Above 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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Northfield Village Retirement Community during CMS and state inspections, most recent first.
A facility failed to document skin tear treatments for a resident with a left forearm skin tear, as required by physician's orders. Despite treatments being performed by two LPNs, documentation was missing for three consecutive days. The DON confirmed the lapse, and facility policy mandates proper documentation of wound care.
The facility failed to maintain a clean and sanitary kitchen area, with multiple instances of improper food storage and significant grease buildup and food debris on kitchen equipment. These findings were confirmed by a dietary cook, and the facility's policies on date marking and general food preparation and handling were not adhered to.
The facility failed to complete a state-specific PASRR form within thirty days of admission for a resident with multiple diagnoses, including PTSD and diabetes. The only PASRR form present was from another state, which was confirmed by a social worker.
A resident with multiple diagnoses, including diabetes and peripheral vascular disease, had a care plan to prevent pressure ulcers that was not followed. Despite physician orders and recommendations to float the heels and use Prevalon heel boots, the resident was observed with bare feet pressed against the bed's footboard without any offloading measures in place. The assigned LPN confirmed the lack of intervention.
The facility failed to provide an appropriate diagnosis for the use of an antipsychotic medication for a resident with moderate cognitive impairment and Alzheimer's disease. The resident's physician orders included divalproex sodium and mirtazapine without an active diagnosis of seizures or depression in the medical chart. An interview with the MDS Nurse confirmed the lack of evidence for the use of these medications to treat a specific condition as diagnosed and documented in the medical record.
The facility failed to complete ordered laboratory tests for two residents, leading to incorrect and elevated results for one resident's Vancomycin levels and a missed prealbumin test for another resident. Interviews confirmed the lapses in following physician orders.
Failure to Document Skin Tear Treatments
Penalty
Summary
The facility failed to ensure accurate documentation of skin tear treatments for a resident, identified as Resident #51, who was one of three residents reviewed for wound treatments. The resident had a skin tear on the left forearm due to limited mobility, and the care plan included monitoring for signs of infection and providing wound treatments. Physician's orders specified a treatment regimen for the skin tear, which included cleaning the area with normal saline, applying oil emulsion, covering with an absorbent pad, and wrapping with gauze, to be changed daily and as needed. However, the Treatment Administration Record (TAR) for December 2024 showed that treatments were not documented on three consecutive days, indicating a lapse in documentation. Interviews with two LPNs revealed that they had performed the treatments but failed to document them due to being busy or distracted. The Director of Nursing confirmed that the treatments were not signed off on the specified dates and emphasized that nurses are expected to document and sign off all treatments. The facility's policy on wound care, revised in October 2010, requires documentation to include the name and title of the person along with the date and time. This deficiency was investigated under Complaint Number OH00160401.
Failure to Maintain Clean and Sanitary Kitchen
Penalty
Summary
The facility failed to maintain a clean and sanitary kitchen area, which had the potential to affect all residents receiving meals from the kitchen. Observations revealed multiple instances of improper food storage, including unlabeled and undated containers of Salisbury steaks, carrots, hard-boiled eggs, pureed substances, and uncovered fruit cups in the walk-in cooler. Additionally, there was significant grease buildup and food debris on the walls and floors behind and below various kitchen equipment, including the dish machine, steamer, oven, range top, and flat top grill. These findings were confirmed by a dietary cook during an interview. The facility's policies on date marking and general food preparation and handling were not adhered to, as evidenced by the lack of labeling and the unclean kitchen environment.
Failure to Complete State-Specific PASRR Form
Penalty
Summary
The facility failed to complete a state-specific Pre-Admission Screen and Resident Review (PASRR) form within thirty days of admission for Resident #61. The resident, who was admitted with diagnoses including post-traumatic stress disorder, tinea unguium, diabetes mellitus, and vitreous degeneration, was dependent on staff for most activities of daily living (ADLs). A review of the medical record revealed that an Ohio PASRR form was not completed as required, and the only PASRR form present was from the state of Kentucky. This deficiency was confirmed during an interview with a Licensed Social Worker.
Failure to Implement Pressure Ulcer Preventative Measures
Penalty
Summary
The facility failed to ensure preventative interventions were in place for the treatment of a pressure injury on the left heel of Resident #39. The resident, who had multiple diagnoses including polyneuropathy, diabetes mellitus, and peripheral vascular disease, was admitted with a care plan that included elevating heels off the mattress surface. Despite physician orders to float the heels and encourage the use of Prevalon heel boots, observations revealed that these measures were not consistently implemented. Specifically, on 03/11/24, the resident was observed with bare feet pressed against the footboard of the bed, without any offloading measures in place. Interviews with the assigned LPN confirmed that the resident was supposed to have a pillow to float the heels while in bed, but this intervention was not in place at the time of observation. The medical record and progress notes indicated that the resident had a stage two pressure injury on the left heel, and recommendations included offloading the wound and using pressure off-loading boots. However, the facility failed to adhere to these recommendations, as evidenced by the lack of documented refusals and the absence of offloading measures during the surveyor's observation.
Failure to Provide Appropriate Diagnosis for Antipsychotic Medication
Penalty
Summary
The facility failed to provide an appropriate diagnosis for the use of an antipsychotic medication for one resident. Resident #45, who was admitted with diagnoses including restlessness, agitation, dysphagia, diabetes mellitus, and Alzheimer's disease, exhibited moderate cognitive impairment and required substantial assistance for ADLs. Despite receiving an antipsychotic, there was no indication in the Minimum Data Set (MDS) assessment as to why the medication was prescribed. Additionally, the resident's physician orders included divalproex sodium and mirtazapine, but there was no active diagnosis of seizures or depression in the medical chart to justify these medications. An interview with the MDS Nurse confirmed the lack of evidence for the use of these medications to treat a specific condition as diagnosed and documented in the medical record. This deficiency affected one resident out of five reviewed for unnecessary medications, with the facility census being 56. The failure to provide an appropriate diagnosis for the use of antipsychotic medication and the lack of documentation for the use of divalproex sodium and mirtazapine indicate a lapse in the facility's medication management and documentation practices. This oversight could potentially lead to the inappropriate use of psychotropic medications without proper justification or monitoring.
Failure to Complete Ordered Laboratory Tests
Penalty
Summary
The facility failed to ensure laboratory tests were completed as ordered for two residents. Resident #271, who had multiple diagnoses including diabetes and amputations, had an order for Vancomycin trough levels to be drawn before the administration of the antibiotic. However, the facility administered Vancomycin before drawing the trough levels on two occasions, leading to incorrect and elevated results. This caused distress to the resident, who subsequently refused further doses of the medication. Resident #64, who had diagnoses including necrotizing fasciitis and acute kidney disease, had an order for a prealbumin level to be drawn by the wound physician. The facility did not complete this laboratory test before the physician canceled the order during a follow-up visit. The physician expected the test to be done when initially ordered and was unaware that the facility had a dietitian following the resident. Interviews with the residents and staff confirmed the lapses in following the physician's orders for laboratory tests. The facility's failure to adhere to these orders resulted in incomplete and inaccurate monitoring of the residents' conditions, as evidenced by the missed and improperly timed laboratory tests.
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 1,213 citations issued within 25 miles in the last 12 months — including the 9 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 Northfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aventura At Walton Hills | 1.4 mi | ★★★★★ | 21 | 0 |
| Avenue At Macedonia | 2.1 mi | ★★★★★ | 0 | 0 |
| Heritage Health Care Center | 2.2 mi | ★★★★★ | 1 | 0 |
| Grande Oaks | 2.2 mi | ★★★★★ | 23 | 0 |
| Brentwood Health Care Center | 3.2 mi | ★★★★★ | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Northfield Village Retirement Community.
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 June 2026) and official state health department websites.