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 Mentor Ridge Health And Rehabilitation during CMS and state inspections, most recent first.
Failure to report significant weight gain: A resident admitted with fluid overload, obesity, DM2, HTN, and a fluid restriction had a 10.7% admission weight gain and continued weight increases while receiving furosemide. The RD confirmed there was no evidence the MD or NP was notified of the significant weight gain, despite facility policy requiring significant weight changes to be reported to the practitioner.
Delayed response to resident injury and alleged abuse: A resident with dementia, COPD, and hospice status had a nose abrasion/bruising and reported that staff had thrown her to the ground and beaten her, but the facility delayed abuse protocols, did not complete documented skin assessments, did not notify hospice, and did not enter the injury on the incident log. Staff gave conflicting accounts about whether the injury came from a mechanical lift, scratching, or abuse, and the resident’s injury was not clearly addressed in the investigation.
Infection prevention and control was cited after surveyors found the facility did not ensure appropriate testing to rule out MDROs and did not use EBP for a resident with an E. coli ESBL UTI. The resident, who had dementia, COPD, DM, anemia, and was on hospice, was treated with an ATB and placed on contact precautions, but later observations showed no EBP or other TBP in place. The IP confirmed no additional testing was done to rule out ESBL and stated the facility did not have a policy to rule out MDROs.
Failure to Report Significant Weight Gain
Penalty
Summary
The facility failed to notify the physician of a significant weight gain for a resident admitted with fluid overload. Resident #22 was admitted with diagnoses including fluid overload, fracture of the right tibia shaft, effusion of the right knee, type 2 diabetes, morbid obesity, hypertension, and hyperlipidemia. The resident had an order for a low concentrated sweet and no added salt diet with a 1500 ml fluid restriction, and furosemide 80 mg twice daily for edema, later changed to fluid overload. The dietary assessment documented a significant admission weight gain of 26 lbs. (10.7%), and the care plan identified significant weight gain upon admission and fluid restriction as concerns with weights per protocol. Recorded weights showed continued significant increases after admission, including 278 lbs. and later 289 lbs., with the dietitian confirming a 10.7% gain upon admission and a 7.7% gain after admission. The RD stated there was no evidence the physician or NP was notified of the significant weight gain. The CNP later documented the resident’s weights as stable over the last month and stated the resident was seen weekly and monitored for signs of fluid overload, with breathing fine and labs stable. Facility policy required significant weight changes to be reported to the practitioner.
Delayed response to resident injury and alleged abuse
Penalty
Summary
The facility failed to timely and adequately respond after identifying an incident with injury involving a resident who had diagnoses including senile degeneration of the brain, dementia, and COPD, and who was admitted to hospice care. The resident had orders for transfers by mechanical lift with two staff members, was dependent on staff for ADL, and had a care plan that included skin assessments and reporting changes to hospice and the physician. On 02/15/26, staff documented a small superficial red denuded area to the bridge of the nose with surrounding erythema, and later that day the resident stated, "they threw me to the ground and beat me" and reported hearing two snaps. The resident was unable to identify the staff involved. The record showed the facility did not initiate abuse protocols until 02/17/26, about two days after the initial report of abuse, and the investigation did not mention the resident’s nose injury. The resident received a new order for Bacitracin to the nose on 02/15/26 and later an order to monitor bruising to the left shin and above the nose and apply Skin Prep to the abrasion on the nose. However, review of February assessments showed no documented skin assessments were completed. On 02/17/26, the resident was observed sitting up in bed with a bright red bruise from the top of the nose to the bottom of the bridge of the nose and stated that an aide had slammed her face down onto something four days earlier. The facility incident log contained no documented incidents regarding the resident’s nose injury, bruise, or abrasion. Hospice staff stated they had not been informed of the bruise and had not been updated by facility staff. Interviews with staff reflected conflicting accounts of what happened, including statements that the resident may have hit her face on the mechanical lift or that she was rubbing and scratching her face, while other staff stated they had not observed scratching or picking. The facility policy required investigation of alleged abuse, an initial assessment, physician notification, documentation in the medical record, and removal of an accused staff member pending investigation, but the record showed delayed initiation of abuse protocols, no documented skin assessments, no hospice notification, and no incident log entry for the injury.
Infection Control Deficiency Involving MDRO Testing and EBP
Penalty
Summary
Provide and implement an infection prevention and control program was cited after surveyors found the facility did not ensure appropriate testing was completed to rule out MDROs and did not use appropriate enhanced barrier precautions for MDROs. The deficiency involved one resident out of four reviewed for UTIs in a census of 98. The resident had been admitted with diagnoses including dementia with behavioral disturbance, COPD, diabetes mellitus, and anemia, and was on hospice services. The resident developed unusual comments, and a NP ordered a urinalysis with culture if indicated. A urine specimen later showed E. coli with ESBL-producing organism noted, and the resident was treated with Macrobid and placed on contact precautions for the duration of the antibiotic. However, observations on multiple dates showed the resident was not on EBP or any other TBP. The ADON, who was also the IP, confirmed the resident was not on EBP and stated there was no additional testing to rule out ESBL producing organism, and that it was not the facility’s policy to rule out the possibility of MDROs. The facility policy on MDROs had not been updated to include EBP, although the standard and transmission-based precautions policy defined EBP as an infection control intervention to reduce transmission of MDROs.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mentor
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mentor Hills Post Acute | 0.4 mi | ★★★★★ | 0 | 0 |
| Kirtland Woods Of Journey | 2.9 mi | ★★★★★ | 16 | 0 |
| Willoughby Post Acute | 3.6 mi | ★★★★★ | 2 | 0 |
| Concord Ridge Health And Rehabilitation | 3.9 mi | ★★★★★ | 0 | 0 |
| Ohio Living Breckenridge Village | 4.4 mi | ★★★★★ | 1 | 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.