Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 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.
Dirty and Unsafe Laundry Room Conditions: The laundry room had heavily soiled washers, dirty and stained floors, dried residue behind the washers, a loose drain cover hidden by an upside-down bucket, lint buildup in the dryer lint trap, and a dusty box fan on the clean side where clean linens and clothing were stored. Laundry staff and maintenance staff confirmed the conditions and noted the room was supposed to be cleaned daily.
A resident with Alzheimer’s disease, dementia, gait impairment, and multiple care needs was observed reclined in bed with the call light dangling from the bed rail and out of reach. The resident stated she could not reach it to call for help, and an LPN confirmed it was not accessible. Facility policy required the call light to be within easy reach when a resident is in bed or in a chair.
Meals Served at Unappetizing Temperature: A resident with ESRD, DM2, COPD, and other chronic conditions reported that hot foods were served cold and that it was often hard to identify the food on the plate. During lunch observation, food temperatures were acceptable at the tray line, but the last tray served had French fries at 121 degrees F, which the DM confirmed was not an appetizing temperature; the DM also stated the plate-warming system lost effectiveness after 15 to 20 minutes.
A resident with an indwelling urinary catheter, impaired cognition, and bowel incontinence had improper infection control during catheter care. A CNA handled catheter care and then used the same soiled gloves to apply a clean brief, adjust blankets, use the bed remote, and lower the bed without changing gloves or washing hands, and also left the room without hand hygiene. The resident’s catheter bag was also observed sitting directly on the floor without a protective cover.
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.
Dirty and Unsafe Laundry Room Conditions
Penalty
Summary
The facility failed to maintain a safe and sanitary environment in the laundry room. During observation, two washers were heavily covered with dry splatter marks of an unknown substance, the floors on the washer and dryer side of the room were heavily covered with dirt and staining, and there was a heavy build-up of dried white substance on the floor behind the washers. A bucket was turned upside down over a wet floor drain that had a loose drain cover exposing an open hole in the floor. In the dryer, there was a moderate accumulation of clumps of lint in the top, non-removable lint trap. The clean side of the laundry room, where clean clothing and linens were stored, contained a standard-sized box fan sitting on a table at chest height with a moderate build-up of dust on the fan blades and wire guard. Laundry staff confirmed the washers, floors, lint trap, and fan were dirty, and stated the laundry room was supposed to be cleaned daily. Maintenance staff also confirmed the dryer lint trap was vacuumed on a weekly basis and that the fan needed to be cleaned.
Call Light Not Within Reach
Penalty
Summary
The facility failed to ensure a resident’s call light was within reach and accessible. Resident #2 had diagnoses including Alzheimer’s disease with late onset, unspecified abnormalities of gait and mobility, osteoarthritis, generalized anxiety disorder, osteoporosis, and unspecified dementia. The quarterly MDS 3.0 assessment indicated the resident had intact cognition with minimal or no memory or thinking difficulties and required supervision with eating and oral hygiene, dependence with toileting, substantial to maximum assistance with bathing, dressing, and personal hygiene, and dependence with bed mobility and transfers. During an observation, Resident #2 was alert, oriented, and able to answer questions while reclined in bed, but no call light was within reach. The call light was dangling from the bed rail by its cord, with the activation button hovering about one inch from the floor and out of the resident’s reach. The resident stated she was unable to reach the call light and could not call for assistance. An LPN confirmed the call light was out of the resident’s reach. The facility policy titled Answering the Call Light stated that when a resident is in bed or confined to a chair, staff were to ensure the call light was within easy reach.
Meals Served at Unappetizing Temperature
Penalty
Summary
The facility failed to ensure meals were attractive and served at an appetizing temperature for one resident reviewed for food service. Resident #38, who had diagnoses including end stage renal disease, depression, chronic respiratory failure, dependence on renal dialysis, anemia, type 2 diabetes mellitus with diabetic neuropathy, hypertension, and COPD, was on a regular texture renal diet with thin liquids and a 1500 cc daily fluid restriction. The quarterly MDS assessment indicated the resident had intact cognition. During interview, the resident stated hot foods were not hot when served, described the food as terrible and always cold, and said it was often impossible to tell what food was on the plate. During observation of lunch meal service, tray line food temperatures were measured with the facility’s calibrated thermometer and were within acceptable range when first checked: sloppy joes at 175 degrees F, French fries at 178 degrees F, and mixed vegetables at 192 degrees F. However, meal carts left the kitchen over a period of time, and when the test tray was served last during tray pass, the French fries were measured at 121 degrees F and were not crisp or hot. The Dietary Manager verified that 121 degrees F was not considered an appetizing food temperature and stated it was very difficult to keep hot foods from losing temperature because the pellet system used to keep plates warm no longer kept them warm after 15 to 20 minutes.
Improper Infection Control During Catheter Care
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices during urinary catheter care for one resident with an indwelling urinary catheter. The resident was admitted with diagnoses including acute cystitis, acute kidney failure, and benign prostatic hyperplasia, and the MDS indicated impaired cognition, need for substantial assistance with toileting hygiene, and bowel incontinence. The care plan required enhanced barrier precautions due to the catheter, including donning gloves and gown before high-contact tasks and removing them before exiting the room. During observation, the resident’s urinary catheter bag was found sitting directly on the floor by the bed with no protective cover, and a CNA verified the finding. During catheter care, a CNA washed hands and donned gown and gloves, removed the resident’s brief, provided catheter care, and emptied the urine bag. The CNA then applied a clean brief with the same gloves, checked the catheter tubing, adjusted the resident’s blankets, grabbed the bed remote, and lowered the bed without changing gloves or washing hands. The CNA then removed gown and gloves, discarded them, removed the trash from the room, and left without sanitizing or washing hands. The CNA confirmed she did not change gloves or wash hands between tasks and did not sanitize or wash hands before leaving the room.
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 1,265 citations issued within 25 miles in the last 12 months — including the 8 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 | ★★★★★ | 36 | 0 |
| Grande Oaks | 2.2 mi | ★★★★★ | 37 | 0 |
| Brentwood Health Care Center | 3.2 mi | ★★★★★ | 0 | 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 October 2026) and official state health department websites.