Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Masternick Memorial Health Care Center during CMS and state inspections, most recent first.
Improper Release of PHI: A staff member released a resident’s requested medical records to the resident’s son, but the packet also included skilled progress notes and other PHI for 12 unrelated residents. The error occurred when the staff member printed records from the EMR using only the first few letters of the resident’s name and did not recognize that multiple residents’ documents had been selected before sending the scanned records by secure email.
The facility failed to charge a reasonable fee for electronic medical records requested by a resident’s legal representative. A resident with respiratory failure, anemia, and metastatic lung cancer had a son with POA who requested records electronically and received the first set via email. After a second electronic request, the facility issued two invoices totaling over several hundred dollars based on a per-page fee schedule and refused to send the second set of records until both invoices were paid, despite Ohio law capping charges for digital or electronically transmitted records at a fixed amount for authorized requestors.
A resident with dementia, Parkinson's disease, sepsis, and a pressure ulcer had a wound that progressed from a stage 2 ulcer to an unstageable ulcer and then a stage 4 ulcer, but the facility did not consistently assess or monitor it. Wound measurements were incomplete, including missing depth on multiple assessments, and the resident was managed by one LPN who said no contracted wound specialist had seen him during his stay. During survey observation, the wound measured deeper than documented.
Catheter Bag Maintained on the Floor: A resident with a suprapubic catheter, dementia, and dependence on staff for toileting and bathing was observed with the urinary collection bag dragging on the floor while attached to a wheelchair and later while attached to the bed. An RN and the DON confirmed the bag should not have been on the floor, and the facility policy on indwelling catheter care did not address catheter bags being on the floor.
A resident with dementia and severe cognitive impairment, who lived on a secured memory care unit and wore a Wanderguard, was last seen going to their room and closing the door after breakfast. The resident broke the safety screw on the bedroom window, removed the screen, and exited through the window without staff awareness. The resident, who was typically calm, cooperative, and independent with most ADLs, was later found by police and EMS several miles from the facility and returned, illustrating a failure to prevent elopement and ensure adequate supervision.
A resident's gold chain with a cross went missing after a CNA removed it due to neck irritation and placed it on the bathroom sink. The necklace was later moved to the nightstand and disappeared. The facility failed to report the misappropriation to the state agency as required by their policy.
A facility failed to thoroughly investigate a resident's missing gold chain, involving a CNA who last handled the item. The investigation did not include interviews with other residents, contrary to facility policy. The Administrator did not file a required Self-Reported Incident with the state agency.
Improper Release of Protected Health Information
Penalty
Summary
The facility failed to ensure the confidentiality of residents’ protected health information when it released medical records for one resident to that resident’s son and included records belonging to 12 other residents. An email from the resident’s son notified the facility that the scanned packet contained a total of 786 pages and included information from other residents. Facility leadership later verified that the breach occurred when staff scanned requested medical information and sent it by secured email, resulting in protected health information for 12 unrelated residents being disclosed. During interview, the Managed Care Coordinator stated she printed a report from the EMR by entering the first few letters of the resident’s name, saw the resident’s name on the top page, and then scanned the information to the son without recognizing that multiple residents’ records had been selected. The report identified that skilled progress notes containing protected health information for 12 residents were included in the release. The facility policy required PHI to be handled, stored, and communicated in accordance with regulations and required that release of PHI be limited to authorized staff and logged.
Unreasonable Fees Charged for Electronic Medical Record Requests
Penalty
Summary
The deficiency involves the facility charging an unreasonable fee for a resident representative’s request for medical records, in violation of Ohio Revised Code (ORC) 3701.742. The resident involved had acute and chronic respiratory failure with hypoxia, anemia, and metastatic lung cancer, with mild cognitive impairment and a need for moderate assistance with all ADLs. His son, who held financial and medical POA and was involved in his care and discharge planning, requested medical records electronically using the facility’s form. The first request was submitted and the records were sent electronically within a few days. The son later requested additional records electronically, again specifying he only wanted electronic copies. Following these requests, the facility generated two invoices for the son, one for the first set of records already provided and one for the second set requested, totaling over $600–$800 based on the facility’s fee schedule of per-page charges. The Regional Quality Assurance Manager and Corporate Medical Records staff confirmed that the second set of records would not be sent until the invoices were paid, despite the son only requesting electronic records. The facility’s policy referenced charging for photocopies in accordance with ORC 3701.742, but the applicable ORC provision limited the total cost for access to or electronic transmission of digital records, and all related services, to no more than fifty dollars when requested electronically by an authorized person. The facility’s invoicing and withholding of the second set of records until payment constituted the failure to charge a reasonable price for electronic medical records as required by state law.
Inadequate assessment and monitoring of a worsening pressure ulcer
Penalty
Summary
The facility failed to ensure a pressure ulcer for Resident #35 received appropriate assessments and monitoring. Resident #35 was admitted with diagnoses including sepsis, dementia, Parkinson's disease, and a stage 4 pressure ulcer that was not present on admission. Record review showed the wound was first identified as a new 2 cm by 2 cm stage 2 pressure ulcer with 0.2 cm depth, then later documented as an unstageable pressure ulcer measuring 5.5 cm by 6.0 cm and covered by slough. No progress notes indicated the wound had declined before the later assessment, and the resident was hospitalized the same day for suspected sepsis; hospital documentation stated the wound was not septic. After the resident returned to the facility, the wound was documented as a stage 4 pressure ulcer measuring 6 cm by 5 cm, but no depth was measured on subsequent wound assessments dated 02/17/26, 02/24/26, and 03/03/26. All of those assessments were completed by one LPN, who stated she served as the facility's wound nurse and that no contracted wound specialist had seen the resident during his stay. During observation of wound care, the wound appeared to be a stage 4 pressure ulcer, and when the surveyor prompted the LPN to measure depth, it was found to be 1 cm. The facility's wound care policy stated that when wounds were identified, the physician was to be notified, specialists were to be followed as ordered, and any decline was to be reported.
Catheter Bag Maintained on the Floor
Penalty
Summary
Provide and implement an infection prevention and control program was deficient because the facility failed to ensure an indwelling suprapubic catheter was maintained in a clean and sanitary manner for one resident. The resident had an admission date of 06/21/22 and diagnoses including dementia without behavioral disturbance, mood disturbance and anxiety, malignant neoplasm of sigmoid colon, low back pain, anorexia, insomnia, depression, obesity, and hemiplegia and hemiparesis following cerebral infarction. The resident’s record showed an order for catheter care and an order to cleanse the suprapubic stoma with normal saline and apply a split sponge every night shift. The resident’s MDS indicated moderate cognitive impairment, an indwelling catheter, and dependence on staff for toileting and bathing. The bladder incontinence evaluation showed the resident needed staff assistance to get to the toilet, could not adjust clothing, and required briefs/pads. The care plan identified the suprapubic catheter due to obstructive uropathy, benign prostatic hyperplasia, and a history of UTIs requiring antibiotic treatment. During observation, the resident’s urinary collection bag was seen attached to the wheelchair and dragging on the ground while the resident was in the activity room. A restorative RN verified the bag was hanging too low and confirmed it was not to be on the floor. Later, the resident was observed in bed with the urinary collection bag attached to the bed and dragging on the ground. An RN verified the bag was on the floor and stated the staff who placed the resident in bed was responsible for the catheter bag’s appropriate positioning. The DON was informed and confirmed the facility expectation that urinary collection bags were not to be on the floor. The facility policy on catheter management stated routine care would be administered when an indwelling urinary catheter was ordered and in place, but the policy did not address catheter bags being on the floor.
Elopement Through Bedroom Window From Secured Memory Care Unit
Penalty
Summary
The deficiency involves the facility’s failure to prevent a cognitively impaired resident from leaving the building without staff knowledge. The resident had been admitted with diagnoses including dementia, hypertension, anxiety, and skin cancer, and an elopement risk evaluation completed on admission indicated the resident was not at risk for elopement. A subsequent comprehensive MDS assessment documented that the resident was severely cognitively impaired, required assistance or supervision with multiple ADLs, and was independently mobile. Despite this, the resident resided on a secured memory care unit and had a Wanderguard in place per physician orders. On the day of the incident, the resident was last observed by staff at approximately 8:40 a.m., walking to his room, lying on his bed, and shutting his door, which staff described as his normal routine. Staff reported that the resident was calm, pleasant, cooperative, and commonly stayed in his room with the door closed, and he had not expressed agitation or a desire to leave that day. At some point after being last seen, the resident broke the safety screw securing his bedroom window, removed the window screen, placed the screen under his bed, and exited the building through the window without staff awareness. The facility became aware of the elopement when an individual in the community called to report seeing the resident walking in the area, and emergency services and police were notified. The resident was located by police and EMS approximately 2.5 miles from the facility and returned. Upon return, vital signs were taken and a head-to-toe assessment was completed, with no injuries noted. The incident met the facility’s definition of elopement as the resident left a safe area without the facility’s knowledge or supervision, demonstrating a failure to ensure the environment was free from accident hazards and that adequate supervision was provided to prevent accidents.
Failure to Report Misappropriation of Resident's Property
Penalty
Summary
The facility failed to promptly report an allegation of misappropriation of personal property involving a resident's missing gold chain with a cross to the state agency. The resident, who had intact cognition, reported the necklace missing after a male CNA was in his room and offered to move items from a nightstand to the bathroom. The resident declined the offer and later noticed the necklace was missing after using the restroom. The CNA had previously removed the necklace due to irritation on the resident's neck and placed it on the bathroom sink. The necklace was later moved to the nightstand, where it disappeared. The facility's administrator spoke with the resident and his sister about the missing necklace and interviewed the CNA, who denied taking or losing the necklace. Despite the facility's policy requiring such allegations to be reported to the state agency, the administrator did not file a Self-Reported Incident (SRI) as she was unaware of this requirement. The facility's policy also mandates reporting suspected crimes to law enforcement, but this was not done in this case.
Failure to Investigate Misappropriation of Resident Property
Penalty
Summary
The facility failed to thoroughly investigate an allegation of misappropriation of property involving a resident's missing gold chain with a cross. The resident, who had intact cognition, reported the necklace missing after a male CNA was in the room and offered to move items. The resident declined the offer and later noticed the necklace was gone after using the restroom. The facility's investigation did not include interviews with other residents who might have had relevant information, focusing only on the resident and his family. The facility's policy required immediate investigation and interviews with all residents who might have details about the allegation, but this was not followed. The Administrator confirmed that the necklace was last seen on the bathroom sink and was later moved to the nightstand, where it disappeared. The Administrator also admitted to not filing a Self-Reported Incident with the state agency, as required. This deficiency was identified during a complaint investigation.
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 823 citations issued within 25 miles in the last 12 months — including the 14 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 New Middletown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hampton Woods Nursing Center, Inc | 4 mi | ★★★★★ | 3 | 0 |
| Center For Rehabilitation At Hampton Woods The | 4 mi | ★★★★★ | 11 | 0 |
| Greenbriar Center | 5 mi | ★★★★★ | 1 | 0 |
| Aventura At Assumption Village | 5.7 mi | ★★★★★ | 19 | 1 |
| Willow Woods Rehabilitation And Nursing | 5.7 mi | ★★★★★ | 10 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Masternick Memorial Health Care 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.