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 Ohio Living Cape May during CMS and state inspections, most recent first.
Unsafe Food Handling and Kitchen Sanitation Deficiencies: Staff left undated food open to air, stored opened items without dates, used a fryer with debris without cleaning it first, and left expired mustard on dining tables. Observations also showed gray fuzzy buildup in the kitchenette, glove and hand hygiene lapses during meal prep, and hot foods plated below the required holding temperature of 135 degrees F.
A nurse failed to use hand hygiene before entering multiple residents' rooms to administer meds and also handled a resident's dropped meds with bare hands after they fell onto the med cart before giving them to the resident. The nurse confirmed the meds should have been wasted and replaced, and the facility hand hygiene policy required hand hygiene before and after patient contact or contact with the patient's environment.
Inconsistent code status documentation was found for two residents. One resident’s chart contained a DNRCC-A form, but the EHR, physician note, and face sheet listed full code; the other resident’s chart contained a DNRCC form and order, but physician and provider notes listed DNRCC-A while the face sheet listed DNRCC. The DON verified the mismatches, and the residents had significant medical histories including stroke-related deficits, dementia, diabetes, and other chronic conditions.
Failure to Provide Bed Hold and Transfer Notices: A resident with gastric ulcer, PUD, and adjustment disorder was sent to the hospital for evaluation of abnormal lab results and later readmitted. The resident was cognitively intact and needed staff help with ADLs, but neither the resident nor the resident's representative received the required bed hold notice or transfer notice when the resident was transferred.
A resident with CVA-related deficits, moderate cognitive impairment, and a history of falls was receiving incontinence care when an LPN asked the resident to roll to one side and then turned away to get a brief. The resident was left unattended, rolled out of bed, and fell to the floor, sustaining a skin tear to the hand. The fall investigation, witness statement, and DON interview confirmed the resident was not adequately supervised during care.
A resident with cervical disc disorder, venous insufficiency, and constipation had a lidocaine patch ordered for morning application and bedtime removal, but the MAR did not provide a place to document removal. During observation, an undated patch was still on the resident’s back, and an RN removed the prior day’s patch and applied a new one. The RN confirmed the night shift nurse should have removed it per the MD order, and an online reference noted prolonged lidocaine patch use can increase blood concentration.
The facility did not complete thorough investigations into several allegations of physical and sexual abuse. In one case, two residents were involved in a physical altercation, but the investigation only included a CNA statement and no injury assessment or resident interviews. In another, a resident reported a rape-related dream after being toileted by a CNA, yet no additional staff statements or skin assessment were obtained. In a third incident, a resident alleged being hit, but the facility relied on observations that the resident was combative and that staff behaved professionally, without performing a skin assessment or interviewing all staff on that shift. The Administrator confirmed these investigative omissions, which were inconsistent with the facility’s abuse investigation policy.
A resident with a surgical wound was on Enhanced Barrier Precautions (EBP) with a care plan and door signage indicating EBP were required, but an LPN provided treatment to a skin tear on the resident’s arm without wearing a gown, stating gowns were only needed for the surgical wound. The DON confirmed staff should wear gloves and gowns for patient care under EBP, and facility policy and CDC guidance required gown use during high-contact resident care for residents with wounds, leading surveyors to cite a deficiency in the infection prevention and control program.
Unsafe Food Handling and Kitchen Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure kitchen equipment and food items were maintained and handled in a sanitary manner to prevent foodborne illness. During observation, an undated ham was found open to air in the prep table cooler, and opened, undated bags of onion straws, fries, and chicken tenders were found in the reach-in freezer. Brown debris was observed in the fryer oil, and staff confirmed the fryer had debris from the prior day and needed cleaning. The staff member stated the fryer was used to make breakfast items without being cleaned before use. The facility policy stated fryers are to be cleaned after each use and food particles removed from the oil after each use. Additional observations showed two containers of mustard on tables in the large dining room with expiration dates of 04/01/26, and another container of mustard in the small dining room with an expiration date of 05/20/26; RN staff verified these items should have been discarded. In the skilled nursing unit kitchenette, gray fuzzy substance was observed on the vent leading to the small dining room, hanging from the light near the steam table, and on the wall near the water filtration system by the stove. During meal preparation, a staff member touched the microwave door with a gloved hand and then handled a biscuit and later a piece of toast without washing hands or changing gloves. The same staff member also plated food while wearing the same gloves. Later, temperatures taken from plated food on the test tray showed sausage at 132.5 degrees F, scrambled eggs at 125 degrees F, and a waffle at 117.2 degrees F, and the staff member confirmed these items should have been held above 135 degrees F.
Failure to Use Hand Hygiene and Proper Medication Handling During Administration
Penalty
Summary
The facility failed to ensure staff used appropriate hand hygiene and infection control practices during medication administration for four residents reviewed. During observation on 07/08/26, RN #342 dropped Resident #13's Lasix and potassium chloride directly onto the medication cart, then used bare hands to place the medications into the resident's medication cup and administer them. RN #342 did not perform hand hygiene before entering Resident #13's room, and later observations showed the RN also did not perform hand hygiene before entering the rooms of Residents #20, #8, and #1 to administer medications. During interview, RN #342 confirmed the medications should have been wasted and replaced after being touched, and confirmed hand hygiene should have been performed before and after entering a resident's room for medication administration. Review of the facility policy titled Hand Hygiene dated 09/15/25 stated hand hygiene was to be used before and after patient contact or in the patient's environment.
Inconsistent Code Status Documentation
Penalty
Summary
The facility failed to ensure residents’ code status was accurately reflected and matched across all areas of the medical record for two residents. For one resident, the record showed an admission for a left tibia fracture, hypertensive heart disease, and type 2 diabetes mellitus. The chart contained a scanned DNRCC-A form signed by the physician, but the electronic physician order, a physician progress note, and the face sheet all listed the resident as full code. The MDS identified the resident as cognitively intact and needing assistance with ADLs, and the DON verified the mismatch during interview. For the second resident, the record showed diagnoses including hemiplegia and hemiparesis following cerebral infarction, atrial fibrillation, type 2 diabetes mellitus, and vascular dementia. The chart contained a scanned DNRCC form signed by a physician and an electronic physician order listing DNRCC, but physician and provider progress notes listed the resident as DNRCC-A, while the face sheet listed DNRCC. The MDS identified the resident as severely cognitively impaired and dependent on staff assistance with ADLs. The DON verified that the resident’s code status did not match in all areas of the medical record.
Failure to Provide Bed Hold and Transfer Notices
Penalty
Summary
The facility failed to ensure that a bed hold notice and a transfer notice were provided when Resident #3 was sent to the hospital for evaluation due to abnormal lab results and admitted. Resident #3 had diagnoses including gastric ulcer, peptic ulcer disease, and adjustment disorder, and the MDS assessment identified the resident as cognitively intact and needing staff assistance with ADLs. Review of the bed hold notices and transfer notices for the resident showed that neither the resident nor the resident's representative was provided the required notices related to the hospital transfer. A Social Service Designee confirmed in interview that neither notice was provided upon the resident's discharge to the hospital.
Failure to Supervise Resident During Incontinence Care Resulted in Fall
Penalty
Summary
The facility failed to ensure staff provided adequate supervision during care to prevent falls for one resident. The resident had diagnoses including cerebral infarction, spastic hemiplegia affecting the right nondominant side, and chronic pain, and was identified as being at risk for falls due to a history of CVA and previous falls. The care plan also noted a self-care performance deficit related to CVA and directed staff to assist the resident with rolling from side to side. The resident’s MDS assessment showed moderate cognitive impairment, partial to moderate assistance needed for all ADLs, and frequent bowel and bladder incontinence. During incontinence care, an LPN was providing care in bed and asked the resident to roll onto her right side. The LPN then turned away from the resident to retrieve a brief from a chair behind her, and the resident rolled out of bed and fell to the floor, sustaining a skin tear to the left hand. The fall investigation and witness statement both documented that the resident was left unattended during care when the fall occurred. The DON confirmed the nurse did not follow appropriate standards of nursing practice during the incontinence care event, and the facility policy stated that residents should be assessed for fall risk factors and interventions implemented to prevent falls.
Failure to Remove Lidocaine Patch per Order
Penalty
Summary
The facility failed to ensure a resident was free from a significant medication error involving a lidocaine patch. The resident had diagnoses including cervical disc disorder, venous insufficiency, and constipation, and the physician ordered a lidocaine patch to be applied to the right middle back in the morning and removed at bedtime. The resident’s MDS indicated intact cognition and the need for staff assistance with ADLs. However, the July 2026 MAR did not include a space for nurses to document removal of the patch at bedtime. During observation on 07/08/2026 at 7:17 A.M., an undated patch was found on the resident’s back. RN #342 removed the patch and applied a new one. In interview, RN #342 confirmed she removed the lidocaine patch from the prior day and stated the night shift nurse should have removed it per the physician order. The report also cited an online Medscape reference stating that longer duration of application of a lidocaine patch could contribute to increased blood concentration of the medication, and the facility policy required medications to be administered in accordance with physicians’ orders.
Failure to Conduct Thorough Abuse Investigations
Penalty
Summary
The facility failed to conduct thorough investigations into multiple allegations of physical and sexual abuse as required by its Abuse, Neglect, Misappropriation and Crime Reporting policy. For an incident involving two residents in which one resident was found with his fist raised and hand on the other resident’s wrist after the second resident wandered into his room, the investigation was limited to obtaining a CNA’s statement and noting no physical signs of harm. The facility did not assess the resident who had entered the room for injuries and did not obtain statements from either resident involved about what occurred, despite the policy outlining that investigations may include resident interviews and examinations for marks, bruises, or other indications of abuse. In a separate allegation where a resident told a nurse she dreamed of someone raping her, the investigation identified that a CNA had toileted the resident shortly before the statement and documented that the resident later described having crazy dreams and could not recall events from the prior night. However, the facility did not obtain additional staff statements or perform a skin assessment on the resident. In another incident, a resident alleged someone had hit her earlier in the day; the investigation documented that the resident had refused care, was combative, and that a nurse and a CNA’s family member believed the CNA involved would not hit the resident and had remained professional. The facility did not complete a skin assessment on the resident or obtain staff interviews from that shift. The Administrator confirmed in interviews that these investigative steps were not completed in each of these cases, contrary to the facility’s own investigation process expectations.
Failure to Follow Enhanced Barrier Precautions During High-Contact Wound Care
Penalty
Summary
Surveyors identified a deficiency in the facility’s infection prevention and control program related to the use of Enhanced Barrier Precautions (EBP) for a resident with a wound. Resident #4 was admitted with diagnoses including an orthopedic surgery fracture of the neck of the right femur with routine healing and a malignant neoplasm of the main bronchus. An MDS assessment showed the resident was cognitively intact and required substantial assistance with toileting and bathing, and supervision with personal hygiene. The resident’s record contained flags indicating EBP were in place, and the care plan documented that EBP would be maintained per facility policy related to a surgical wound. During an observation, surveyors noted a sign on the resident’s door indicating EBP, while an LPN provided care to a skin tear on the resident’s right arm without wearing a gown. The LPN confirmed she was not wearing a gown and stated that a gown was only needed when performing care on the surgical wound, not for this type of care. The DON later confirmed that staff should be wearing gloves and gowns when providing patient care for residents on EBP. Facility policy on Enhanced Barrier Precautions required wearing a gown during high-contact resident care, and CDC guidance described EBP as targeted gown and glove use during high-contact care activities for residents with wounds or indwelling medical devices, regardless of MDRO status. This failure to follow EBP requirements for gown use during high-contact care constituted the cited deficiency.
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 287 citations issued within 25 miles in the last 12 months — including the 2 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 Wilmington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wilmington Nursing & Rehab | 0.9 mi | ★★★★★ | 10 | 0 |
| Continental Manor Nurs And Rehabilitation Center | 12.4 mi | ★★★★★ | 3 | 0 |
| Autumn Years Nursing Center | 12.5 mi | — | 0 | 0 |
| Laurels Of Blanchester, The | 13.1 mi | ★★★★★ | 0 | 0 |
| Ohio Living Quaker Heights | 13.6 mi | ★★★★★ | 8 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Ohio Living Cape May.
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.