Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Meadows Of Leipsic during CMS and state inspections, most recent first.
Incomplete Legionella Water Management Plan: The facility failed to develop and implement a comprehensive water management plan to prevent Legionella. The plan identified common areas where Legionella could grow and spread, but there were no records of flushing low-flow or dead-leg pipes, and the building water system lacked a flow diagram. The Administrator confirmed the flushes were not documented or completed and that no flow diagram was prepared.
A resident with a fractured femur, orthopedic surgery, chronic pain, and muscle weakness repeatedly reported that her regular mattress was uncomfortable and disrupted sleep. Staff acknowledged concerns about the bed dipping and multiple bed or mattress changes, but documentation did not show when changes occurred or that different mattress types were actually tried; the resident said she was only given regular mattresses or toppers and remained uncomfortable.
A resident with dementia, acute kidney failure with tubular necrosis, and obstructive and reflux uropathy had impaired cognition and was dependent with toileting. During catheter and incontinence care, the DON and a CNA completed care after the resident had a BM, but fecal matter was seen on the lift sheet, and the soiled lift sheet was not changed and remained under the resident.
Failure to Assess and Obtain Wound Treatment Orders A resident with multiple chronic conditions, including DM2 and PVD, had undated dressings on the left lower leg with dried blood and yellow drainage, but no documented wound assessment or physician order for wound care. The resident reported weeping wounds, and an RN confirmed there were no dressing-change orders in place and observed skin irritation where the adhesive contacted the skin.
Incomplete Legionella Water Management Plan
Penalty
Summary
Provide and implement an infection prevention and control program was deficient because the facility failed to develop and implement a comprehensive and effective infection control/water management plan to prevent the risk of Legionella. Review of the facility's Legionella Water Management Plan, updated 08/04/25, showed that Legionella could grow and spread in common areas including sinks, showers, water fountains, standing water on washing tables, a spa tub, and ice machines. The facility had no records documenting flushing of low-flow or dead-leg pipes, and although it had a written description of the building's water system, it did not have a flow diagram. During interview on 01/22/26 at 2:22 P.M., the Administrator confirmed that flushes of dead-leg and low-flow areas were not documented or completed and that a flow diagram was not completed because it was not written out on the plan. CDC guidance reviewed by surveyors stated that low-flow plumbing runs and dead legs should be flushed at least weekly and infrequently used fixtures should be flushed regularly as needed to maintain water quality parameters within control limits.
Failure to Honor Resident Bed Accommodation Requests
Penalty
Summary
The facility failed to ensure that Resident #4’s requests for bed accommodations were honored. Resident #4 was admitted on 10/22/24 with diagnoses including fracture of the right femur with orthopedic surgery, type I diabetes mellitus, osteoporosis, anxiety disorder, chronic pain, and muscle weakness. The MDS identified the resident as cognitively intact and independent with toilet use, bed mobility, and transfers. The care plan noted concerns related to hyper fixation on the condition of the bed frame and mattress, with interventions to determine the cause of inappropriate behavior, observe for triggers, and alter the environment as needed. Observation showed Resident #4 sleeping on a regular mattress in a position that did not appear comfortable. During interviews, the resident reported the mattress was uncomfortable, affected sleep, and caused discomfort related to the rod in her leg after femur surgery. She stated she had complained about the regular bed and had only been given another regular mattress or topper, not other types of mattresses. A CNA confirmed the resident had reported the bed dipped in the center and that concerns were passed to maintenance. The Maintenance Director stated the resident had already had at least three beds and that toppers had been tried, but no records showed when bed changes occurred or what type of bed was used. The Administrator confirmed the standard mattress had been changed out multiple times, but there was no documentation showing when changes were made or that other mattress types were tried. A LSW also reported awareness of an air mattress trial but could not provide evidence that it had actually occurred.
Soiled Lift Sheet Left Under Resident After Incontinence Care
Penalty
Summary
The facility failed to ensure Resident #50's bed sheets were clean and sanitary during incontinence care. Resident #50 was admitted with diagnoses including acute kidney failure with tubular necrosis, dementia, and obstructive and reflux uropathy, and the MDS assessment showed impaired cognition and dependence with toileting. During observation of catheter care, Resident #50 had a bowel movement at the start of care, and the DON and CNA #584 completed incontinence care. Fecal matter was observed on the lift sheet after CNA #584 wiped across it, and the lift sheet was not changed, leaving the soiled sheet under the resident. CNA #584 later verified that the DON and CNA #584 did not change the lift sheet after incontinence care and that a small amount of fecal matter remained on it under Resident #50.
Failure to Assess and Obtain Orders for Wound Treatment
Penalty
Summary
The facility failed to timely assess and obtain a physician order to treat a resident’s wounds. Resident #21 was admitted with diagnoses including heart failure, sepsis, obesity, acquired absence of the right leg above the knee, convulsions, depression, type II diabetes, and peripheral vascular disease. The care plan included interventions for risk for skin breakdown, including weekly skin assessments, keeping linens clean and dry, and avoiding shearing during positioning, turning, and transferring. The resident was cognitively intact and had no skin concerns noted in the MDS assessment at the time of review. Review of the physician orders showed an order to wrap the left lower leg daily and off at night, but there was no assessment of wounds on the left lower leg and no physician order to treat any wounds before the order was discontinued. During observation, the resident had three 2-inch by 2-inch white bandages on the left lower leg with no initials or dates, and one bandage had dried blood and yellow fluid on it and was partially separating from the skin. The resident stated he had weeping wounds and that one on the side of his leg needed the dressing changed. The RN verified there were no orders in place for dressing changes, noted the dressings should have been dated when applied, removed the bandages, observed red areas where the adhesive contacted the skin, and stated she would talk with the physician to get an order in place.
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 63 citations issued within 25 miles in the last 12 months — including the 1 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 Leipsic
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumn Court | 5.6 mi | ★★★★★ | 0 | 0 |
| Meadows Of Ottawa The | 5.7 mi | ★★★★★ | 0 | 0 |
| Vancrest Health Care Ctr Of Ho | 13.6 mi | ★★★★★ | 6 | 0 |
| Meadows Of Kalida | 13.8 mi | ★★★★★ | 0 | 0 |
| Mennonite Memorial Home | 14 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Meadows Of Leipsic.
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.