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 Mennonite Memorial Home during CMS and state inspections, most recent first.
Ten residents with cognitive and physical impairments did not receive necessary ADL assistance, as evidenced by being left in the same clothes and requiring incontinence care, with staff confirming that walking rounds and ADL care were not consistently performed according to facility policy.
A resident experiencing a significant change in condition was transferred to the hospital without timely notification to their representative because staff did not obtain or record emergency contact information during admission. The LPN and social worker each assumed the other would collect this information, resulting in the representative only learning of the transfer upon arriving at the facility later.
The facility failed to ensure medications were not expired, potentially affecting all 57 residents. An LPN found several expired over-the-counter medications in the supply room, including fiber powder, Calcium D, oyster calcium, melatonin, and acetaminophen liquid. The LPN verified and removed the expired medications for disposal. The facility also lacked a policy for medication storage.
A facility failed to ensure dignity during dining when a CNA did not sit while assisting a cognitively impaired resident with eating. The CNA provided the resident with cups of thin consistency foods and intermittently assisted by holding the cup to the resident's lips, without sitting down. The CNA was unaware that sitting was required, as confirmed in an interview.
A facility failed to develop a complete care plan for a resident with a stage three pressure ulcer. Initially, the resident was assessed with no pressure ulcers, but a later assessment documented the ulcer. Despite this, the care plans did not address the ulcer until several months later, as confirmed by the DON and ADON.
A resident with multiple health issues was discharged without a comprehensive discharge summary, which is required by the facility's policy. The resident, who needed significant assistance with daily activities, was given a medication list but lacked a detailed recap of their stay and final status report.
Two residents in the facility experienced deficiencies in pressure ulcer care. One resident had a stage three pressure ulcer on admission that went untreated for weeks, while another resident developed a pressure ulcer that was not properly documented or treated due to hospice status. The facility failed to follow its pressure injury surveillance policy, leading to inadequate care and documentation.
A resident experienced significant weight loss due to the facility's failure to implement timely nutritional interventions. Despite having a care plan, the resident's weight loss was not promptly addressed, and there was no documentation of alternative food offerings. Staff interviews revealed gaps in communication and adherence to the facility's weight monitoring policy.
A resident with severe cognitive impairment and feeding difficulties experienced a 7.5% weight loss over six months due to inadequate monitoring of enteral nutrition. The facility failed to document the actual amount of nutrition received, and the feeding pump frequently malfunctioned without staff awareness. Discrepancies in weight recordings and lack of communication about the feeding issues contributed to the deficiency.
A facility failed to ensure a resident had an appropriate diagnosis to support the use of an antipsychotic medication. The resident was prescribed quetiapine fumarate for anxiety and sleeplessness, which is not an indicated use for this medication. Interviews with staff confirmed that anxiety alone was not a sufficient diagnosis for antipsychotic use, and the facility's policy required a specific diagnosed condition for such medication.
A significant medication error occurred when a resident with diabetes mellitus did not receive the correct dosage of Novolog insulin Aspart as ordered. An RN administered two units based on a sliding scale order but failed to administer the scheduled 15 units with meals, as confirmed in an interview. The facility's policy on obtaining a fingerstick glucose level was reviewed, but no corrective actions were mentioned.
A facility failed to properly disinfect a glucometer between uses, affecting three residents needing blood glucose monitoring. An RN used an alcohol prep pad instead of the required Sani-Wipe disinfecting cloth, as confirmed by the DON. The correct disinfection supplies were not found in the medication cart.
The facility failed to comply with its policy on overhead paging, which should only be used in emergencies. Observations revealed the system was used for non-emergency purposes, such as requesting maintenance and playing loud hold music. An administration staff member confirmed the misuse, contradicting the facility's policy.
A facility failed to protect a resident with severe cognitive impairment from verbal abuse and mistreatment by an STNA. The STNA held down the resident's arms and placed a paper towel over the resident's mouth after the resident attempted to spit. The incident was reported but not immediately addressed, allowing the STNA to continue working for 16 hours before being suspended and terminated.
The facility failed to timely report an allegation of verbal abuse and mistreatment of a resident by a staff member to the Administrator and state agency. The incident involved an STNA who held down a resident's arms and placed a paper towel over the resident's mouth. The DON was not informed until two days later, leading to a delay in reporting the incident.
The facility failed to timely investigate and protect residents when an STNA was reported for potentially verbally abusing and mistreating a resident. The incident was not promptly communicated to the DON, leading to a delay in the investigation and the alleged perpetrator continuing to work for 16 hours. The investigation was limited and did not include interviews with other residents or staff.
Failure to Provide Required ADL Assistance to Dependent Residents
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for ten residents residing on the secured dementia unit. These residents had varying degrees of cognitive and physical impairment, with many requiring supervision or extensive assistance for eating, bed mobility, transfers, toileting, and personal hygiene. Medical record reviews indicated that several residents had diagnoses such as dementia, Alzheimer's disease, Parkinson's disease, stroke, and other conditions that limited their ability to perform ADLs independently. On specific dates, it was observed and reported by staff that multiple residents were found in the same clothes as the previous day and required incontinence care, indicating that ADL care had not been provided as needed. Staff interviews confirmed that some residents were left in their recliners asleep and unchanged, and that walking rounds to ensure residents were clean and dry were not consistently performed at the start or end of shifts. One CNA reported returning to find residents in the same condition as the previous day, and another CNA and RN corroborated that walking rounds were not routinely completed, resulting in residents needing incontinence care at the beginning of shifts. The facility's policy required that appropriate care and services be provided for residents unable to carry out ADLs independently, in accordance with their care plans. However, documentation and staff interviews revealed that this standard was not met for the affected residents, as they did not receive timely assistance with nutrition, grooming, personal, and oral hygiene. The deficiency was substantiated by direct observations, staff statements, and review of facility records.
Plan Of Correction
Plan of Correction F 0677 This plan of correction is prepared and executed because it is required by the provision of the State and Federal regulations and not because Mennonite Memorial Home agrees with the allegations and citations listed on this statement of deficiencies. Mennonite Memorial Home maintains that the alleged deficiencies do not, individually or collectively, jeopardize the health and safety of the residents, nor are they of such a character as to limit our capacity to render adequate care as prescribed by regulation. This Plan of Correction shall operate as the facility's written credible allegation of compliance as of 6/18/2025. By submitting this Plan of Correction, Mennonite Memorial Home does not admit to the accuracy of the deficiencies. This Plan of Correction is not meant to establish any standard of care, contract, obligation, or position and Mennonite Memorial Home reserves all rights to raise all possible contentions and defenses in any civil or criminal claim, action or proceeding. What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice; ADL care was immediately provided and documented, including hygiene, toileting, repositioning, oral care, and dressing when original issue was noted on 5/17/25. The Care Plans were reviewed and confirmed current ADL needs. Staff assigned to these residents were reeducated on expectations for complete and timely ADL care on 6/4/2025 and 6/6/2025. How will you identify other residents having the potential to be affected by the same deficient practice and what corrective action will be taken; A full audit of residents with ADL care needs was completed by 6/4/2025. Direct observations, review of documentation, and staff interviews were conducted for all at-risk residents. Any deficiencies identified were promptly addressed with staff follow-up and care plan updates as needed. What measures will be put into place or what systemic changes you will make to ensure that the deficient practice does not recur; Staff education was provided to all direct care staff (RNs, LPNs, CNAs) by the Director of Nurses or her designee on 6/6/25. Education focused on the care needs of Residents #10, #11, #12, #13, #14, #15, #16, #20, #21, #22, and other residents requiring assistance, on all ADLs including hygiene, toileting, repositioning, oral care, and dressing. Staff education also covered timely documentation in Point of Care, recognizing and reporting any unmet care needs or refusals of care. Staffing patterns and assignments were reviewed and adjusted to ensure adequate coverage for dependent residents. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put into place; The Director of Nursing or her designee will monitor the residents 3x/week for 4 weeks to assure dignity for the resident's grooming needs and that residents are clean and dry. Residents will also be checked to ensure they have received and eaten their meals as they desire. Noncompliance will result in immediate reeducation and progressive discipline if necessary. Audits were initiated on 5/19/2025. Audit results will be reviewed during monthly QAPI meetings for 3 months to ensure ongoing compliance.
Failure to Notify Resident Representative of Change in Condition Due to Missing Contact Information
Penalty
Summary
The facility failed to timely notify a resident's representative of a change in the resident's condition. The resident, who had diagnoses including malignancies of the cardia, lymph, and lung, as well as type 2 diabetes, was admitted to the facility. On the following day, the resident was found hard to arouse in the early morning hours, prompting staff to check blood sugar, call 911 for hospital transport, notify the physician, and arrange for the resident's transfer to the hospital. However, the resident's husband was not notified of the hospitalization at the time because the facility did not have his contact information on file. Further review and staff interviews revealed that during the admission process, the LPN responsible for the nursing assessment did not obtain emergency contact information for the resident's representative, assuming that the social worker would collect this information. The social worker, in turn, relied on hospital demographic information and did not ensure the contact details were obtained directly from the resident or family. As a result, when the resident's husband arrived at the facility later that day, he was unaware of the transfer and only then provided his contact information, which was subsequently shared with the hospital.
Plan Of Correction
Plan of Correction F 0580 This Plan of Correction is prepared and executed because it is required by the provision of the State and Federal regulations and not because Mennonite Memorial Home agrees with the allegations and citations listed on this statement of deficiencies. Mennonite Memorial Home maintains that the alleged deficiencies do not, individually or collectively, jeopardize the health and safety of the residents, nor are they of such a character as to limit our capacity to render adequate care as prescribed by regulation. This Plan of Correction shall operate as the facility's written credible allegation of compliance as of 6/18/2025. By submitting this Plan of Correction, Mennonite Memorial Home does not admit to the accuracy of the deficiencies. This Plan of Correction is not meant to establish any standard of care, contract, obligation, or position and Mennonite Memorial Home reserves all rights to raise all possible contentions and defenses in any civil or criminal claim, action or proceeding. Immediate Corrective Action Taken for the Identified Resident(s): The resident identified in the survey had been identified by the facility. The staff at the facility attempted to obtain contact information for the resident's husband/responsible party. The medical record was updated accordingly. Identified other residents having potential to be affected by the same deficient practice and corrective action: Social Service reviewed all resident profile sheets on 4/23/2025 to assure emergency contacts were listed for all current residents living in the facility. All other residents had an emergency contact listed with a phone number. What measures will be put into place or what systemic changes will be made to ensure the deficient practice does not recur: Staff education was given on 6/6/2025 to the Social Service Department by the Administrator or his designee on filling out the profile page prior to admissions. Social Service will assure that resident #19 or like resident's responsible party information is correct for any needed notifications. Ongoing Monitoring so this deficient practice will not recur: The Director of Nursing or designee will monitor resident's profile sheets admitted 6/3/2025 or after for 4 weeks to assure proper responsible party information is present on the profile sheet. The DON or designee will perform weekly audits for 4 weeks on a sample of residents with a change in condition to ensure proper notification and documentation. This started on +6/6/2025. Results will be reported monthly to the Quality Assurance Committee with a phone number. What measures will be put into place or what systemic changes will be made to ensure the deficient practice does not recur: Staff education was given on 6/6/2025 to the Social Service Department by the Administrator or his designee on filling out the profile page prior to admissions. Social Service will assure that resident #19 or like resident's responsible party information is correct for any needed notifications. Ongoing Monitoring so this deficient practice will not recur: The Director of Nursing or designee will monitor resident's profile sheets admitted 6/3/2025 or after for 4 weeks to assure proper responsible party information is present on the profile sheet. The DON or designee will perform weekly audits for 4 weeks on a sample of residents with a change in condition to ensure proper notification and documentation. This started on +6/6/2025. Results will be reported monthly to the Quality Assurance Committee.
Expired Medications Found in Supply Room
Penalty
Summary
The facility failed to ensure that medications were not expired, which had the potential to affect all 57 residents residing in the facility. During an observation of the large supply room, an LPN identified several over-the-counter medications that were past their expiration dates. These included a bottle of fiber powder, a bottle of Calcium D, a bottle of oyster calcium, three additional bottles of unspecified medication, a bottle of melatonin, and a bottle of acetaminophen liquid. The LPN verified these findings and removed the expired medications for disposal. Additionally, the facility was unable to produce a policy for medication storage.
Failure to Ensure Dignity During Dining Assistance
Penalty
Summary
The facility failed to ensure that residents were treated with dignity during dining, as observed with a Certified Nursing Assistant (CNA) assisting a resident with eating. The resident, who was severely cognitively impaired, required assistance to eat. During the observation, the CNA provided the resident with five coffee cups containing thin consistency foods and assisted the resident by holding the cup to his lips. The resident also used a Kennedy cup with a straw to drink. However, the CNA did not sit while assisting the resident, instead walking away to perform other tasks and returning intermittently to help the resident. This lack of sitting while assisting was confirmed in an interview with the CNA, who was unaware that sitting was required.
Failure to Develop Complete Care Plan for Pressure Ulcer
Penalty
Summary
The facility failed to develop a complete care plan for a resident with a pressure ulcer. The resident, who was admitted with diagnoses including dementia with Lewy bodies, diabetes type two, atrial fibrillation, and congestive heart failure, was initially assessed as having no pressure ulcers. However, a subsequent significant change assessment documented a stage three pressure ulcer. Despite this, the care plans from June to November did not address the pressure ulcer, and it was only included in the care plan in mid-November. The Director of Nursing and Assistant Director of Nursing confirmed the delay in revising the care plan to include the pressure ulcer.
Failure to Provide Comprehensive Discharge Summary
Penalty
Summary
The facility failed to develop a comprehensive discharge summary for a resident who was discharged to an assisted living facility. The resident, who had a history of heart disease, dysphagia, cognitive communication issues, dementia, and syncope, was moderately cognitively impaired and required maximal assistance with daily activities. Despite these needs, the discharge process did not include a recapitulation of the resident's stay or a final status report regarding care needs, as required by the facility's policy. The Assistant Director of Nursing confirmed that a discharge summary was not provided, although the resident was given a medication list and other basic information. The facility's policy mandates that a discharge summary should include a recap of the resident's stay, diagnoses, treatment courses, and a final summary of the resident's status, along with a post-discharge care plan. This oversight affected the resident's transition to another care setting, as the necessary documentation was not completed in accordance with the facility's established procedures.
Failure to Assess and Treat Pressure Ulcers
Penalty
Summary
The facility failed to properly assess and treat pressure ulcers for two residents, leading to deficiencies in care. Resident #34 was admitted with a pressure ulcer on the coccyx, which was not documented or treated from the time of admission until several weeks later. The initial skin assessment noted an open lesion, but there were no treatment orders or staging assessments until July 1st, when the wound was identified as a stage three pressure ulcer. The wound worsened over time, and the care plan was not updated to reflect the resident's condition until November. Resident #56 was admitted with redness in the anal region, which later developed into a pressure ulcer. Despite the presence of a wound, there were no treatment orders or documentation of care for the coccyx lesion. The resident was on hospice care, and the facility did not follow up on the wound due to the hospice status. The wound was not assessed by a wound care nurse, and there were no physician orders for treatment until mid-November. The facility's policy on pressure injury surveillance was not followed, as there was a lack of monitoring, assessment, and reporting of changes in the residents' skin conditions. The deficiencies in care for both residents highlight a failure to adhere to established protocols for pressure ulcer management, resulting in inadequate treatment and documentation.
Failure to Prevent Weight Loss in Resident
Penalty
Summary
The facility failed to implement timely interventions to prevent weight loss in Resident #55, who was at risk due to multiple medical conditions including calculus of bile duct, hypertension, and iron deficiency anemia. Despite having a care plan in place that included monitoring oral and fluid intake and offering alternative foods, the facility did not adequately address the resident's nutritional needs. The resident experienced significant weight loss, with an 8.6-pound loss in 8 days and a 19.6-pound loss over 37 days. The initial weight loss was not communicated to the physician, and the subsequent loss was only addressed four days after it was documented. Interviews with staff revealed that there was no documentation of whether alternative foods were offered or accepted when the resident ate less than 50% of meals. The Dietetic Technician admitted to not noticing the initial weight loss and failing to notify the physician. The facility's policy required a re-weight if there was a significant weight change, but this was not consistently followed. The lack of documentation and timely intervention contributed to the deficiency in maintaining the resident's nutritional health.
Failure to Monitor Enteral Nutrition Leads to Significant Weight Loss
Penalty
Summary
The facility failed to ensure proper oversight of a resident receiving nutrition through an enteral tube feed, resulting in a significant weight loss of 7.5% over six months. The resident, who was severely cognitively impaired and dependent on eating, had a history of cerebral palsy, dysphasia, aphasia, and feeding difficulties. Despite physician orders for weekly weight checks and specific enteral feeding instructions, the facility did not adequately monitor the resident's nutritional intake or document the amount of tube feeding received. Observations and interviews revealed that the resident's feeding pump frequently malfunctioned, turning off without staff being aware due to inaudible alarms. Staff interviews indicated that there was no consistent documentation of the residuals or the actual amount of nutrition the resident received. The resident's weight was inconsistently recorded, with discrepancies noted between weights taken using different methods, such as a mechanical lift and a wheelchair. The facility's policy on enteral nutrition required complete orders and confirmation of tube placement and gastric residual volume, but these were not consistently followed. The Director of Nursing and Diet Technician were unaware of the feeding pump issues, and there was no notification to the dietitian about the resident not receiving the prescribed tube feed. This lack of communication and documentation contributed to the resident's significant weight loss and the facility's failure to meet the resident's nutritional needs.
Inappropriate Use of Antipsychotic Medication for Anxiety
Penalty
Summary
The facility failed to ensure that a resident had an appropriate diagnosis to support the use of an antipsychotic medication. This deficiency was identified during a review of medical records, staff interviews, and facility policy. The resident in question was admitted with diagnoses including anxiety disorder, hearing loss, diverticulitis, and dysphagia. The care plan for the resident included the use of antipsychotic medication related to anxiety, despite anxiety not being a qualifying diagnosis for such medication. The physician's order for quetiapine fumarate, an antipsychotic, was prescribed for anxiety and sleeplessness, which is not an indicated use for this medication according to Medscape's guidelines. Interviews with facility staff, including a pharmacist and the Director of Nursing, confirmed that anxiety alone was not a sufficient diagnosis for the use of antipsychotic medication. The physician involved indicated that the resident's diagnosis would be updated to include anxiety with psychosis to justify the use of the antipsychotic. The facility's policy on the use of psychotropic medications, revised in September 2022, stated that such drugs should only be administered when necessary to treat a specific diagnosed condition documented in the clinical record. This policy was not adhered to in the case of the resident, leading to the identified deficiency.
Insulin Administration Error
Penalty
Summary
The facility failed to ensure that insulin was administered as ordered, resulting in a significant medication error for one resident. Resident #15, who was admitted with a diagnosis of diabetes mellitus, had a physician's order for Novolog insulin Aspart to be administered according to a sliding scale and a separate order for 15 units to be administered with meals. On the morning of November 13, 2024, RN #457 checked the resident's blood glucose level, which was 273 mg/dL, and administered two units of Novolog insulin based on the sliding scale order. However, RN #457 later confirmed that she had not administered the scheduled 15 units, verifying the medication error. The facility's policy on obtaining a fingerstick glucose level was reviewed, but the report does not mention any corrective actions taken to address the deficiency.
Improper Disinfection of Glucometer
Penalty
Summary
The facility failed to ensure proper disinfection of a glucometer device between resident uses, which had the potential to affect three residents identified as requiring blood glucose monitoring. During an observation, a Registered Nurse (RN) used an alcohol prep pad to cleanse the glucometer after obtaining a blood glucose reading from a resident. The RN acknowledged using the incorrect disinfection solution and found no appropriate disinfection cloths in the medication cart. The Director of Nursing confirmed that the correct procedure involved using a Sani-Wipe disinfecting cloth, as outlined in the facility's policy for obtaining a fingerstick glucose level.
Improper Use of Overhead Paging System
Penalty
Summary
The facility failed to adhere to its policy regarding the use of the overhead paging system, which is intended to be used only in emergencies. Observations were made on two separate occasions where the overhead paging system was improperly used. On the first occasion, the system was used to request maintenance staff to the second floor, and on the second occasion, it was found to be loudly playing a sound similar to a phone being on hold, which increased in volume. An interview with an administration staff member confirmed the inappropriate use of the paging system. The facility's policy, dated 05/29/13, clearly states that overhead paging should only be used in emergencies, indicating a failure to comply with established guidelines.
Failure to Protect Resident from Verbal Abuse and Mistreatment
Penalty
Summary
The facility failed to ensure residents were free from verbal abuse and mistreatment. This deficiency was identified when a State Tested Nurse Assistant (STNA) reported that another STNA had been unnecessarily rough with a resident during toileting. The incident involved STNA #100 holding down the resident's arms and placing a paper towel over the resident's mouth after the resident attempted to spit on her. The resident involved had severe cognitive impairment and was diagnosed with unspecified dementia and psychosis. The incident was reported by STNA #101 to a Licensed Practical Nurse (LPN), who then informed the Director of Nursing (DON) via a note and text message. However, the DON was not made aware of the incident until two days later, during which time STNA #100 continued to work for 16 hours after the alleged incident. The facility's investigation confirmed the incident, and STNA #100 was subsequently terminated. The facility's policy on abuse and mistreatment defines verbal abuse and mistreatment, but the delay in reporting and addressing the incident highlights a failure in the facility's procedures to protect residents from abuse and mistreatment. The deficiency was investigated under Complaint Number OH00152270 and Self-Reported Incident Control Number OH00152109.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to timely report an allegation of verbal abuse and mistreatment of a resident by a staff member to the Administrator and state agency. The incident involved a State Tested Nurse Assistant (STNA) who was reported to have held down a resident's arms and placed a paper towel over the resident's mouth after the resident attempted to spit on her. This incident was witnessed by another STNA who intervened and reported the incident to a Licensed Practical Nurse (LPN). The LPN then sent a text message to the Manager on Duty (MoD) and left a note for the Director of Nursing (DON), but the DON did not become aware of the incident until two days later, leading to a delay in reporting the incident to the proper authorities. The resident involved in the incident had severe cognitive impairment and was diagnosed with syncope, unspecified dementia, and unspecified psychosis. A skin assessment conducted on the resident revealed no skin impairments or discolorations. The incident was initially reported by an STNA who witnessed the event and expressed concerns about the other STNA's behavior towards the resident. The LPN who received the report did not follow up adequately, resulting in the DON not being informed in a timely manner. The facility's policy requires that all alleged violations be reported to the Administrator and state agency within two hours of the allegation. However, the STNA involved in the incident continued to work for 16 hours after the alleged incident before the DON and Administrator were made aware. The facility's investigation revealed that only the two STNAs involved were interviewed, and no other residents or staff were questioned. This deficiency was investigated under a complaint and a self-reported incident control number.
Failure to Timely Investigate and Protect Residents from Alleged Abuse
Penalty
Summary
The facility failed to timely begin an investigation, complete a thorough investigation, and provide protection to residents when an allegation of a staff member potentially verbally abusing and mistreating a resident was made. The incident involved a State Tested Nurse Assistant (STNA) who was reported to have held down a resident's arms and placed a paper towel over the resident's mouth after the resident attempted to spit on her. The incident was reported by another STNA to a Licensed Practical Nurse (LPN), who then informed the Manager on Duty (MoD) via text message. However, the MoD did not follow up on the text or inform the Director of Nursing (DON) immediately, leading to a delay in the investigation and the alleged perpetrator continuing to work for 16 hours after the incident occurred. The resident involved, identified as having severe cognitive impairment, was admitted with diagnoses including syncope, unspecified dementia, and unspecified psychosis. A skin assessment conducted on the resident revealed no skin impairments or discolorations. Despite the severity of the allegation, the facility's investigation was limited to interviewing only the two STNAs involved and did not include other residents or staff. The DON was not made aware of the incident until finding a note in her office two days later, at which point the alleged perpetrator was suspended and subsequently terminated. The facility's policy on abuse, neglect, and misappropriation mandates that all involved persons, including the alleged victim, perpetrator, witnesses, and others with knowledge of the allegations, be interviewed, and that thorough documentation of the investigation be provided. Additionally, the policy requires that efforts be made to protect all residents from harm during and after the investigation. The facility's failure to adhere to these policies resulted in a deficiency, as the investigation was neither timely nor thorough, and adequate protection for the residents was not ensured.
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 61 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 Bluffton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willow Ridge Of Mennonite Home Communities Of Ohio | 1.4 mi | ★★★★★ | 0 | 0 |
| Vancrest Of Ada | 9.1 mi | ★★★★★ | 2 | 0 |
| Autumn Court | 10.8 mi | ★★★★★ | 0 | 0 |
| Serenity Spring Senior Living At Arlington | 12.3 mi | ★★★★★ | 0 | 0 |
| Meadows Of Ottawa The | 12.3 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.