, despite her ongoing symptoms and requests for therapy related to her flashbacks.
Failure to Implement Proper Infection Control Signage and Equipment Cleaning
Penalty
Summary
The facility failed to ensure proper implementation of infection prevention and control protocols for residents on transmission-based precautions (TBP) and during the use of shared medical equipment. For one resident admitted with a history of parvovirus infection, the care plan and physician orders specified strict droplet isolation, including the use of personal protective equipment (PPE), signage on the door, and in-room care. However, observations revealed that there was no signage on the resident's door indicating TBP status or the type of precautions required. Interviews with staff members, including a CNA and LPN, confirmed uncertainty about the resident's isolation status and the absence of appropriate signage. The infection control designee also verified that the admitting nurse should have placed the correct signage and communicated the TBP type and reason during shift reports. Facility policies reviewed did not address requirements for signage or staff/visitor awareness of TBP type. Additionally, the facility did not ensure that medical equipment, specifically a vital signs monitor and blood pressure cuff, was properly sanitized between use with different residents. An LPN was observed using the same blood pressure cuff on two residents without cleaning it before or after use, despite the availability of sanitizing wipes. The residents involved had significant medical histories, including immunocompromised status and chronic illnesses, increasing their vulnerability to infection. The LPN acknowledged the failure to sanitize the equipment during an interview. These deficiencies were identified through medical record review, direct observation, staff interviews, and policy review. The findings affected one resident on TBP and two residents observed for infection control practices with shared equipment, out of a facility census of 88. The facility's policies lacked specific guidance on signage and communication of TBP requirements, contributing to the observed lapses in infection prevention and control.
Medication Administration Deficiency
Penalty
Summary
The facility failed to properly complete medication administration for a resident, identified as Resident #16, by leaving uncapped eye drops and nasal spray with pain relief gel at the resident's bedside. This occurred after the nurse prepared the medications but left them on a soiled bedside table within the resident's reach, intending to return later to administer them. The resident, who was eating breakfast at the time, did not self-administer the medications and reported that the nurse often left medications at the bedside and sometimes administered them late or not at all. Resident #16's medical record indicated several diagnoses, including spinal stenosis, restless legs syndrome, generalized anxiety disorder, GERD, radiculopathy, and chronic pain. The resident had physician orders for various medications, including artificial tears, nasal spray, and Voltaren gel, none of which were ordered for self-administration or bedside storage. The medication administration record showed instances where medications were either omitted or administered late, including omeprazole, gabapentin, hydroxyzine, and tramadol. Interviews with facility staff, including an LPN and the Assistant Director of Nursing, confirmed the improper handling and administration of medications. Facility policies reviewed indicated that medications should not be left at the bedside unless there is a written order for self-administration, and medication caps should be replaced immediately after administration to prevent infection. The deficiency was investigated under a specific complaint number, highlighting non-compliance with medication administration procedures.
Improper Medication Storage and Administration
Penalty
Summary
The facility failed to properly store medications by leaving eye drops, nasal spray, and pain relief gel at the bedside of Resident #16, who did not have an order for self-medication administration. The resident, diagnosed with conditions such as spinal stenosis and chronic pain, was observed with these medications on a soiled bedside table within reach. The resident reported that the nurse left the medications there because they were eating breakfast and would return later to administer them. However, the nurse did not return in a timely manner, and the medications remained uncapped and accessible. Licensed Practical Nurse (LPN) #245 confirmed that the medications were left uncapped on the bedside table, explaining that the caps were kept in the medication cart drawer. The LPN admitted to forgetting to return the medications to the cart after the resident was busy eating. The Assistant Director of Nursing (ADON) verified that medications should not be left at the bedside and that caps should be replaced immediately after administration to prevent infection. The facility's policies on medication administration and storage were reviewed, indicating that medications should be stored in a medication cart unless there is a written order for bedside storage, which was not present for Resident #16.
Deficiencies in Kitchen Sanitation and Food Storage
Penalty
Summary
The facility failed to maintain a clean and sanitary kitchen environment and ensure that food items were not expired, which could potentially affect all residents receiving food from the kitchen. During an initial kitchen tour, it was observed that the dairy walk-in cooler contained six expired milk pints intended for resident use. Additionally, the hot water temperature of the dish machine rinse cycle was recorded at 172 degrees Fahrenheit, below the recommended 180 degrees Fahrenheit necessary to ensure dishes were safe for use. In the dry food storage area, six packages of bread were found without dates indicating when they were opened or their expiration dates. Furthermore, a test strip of the three-sink sanitizer station showed the sanitizer level at 100 parts per million, below the recommended 200 parts per million needed to effectively kill viruses or bacteria. These observations were confirmed by the Food Service Manager. In another observation, the facility's front lobby refrigerator contained several expired sandwiches intended for resident consumption. These included a barbeque sandwich, a chicken and cheese sandwich, a cheese sandwich, and another sandwich, all past their expiration dates. An interview with a Registered Nurse revealed that staff were instructed to discard food after three days from the date on the food label. The Administrator confirmed that resident food was mixed with staff food in the refrigerator and that the sandwiches exceeded the three-day limit. The facility's policy on food brought in from the community stated that all cooked or prepared food for residents should be dated when accepted for storage and discarded after 72 hours or three days.
Failure to Implement Pacemaker Care Plan
Penalty
Summary
The facility failed to implement the interventions of the comprehensive care plan for a resident with a cardiac pacemaker. The resident, who had intact cognition and required supervision with activities of daily living, was admitted with diagnoses including cardiac pacemaker, syncope collapse, and atrioventricular block. The care plan included monitoring for signs and symptoms of pacemaker failure, such as dizziness, fainting, heart palpitations, prolonged hiccups, and chest pain, as well as monitoring oxygen saturation and signs of elevated blood pressure. However, the physician orders for May 2023 did not include monitoring orders for the new pacemaker. Additionally, the skilled nursing assessments and vital signs documentation were incomplete for several days in May 2024. Specifically, there were no skilled nursing assessments or documentation of blood pressure, oxygen saturation, and temperatures on multiple dates. An interview with the unit manager confirmed that these assessments and vital signs were not completed on the specified dates, indicating a failure to adhere to the care plan and monitor the resident's condition adequately.
Incomplete Discharge Summary for Resident
Penalty
Summary
The facility failed to thoroughly complete a discharge recapitulation of stay for a resident, affecting one of three residents reviewed for discharge. The resident, who had a complex medical history including chronic obstructive pulmonary disease, myocardial infarction, and other serious conditions, was admitted and discharged within a two-day period. Despite the resident's significant medical needs, the discharge summary inaccurately indicated that no care was provided during the stay. Interviews with the facility's Administrator and Director of Nursing confirmed the deficiency. The Director of Nursing acknowledged that the Registered Nurse responsible for completing the discharge summary did not understand the requirement to document the care and treatments provided during the resident's stay. As a result, the discharge summary lacked essential information about the resident's diagnoses, course of illness, treatments, and other pertinent medical details, which should have been included according to the facility's discharge summary protocol.
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 586 citations issued within 25 miles in the last 12 months — including the 6 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 Chardon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Chardon Woods | 2 mi | ★★★★★ | 0 | 0 |
| Chardon Center | 2 mi | ★★★★★ | 0 | 0 |
| Autumn Hills Healthcare Community | 5.9 mi | ★★★★★ | 3 | 0 |
| Ohman Family Living At Holly | 6.2 mi | ★★★★★ | 7 | 0 |
| Burton Health Care Center | 6.9 mi | ★★★★★ | 0 | 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.