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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Norwalk Memorial Home during CMS and state inspections, most recent first.
A CNA continued to work multiple shifts without a current and active registration after her renewal information was not re-entered into the system following a rescinded resignation. Human Resources failed to ensure her registration was renewed, and facility policy requiring removal from the schedule for expired credentials was not followed.
The facility failed to ensure appropriate administration and monitoring of psychotropic medications for four residents, who were prescribed these medications without proper documentation of conditions or monitoring for side effects. Despite policies requiring monitoring, there was no evidence of behavior or medication monitoring, and the facility lacked a specific documentation area for such monitoring.
The facility issued SNF ABNs lacking required and accurate information to two residents. One resident, with dementia and skin cancer, received a notice missing details on discontinued services and incorrect cost estimates. Another resident, with aphasia and epilepsy, received a similarly deficient notice. The Administrator confirmed these deficiencies.
The facility failed to notify the state Ombudsman of resident discharges or transfers, affecting two residents who were hospitalized. One resident with Parkinson's disorder and dementia was transferred to a hospital multiple times without notification. Another resident with syncope and atrial fibrillation was also transferred without notification. An incorrect email address led to notices being sent to the wrong address for six months.
A resident with a history of depression and anxiety returned from the ER with suicidal ideations, but the LTC facility failed to implement necessary behavioral health services. Despite having a care plan, the facility did not conduct routine behavioral monitoring or ensure follow-up with mental health professionals. Interviews revealed a lack of policy for behavior monitoring and absence of in-house psychiatric support.
A resident with diabetes received insulin without the pen being primed, as observed during a medication administration. The LPN administering the insulin did not follow the manufacturer's guidelines, which require priming before each dose. The DON confirmed the error, noting the facility's educational resources and policies emphasize proper technique.
The facility did not screen the DON, two LPNs, and a Dietary Aide against the State of Ohio Nurse Aide Registry before employment, as required by their policy. The HR Director was unaware of the need to screen beyond state-tested nurse aides, leading to a deficiency in identifying potential abuse, neglect, or exploitation findings.
The facility did not post daily nursing staff information as required, potentially affecting all 66 residents. During a survey, it was observed that the posted information was outdated by three days. An LPN confirmed the information was not current, despite the facility's policy requiring timely posting of staffing details.
CNA Worked Without Active Registration Due to HR Oversight
Penalty
Summary
A review of personnel files, the Ohio State Tested Nursing Aide Registry, staff interviews, and facility policy revealed that a Certified Nursing Assistant (CNA) was allowed to work without a current and active registration. The CNA's registry had expired, and she was not eligible to work as a state tested nursing assistant during the period in question. Despite this, the facility's staffing schedule showed that the CNA continued to work multiple shifts after her registration had lapsed. The lapse occurred after the CNA initially submitted her resignation, leading Human Resources to remove her renewal information from the system. When the CNA decided to remain employed, her renewal information was not re-entered, resulting in the expiration of her registration. Facility policy required removal from the work schedule and suspension without pay for employees with expired licensure or certification, but this was not followed, allowing the CNA to continue working without valid credentials. This deficiency had the potential to affect all residents in the facility.
Inadequate Monitoring and Documentation of Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure that psychotropic medications were administered appropriately and that residents were adequately monitored while receiving these medications. This deficiency affected four residents, who were prescribed psychotropic medications without proper documentation of the conditions they were meant to address or evidence of monitoring for side effects and effectiveness. For instance, Resident #17 was prescribed Seroquel for restlessness without any documented behaviors or monitoring, despite the FDA Black Box Warning indicating increased mortality risk in elderly patients with dementia-related psychosis. Resident #46, who had intact cognition, was prescribed multiple psychotropic medications, including buspirone, duloxetine, and trazodone, without any documented target behaviors or monitoring for side effects and effectiveness. Similarly, Resident #47, with severely impaired cognition, was prescribed Celexa, Klonopin, trazodone, and Seroquel without documented behaviors or rationale for the use of these medications, particularly after Seroquel was re-started following a discontinuation. Resident #51, with moderately impaired cognition, was prescribed Trazadone and Risperdal without any documentation of target behaviors or monitoring. The facility's Director of Nursing and Assistant Director of Nursing acknowledged the lack of a specific charting or documentation area for monitoring residents' behaviors related to psychotropic medication use. The facility's policies on psychotropic medication monitoring and antipsychotics were not adequately followed, as there was no evidence of behavior or medication monitoring for the affected residents.
Inaccurate SNF ABNs Issued to Residents
Penalty
Summary
The facility failed to ensure that Skilled Nursing Facility Advanced Beneficiary Notices (SNF ABNs) contained all required and accurate information for two residents. Resident #51, who was admitted with diagnoses including dementia, disorientation, and skin cancer, received an SNF ABN on 12/26/23, prior to the discontinuation of skilled services on 12/29/23. The notice lacked details on which skilled services were being discontinued and inaccurately estimated the cost per day of the service as $235.00, without including a cost estimate for skilled services in addition to room and board fees. Similarly, Resident #112, admitted with diagnoses including aphasia, epilepsy, and major depressive disorder, received an SNF ABN on 05/28/24, before the discontinuation of skilled services on 05/30/24. This notice also failed to specify the skilled services being discontinued and inaccurately listed the estimated cost per day as $240.00, again omitting a cost estimate for skilled services beyond room and board fees. An interview with the Administrator confirmed that the SNF ABNs for both residents did not contain all required and accurate information.
Failure to Notify Ombudsman of Resident Transfers
Penalty
Summary
The facility failed to notify the state Ombudsman's office of resident discharges or transfers as required, affecting two residents who were hospitalized. Resident #30, diagnosed with Parkinson's disorder, dementia with mood disturbance and anxiety, and type II diabetes mellitus, was admitted to the facility and subsequently transported to a local hospital on three occasions. However, there was no evidence in the medical records that the state Ombudsman was notified of these transfers. Similarly, Resident #60, who had diagnoses including syncope and collapse, muscle weakness, and atrial fibrillation, was admitted to the facility and later transported to a local hospital, from which they did not return. Again, there was no evidence of notification to the state Ombudsman. An email from the local Ombudsman confirmed the lack of notification, and an interview with the Administrator revealed that incorrect email information provided by a former employee led to the facility sending notices to the wrong address for approximately six months.
Failure to Implement Behavioral Health Services for Suicidal Resident
Penalty
Summary
The facility failed to timely implement behavioral health services for a resident who returned from an emergency department visit for suicidal ideations. The resident, who had a history of depression and anxiety, was admitted with a left femur fracture and was on medications including buspirone, duloxetine, and trazodone. Despite having a care plan that included monitoring for behaviors and notifying the physician as needed, the facility did not implement target behaviors, behavioral approaches, or routine side effect or behavioral monitoring for the resident. The resident expressed suicidal thoughts and was transferred to the emergency room, where she was assessed and discharged back to the facility with an outpatient safety plan. However, upon her return, there was no evidence that the resident had seen a counselor, psychiatrist, or attending provider. The facility's staff, including the Administrator and nursing staff, acknowledged the lack of a written policy for behavior monitoring and the absence of a system to prompt staff to record the presence or absence of behaviors. Interviews with facility staff revealed that the facility typically did not take residents with behavioral needs and lacked an in-house psychiatrist. The resident was placed on 15-minute checks, but no changes were made to her medication regimen. The facility's Director of Nursing confirmed that the resident had not been seen by the facility's Medical Director, nurse practitioner, or a psychiatrist since her return from the emergency department visit.
Failure to Prime Insulin Pen Leads to Medication Error
Penalty
Summary
The facility failed to ensure that residents were free from significant medication administration errors, specifically affecting one resident with type II diabetes mellitus and dementia. The resident was prescribed Lantus Solostar, a long-acting insulin, to be administered daily. During an observation, an LPN prepared and administered the insulin without priming the needle, contrary to the manufacturer's guidelines. The LPN believed priming was only necessary when a new insulin pen was first opened, not before each dose. The Director of Nursing confirmed that the nurse should have primed the insulin pen before administration, as per the facility's educational resources and the manufacturer's guidelines. These guidelines require a safety test before each injection to ensure accurate dosing and proper needle function. The facility's policy on medication administration emphasizes meticulous care in following orders and consulting qualified personnel if there is uncertainty in technique.
Failure to Screen Employees Against Nurse Aide Registry
Penalty
Summary
The facility failed to develop and implement policies and procedures to screen all employees against the State of Ohio Nurse Aide Registry to identify any findings concerning abuse, neglect, exploitation, or theft. This deficiency was identified during a review of personnel files, staff interviews, and the facility's abuse policy. Specifically, there was no evidence that the Director of Nursing, two Licensed Practical Nurses, and a Dietary Aide were screened prior to employment using the State of Ohio Nurse Aide Registry. The Human Resource Director confirmed the lack of screening and was unaware of the requirement to use the Nurse Aide Registry for screening beyond state-tested nurse aides. The facility's policy stated that all individuals applying for employment should be screened through an interview process, reference checks, and contact with the State Nurses Aide Registry or other appropriate licensing board, but this was not followed.
Failure to Post Daily Nursing Staff Information
Penalty
Summary
The facility failed to ensure that the daily nursing staff information was posted as required, which had the potential to affect all 66 residents. Upon entrance for an annual survey, it was observed that the posted nursing staffing information was dated three days prior to the survey date. An interview with an LPN confirmed that the information was not up to date. The facility's policy required that the number of licensed nurses and unlicensed nursing personnel responsible for resident care be posted within two hours of the beginning of each shift in a prominent and accessible location.
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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 Norwalk
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Carecore At Gaymont | 0.9 mi | ★★★★★ | 0 | 0 |
| Twilight Gardens Nursing And Rehabilitation | 1.7 mi | ★★★★★ | 10 | 0 |
| Vista Care Center Of Milan | 4.4 mi | ★★★★★ | 4 | 0 |
| Bellevue Care Center | 11.3 mi | ★★★★★ | 0 | 0 |
| Admirals Pointe Nursing & Rehabilitation | 12.6 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.