Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
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 Ohio Living Lake Vista during CMS and state inspections, most recent first.
Medications Left at Bedside Without Authorization: Two residents had meds left on bedside surfaces instead of being stored securely. One resident had Tylenol Arthritis and artificial tears present despite no orders for them, and the resident said she used them whenever she wanted. Another resident had two pills left in a cup on the bedside table and said nurses leave his bladder and cholesterol meds there for later use. RN staff confirmed the meds were left at bedside and should not have been.
Inaccurate MAR and TAR documentation after resident discharge. A resident with cardiomegaly, UTI, bradycardia, edema, hypokalemia, COPD, and intact cognition was sent to the ER after developing weakness, lethargy, confusion, and difficulty staying awake. Although the resident had been discharged and was not back in the facility, an RN signed off multiple meds and treatments as administered/completed on the MAR and TAR, and the DON confirmed the initials belonged to that RN. Facility policy required documentation when meds or treatments were not given.
Improper hand hygiene was observed during medication administration for a resident with CHF, cystitis, anemia, anxiety disorder, pain, vitamin deficiency, and chronic respiratory issues. An RN sanitized her hands, then touched the medication cart keys, medication cards, computer screen, and medication cup, and later popped pills directly into her bare hand without re-sanitizing before placing them into a cup, crushing them, and mixing them with applesauce for administration. The RN confirmed she did not perform proper hand hygiene, and facility policy required hand hygiene and gloves when handling medications.
A resident with severe cognitive impairment and a DNRCC status experienced a medical emergency. An RN administered Morphine, prescribed for another resident, without checking orders or consulting a physician, violating professional standards. The resident was later hospitalized with hypoxia related to pneumonia.
A facility failed to ensure consistent communication with a dialysis center for a resident with end-stage renal disease. The resident's care plan required communication as needed, but the DON confirmed it was only done on an as-needed basis. The resident's son had to inform the facility of issues during dialysis and an additional treatment, highlighting the lack of a defined communication process in the facility's policies.
Medications Left at Bedside Without Authorization
Penalty
Summary
The facility failed to ensure medications were stored appropriately and were not left at the bedside for two residents. Resident #8 was admitted with diagnoses including unspecified dementia, cerebral infarction, hypo-osmolality, hyponatremia, and cognitive communication deficit, and her annual MDS indicated intact cognition but need for assistance with ADLs and medication administration. On observation, four Tylenol Arthritis pills were found in a medication cup on her over-bed table and three bottles of artificial tears were on her nightstand, even though her physician orders did not include Tylenol Arthritis or artificial tears. RN #410 confirmed the medications were left on the over-bed table and nightstand, stated Resident #8 was not ordered those medications, and stated no residents in the facility were responsible for giving their own medications; however, Resident #8 stated she takes the Tylenol and uses the artificial tears whenever she wants without notifying the nurse. Resident #44 was admitted with diagnoses including malignant neoplasm of rectum, muscle weakness, hyperlipidemia, hypertension, and benign prostatic hyperplasia. His physician orders did not allow medications to be left at bedside, and progress notes described him as alert and oriented, able to make needs known, and requiring assistance with dressing and ADLs. During observation, two pills were found in a cup on his bedside table, and Resident #44 stated nurses leave his bladder and cholesterol medications in the cup between 4:00 and 5:00 A.M. because that is too early, and he takes them later when he feels more awake. RN #458 confirmed the medications were left at bedside and should not have been. The facility policy titled Medication Storage stated prescription medications must be kept in locked storage areas unless authorized for bedside self-administration.
Inaccurate MAR and TAR documentation after resident discharge
Penalty
Summary
The facility failed to ensure resident medical records were documented accurately for one resident reviewed in a closed record review. Resident #39 was admitted with cardiomegaly, UTI, acute vaginitis, bradycardia, edema, hypokalemia, and COPD, and the MDS reflected intact cognition. A progress note documented that the resident developed weakness, lethargy, confusion, difficulty holding objects, and difficulty staying awake, and the husband requested transfer to the ER; the NP on call authorized the transfer. The record also showed the resident was discharged and there was no evidence of return to the facility or availability for medication or treatment administration on 01/05/26. Despite this, the MAR showed RN #410 signed medications as administered on 01/05/26, including Alvesco HFA, calcium with vitamin D, cholecalciferol, Eliquis, flecainide, miconazorb AF powder, multivitamin, Prevacid, and saline mist. The TAR also showed the same RN signed off treatments as completed on that date, including applying TED hose, ensuring assist bars were available, placing a pressure reduction cushion in the wheelchair, elevating the HOB, obtaining vital signs, monitoring for dehydration, electrolyte changes, AKI, and bleeding related to anticoagulation therapy, completing oral care, and ensuring a protective barrier after incontinence episodes. The Interim DON confirmed the resident had been discharged without readmission and confirmed RN #410 as the initials on the MAR and TAR. Facility policy required documentation when medications or treatments were not administered, including indicating they were not administered and documenting the reason.
Improper Hand Hygiene During Medication Administration
Penalty
Summary
Proper infection control practices were not maintained during medication administration for one resident observed out of four residents during medication pass. Resident #17 was admitted on 12/02/25 and had diagnoses including congestive heart failure, cystitis, anemia, anxiety disorder, unspecified pain, vitamin deficiency, and chronic respiratory issues. The resident's admission MDS dated 12/02/25 indicated he was cognitively intact and required assistance from at least one staff member for all ADLs, including medication administration, dressing, showering, toileting, ambulation, and bed mobility. During observation of medication administration on 01/21/26 at 8:53 A.M., RN #410 sanitized her hands, then touched the medication cart keys, medication cards, computer screen, and medication cup. While checking medications against the orders, she popped each pill directly into her bare hand without re-sanitizing, then placed the medications into a medication cup, dumped the cup into a pouch to crush the medications, and placed them into applesauce before administering them to Resident #17. When interviewed at 9:00 A.M., RN #410 confirmed she did not perform proper hand hygiene when administering medications. Facility policy titled Medication Administration General Guidelines, last revised January 2025, stated proper hand hygiene is to be used, including washing hands with soap and water or using hand sanitizer and allowing dry time, and that gloves are to be worn when handling all medications.
Medication Error and Scope of Practice Violation
Penalty
Summary
The facility failed to ensure that staff provided care and services according to professional standards of practice and within their scope of practice, affecting one resident who was receiving hospice services. The resident, who had severe cognitive impairment and required extensive assistance with daily activities, was at risk for cardiovascular complications and had an advance directive of Do Not Resuscitate Comfort Care (DNRCC). On the day of the incident, the resident experienced difficulty breathing and was found with blue lips, indicating a potential medical emergency. A registered nurse (RN) assessed the resident's vital signs and placed her on oxygen. Despite the resident's stable vital signs, she continued to struggle with breathing. The RN attempted to contact the resident's family and, unable to reach them, made the decision to administer Morphine, which was not prescribed for the resident but for another resident. This decision was made without checking the resident's orders or consulting a physician, which is a violation of the professional standards of practice. The RN administered the Morphine sublingually after the resident began coughing up blood. The family was eventually contacted, and they decided to send the resident to the hospital, where she was admitted with a diagnosis of hypoxia related to pneumonia. The incident was later reported, and it was confirmed that the RN administered medication without a physician's order, which is against the facility's policy and the Ohio Board of Nursing's scope of practice for RNs.
Inadequate Communication for Dialysis Care
Penalty
Summary
The facility failed to ensure appropriate and consistent communication regarding dialysis treatment for a resident with end-stage renal disease, acute and chronic respiratory failure with hypoxia, and congestive heart failure. The resident was receiving dialysis at an outside center every Monday, Wednesday, and Friday. The care plan required the facility to communicate with the dialysis center as needed regarding the resident's dialysis care issues. However, the facility's Director of Nursing (DON) revealed that communication with the dialysis center occurred only on an as-needed basis, and not after every treatment. This lack of consistent communication was highlighted when the resident's son had to inform the facility of issues that occurred during dialysis and an additional treatment scheduled by the dialysis center. The facility's policies and procedures related to dialysis did not include a communication process with the dialysis providers, nor did they specify how communication should occur, who was responsible for it, or where it should be documented in the medical record. This deficiency was evident when the family, rather than the dialysis center, notified the facility of the resident's trouble at dialysis and the added treatment. The facility census at the time was 39, and this issue affected the only resident receiving dialysis in the facility.
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 428 citations issued within 25 miles in the last 12 months — including the 7 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 Cortland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cortland Center | 0.4 mi | ★★★★★ | 1 | 0 |
| Concord Care Center Of Cortland | 4.9 mi | — | 0 | 0 |
| Shepherd Of The Valley Howland | 5 mi | ★★★★★ | 0 | 0 |
| Warren Nursing & Rehab | 5.5 mi | ★★★★★ | 51 | 1 |
| Gillette Nursing Home | 5.6 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Ohio Living Lake Vista.
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 July 2026) and official state health department websites.