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 Omni Manor Nursing Home during CMS and state inspections, most recent first.
A resident who required continuous tube feeding via G-tube was discharged without a tube feed pump or adequate arrangements for feeding supplies. The discharge summary lacked instructions regarding the absence of the pump, and the resident and family reported difficulty receiving nutrition and nausea from bolus feeds after discharge. Staff interviews confirmed delays in providing necessary equipment and incomplete education on alternative feeding methods.
Nine residents with various medical conditions, including cognitive impairment and dietary needs, did not consistently receive meals according to their documented preferences, such as requests for or against bread, rolls, or gravy. Direct observation and interviews confirmed that meal preferences were not honored during meal service, despite facility policy requiring accommodation of such requests.
A resident with multiple medical conditions reported hitting his head on the ceiling of a facility van during transport over speed bumps. Although staff were informed and referenced an assessment in witness statements, there was no documented evidence in the medical record of an injury assessment or a completed investigation, contrary to facility policy.
The facility failed to maintain a clean and sanitary kitchen and did not properly label, date, and store food. Observations included dirty utensil storage, unlabeled chicken stock and gravy mix, an open and undated bag of crispy onions, a staff member's water bottle in the refrigerator, and a ceiling fan with debris buildup. These actions were contrary to the facility's policy on food, equipment, and utensil storage.
The facility failed to maintain a clean and sanitary refuse area, affecting all residents. Observations revealed debris around the kitchen's garbage exit, an uncovered grey cart with bagged garbage, and an overflowing large dumpster. The Dietary Supervisor confirmed these findings, stating the dumpster was often full. The Regional Administrator noted the dumpster is emptied five times weekly, excluding weekends, and confirmed lids should cover the grey carts when the dumpster is full.
The facility failed to follow the planned menu, affecting 15 residents who did not receive the scheduled dinner items. The facility ran out of sloppy joes and sweet potato waffle fries, leading to substitutions with peanut butter and jelly sandwiches for 12 residents. Interviews and Resident Council notes revealed ongoing dissatisfaction with meal service, highlighting issues with food management and planning.
The facility failed to serve food at a palatable temperature, affecting potentially 119 residents. Observations revealed that staff were not using bases for hot pellets, and they ran out of these for multiple residents. A test tray showed food temperatures not within safe service range, with sauerkraut at 127°F and milk at 55°F. Resident Council notes indicated ongoing issues with food temperature and quality.
The facility failed to ensure call lights were within reach for two residents, both at high risk for falls due to cognitive impairments and physical limitations. Observations revealed that one resident's call light was wrapped around a guard rail, and another's was on the floor, both inaccessible. This was confirmed by a housekeeper, and the facility's policy required call lights to be conveniently positioned for residents.
The facility failed to refund funds within 30 days for two residents after discharge. One resident had a balance of $1485.33, and another had $1790.93, both of which were not refunded as required. The facility's policy mandates the conveyance of funds within 30 days, but this was not followed.
The facility failed to provide the required 48-hour notice to three residents regarding the termination of their Medicare coverage for skilled services. For one resident, the notification letter was signed and dated by staff, making it impossible to verify the notification date. Another resident signed their letter just one day before services ended, and a third resident's letter was also dated by staff, preventing date verification. A bookkeeper confirmed the lack of proper notice.
The facility did not update the posted nursing staff information daily as required. Observations on two separate occasions revealed outdated staffing information, which was confirmed by the DON. This deficiency had the potential to affect all 121 residents.
A facility failed to complete ordered wound care for a resident with a skin tear on the back of the right hand. Despite physician orders for daily treatment, the treatment administration record showed no documentation of wound care on three specific dates. A nurse confirmed the lack of evidence for wound care completion, resulting in a noted deficiency.
The facility failed to document wound care as ordered for two residents, affecting their medical records' accuracy. Despite residents confirming that treatments were performed, the treatment administration records lacked documentation for specific dates, which was verified by a registered nurse. This indicates a failure to maintain accurate medical records.
Failure to Ensure Safe Discharge with Required Tube Feeding Equipment
Penalty
Summary
The facility failed to ensure a safe discharge for a resident who required durable medical equipment, specifically a tube feed pump, upon leaving the facility. The resident had diagnoses including dysphagia, moderate protein-calorie malnutrition, and required continuous nutrition via a gastrostomy tube (G-tube) as ordered by the physician. The discharge summary did not include instructions regarding the absence of a tube feed pump or the need for bolus feeding until a pump was available. Documentation showed that the resident was educated on using the tube feed pump and administering medications via G-tube, but there was no evidence that education on bolus feeding was completed prior to discharge. The resident was discharged without the necessary tube feed pump, and the facility had not secured the required feeding supplies or arranged for home health services to provide them at the time of discharge. After discharge, the resident and family reported that the resident was unable to receive nutrition due to the lack of a pump and experienced nausea from bolus feeds. Facility staff continued to search for providers and feeding supplies after the resident had already left, and the resident's insurance eventually sent a month's supply of feeding. Interviews with staff confirmed that the resident was discharged without the pump and that there was a delay in obtaining all necessary equipment and supplies. The facility's policy required a written summary and verbal explanation of the resident's condition at discharge, but the documentation and actions taken did not ensure the resident's needs for continuous tube feeding were met at the time of discharge.
Failure to Honor Resident Meal Preferences
Penalty
Summary
The facility failed to honor residents' meal preferences as required, affecting nine out of ten residents reviewed for this issue. Record reviews showed that residents had documented dietary preferences, such as not receiving bread or rolls, requesting extra gravy, or wanting gravy on the side. Despite these documented preferences, observations during a lunch meal revealed that several residents did not receive meals according to their stated preferences. For example, some residents received bread or rolls when they should not have, did not receive extra gravy as requested, or received gravy when they had requested none or to have it on the side. These findings were confirmed by staff interviews at the time of meal service. Additionally, interviews with three residents indicated that meal preferences were not consistently honored, and review of the facility's policy confirmed that dietary preferences should be accommodated if requested. The affected residents had a range of medical conditions, including severe cognitive impairment, dementia, depression, diabetes, kidney disease, and dysphagia, with varying levels of assistance required for eating. The deficiency was identified during a complaint investigation and was supported by direct observation, record review, and staff and resident interviews.
Failure to Investigate and Document Resident Injury During Transportation
Penalty
Summary
The facility failed to ensure a thorough investigation and proper documentation following an incident in which a resident reported hitting his head on the ceiling of a facility van while being transported over speed bumps to a medical appointment. The resident, who had diagnoses including malnutrition, osteomyelitis, muscle weakness, arthritis, kidney disease, and diabetes, was cognitively intact and independent in daily activities. According to progress notes and staff interviews, the resident reported the incident to social services the day after it occurred, stating he had to bend to avoid hitting his head and that there was little space between his head and the van ceiling. Despite the report, there was no documented evidence in the medical record that the resident was assessed for injury after the incident, nor was there a completed investigation as required by facility policy. While witness statements from staff referenced the incident and mentioned a head-to-toe assessment and normal neurological checks, these assessments were not documented in the medical record. The facility's policy required documentation of accidents, resident assessments, and investigation summaries, but these steps were not followed in this case.
Kitchen Sanitation and Food Storage Deficiencies
Penalty
Summary
The facility failed to maintain the kitchen area in a clean and sanitary manner, and did not ensure that all food was labeled, dated, and stored properly. During an initial kitchen tour, several deficiencies were observed and verified with the Dietary Supervisor. These included visible dirt and grease in a utensil storage drawer, an open and unlabeled container of chicken stock, and an open and unlabeled bag of country gravy mix. Additionally, a bag of crispy onions in the dry storage area was found open and undated. A staff member's opened bottle of water was also found in the standup refrigerator. Furthermore, a ceiling fan in the kitchen had a heavy buildup of black debris, which dispersed when the fan was turned on. The facility's policy required that food, equipment, and utensils be stored in a clean and dry location, and that all food be labeled and dated, which was not adhered to in these instances.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to maintain its refuse area in a clean and sanitary condition, which had the potential to affect all residents. During an observation of the outside kitchen area, numerous items of debris, including Styrofoam cups and plastic wear, were found around the door where garbage was taken out of the kitchen. A grey cart with wheels containing bagged garbage was uncovered, despite the presence of lids in the area. Additionally, the large dumpster for garbage was overflowing with bagged garbage, preventing the lid from being closed. The Dietary Supervisor confirmed these findings during the observation. In an interview, the Dietary Supervisor explained that the garbage in the small grey bin was not taken to the large dumpster because it was overflowing, leaving no room for additional garbage. The Regional Administrator stated that the large garbage dumpster is emptied five times weekly, but not on weekends, and is picked up mid-morning on Mondays. The Regional Administrator also confirmed that lids for the grey garbage carts should be used to cover the carts when the large dumpster is full.
Failure to Follow Menu and Provide Planned Meals
Penalty
Summary
The facility failed to adhere to the planned menu, affecting 15 out of 119 residents who received meals from the kitchen. On the evening of July 30, 2024, the dinner menu included sloppy joes, sweet potato waffle fries, and corn, with an alternative option of a hot ham and cheese sandwich with mashed potatoes. However, the facility ran out of sloppy joes and sweet potato waffle fries, resulting in 16 residents not receiving the planned meal. Four residents received the alternative meal, while the remaining 12 were given peanut butter and jelly sandwiches. This substitution was confirmed by the Food Service Director and the Registered Dietitian, who acknowledged the miscalculation of food quantities. Residents affected by this deficiency had various medical conditions, including dementia, diabetes, multiple sclerosis, and chronic obstructive pulmonary disorder, among others. Interviews with residents revealed dissatisfaction with the meal service, with reports of not receiving the menu items regularly and receiving cold food. The Resident Council notes from August 2023 to July 2024 also documented complaints about the food not matching the menu. The facility's failure to provide the planned meals as per the menu indicates a lack of proper food management and planning, impacting the nutritional needs and satisfaction of the residents.
Food Temperature Deficiency
Penalty
Summary
The facility failed to provide food at a palatable temperature, affecting potentially 119 residents, as observed during the annual survey. Interviews with several residents revealed concerns about the food often being served cold. During the trayline observation, it was noted that staff were not using bases for hot pellets until questioned by the surveyor. The Food Service Manager admitted to not using them, and it was observed that they ran out of bases and hot pellets for multiple residents across different units. Further observations during a test tray delivery showed that the food temperatures were not within the safe service range. The sauerkraut was measured at 127 degrees Fahrenheit, and the milk was at 55 degrees Fahrenheit, both verified by the Registered Dietitian and Corporate RD. The Resident Council notes from the past year also indicated ongoing issues with food being cold, inconsistent, and not matching the menu. The facility's policies require cold foods to be at 41 degrees Fahrenheit or below and hot foods to be at least 140 degrees Fahrenheit, which were not adhered to, leading to this deficiency.
Failure to Ensure Call Light Accessibility for Residents
Penalty
Summary
The facility failed to ensure that call lights were within reach for two residents, which was identified during an observation. Resident #45, who has diagnoses including dementia, depression, COPD, and coronary artery disease, was found to have her call light wrapped around a plastic guard rail approximately 8 inches from the floor, making it inaccessible. Her care plan indicated she was at risk for falls due to poor safety awareness and Alzheimer's, with interventions including ensuring the call light was within reach. This deficiency was confirmed by a housekeeper during the observation. Similarly, Resident #53, who has Alzheimer's, muscle weakness, anemia, depression, and difficulty swallowing, was observed with her call light on the floor next to her bed, out of reach. Her care plan also highlighted a high risk for falls due to weakness and poor safety awareness, with interventions to ensure the call light was accessible. The facility's policy on call light use, dated March 2024, stated that call lights should be positioned conveniently for residents, which was not adhered to in these cases.
Failure to Refund Resident Funds Timely
Penalty
Summary
The facility failed to refund resident funds within 30 days of discharge, affecting two residents. Resident #373 was admitted and later discharged, with a balance of $1485.33 remaining in their account. The resident had authorized the facility to hold and manage their personal funds, as confirmed by a document signed by the resident's son. Upon review, the bookkeeper verified that the funds were not refunded within the required timeframe, and the account remained active. Similarly, Resident #374 was admitted and discharged, with a balance of $1790.93 still in their account. The resident had also authorized the facility to manage their personal funds, as indicated by a document signed by the resident's daughter. The bookkeeper confirmed that these funds were not refunded within 30 days of discharge, and the account was still active. The facility's policy requires the conveyance of funds within 30 days upon a resident's death, but this was not adhered to in these cases.
Failure to Provide 48-Hour Notice of Medicare Non-Coverage
Penalty
Summary
The facility failed to provide residents with the required 48-hour notice regarding the termination of their Medicare coverage for skilled services. This deficiency affected three residents. For Resident #97, the Notice of Medicare Non-Coverage letter indicated that services ended on March 13, 2024, but the notification letter was signed by the resident and dated by facility staff, making it impossible to verify the accurate date of notification. Resident #107 signed their notification letter on July 24, 2024, which did not allow for the required 48-hour notice before services ended on July 25, 2024. Similarly, for Resident #122, the notification letter was signed by the resident but dated by facility staff, again preventing verification of the notification date. An interview with Bookkeeper #124 confirmed that the letters did not provide the necessary 48-hour notice of non-coverage.
Failure to Update Nursing Staff Information Daily
Penalty
Summary
The facility failed to ensure that the posted nursing staff information was updated daily, as required. On July 29, 2024, at 7:52 A.M., an observation revealed that the posted nursing staff information was dated July 26, 2024. This was confirmed during an interview with the Director of Nursing (DON) at 9:34 A.M. on the same day. Furthermore, on July 31, 2024, at 8:20 A.M., another observation showed that the posted staffing information was dated July 30, 2024, which was again confirmed by the DON during an interview at 9:33 A.M. This deficiency had the potential to affect all 121 residents in the facility.
Failure to Complete Ordered Wound Care
Penalty
Summary
The facility failed to ensure that wound care was completed as ordered for a resident diagnosed with antineutrophilic cytoplasmic antibody vasculitis, calculus of the kidney, and an abnormal electrocardiogram. The resident's care plan included interventions for medication and treatment administration as ordered. The resident's Quarterly Minimum Data Set indicated intact cognition and the presence of skin tears, specifically a skin tear on the back of the right hand. Physician orders required daily wound care, including cleansing the area, applying betadine and Cuticerin, and covering with an ABD and kerlix until resolved. However, the treatment administration record for October 2023 showed no documentation of wound care on three specific dates. A registered nurse confirmed the lack of evidence for wound care completion on those dates, leading to the deficiency being noted under Complaint Number OH00153046.
Failure to Document Wound Care as Ordered
Penalty
Summary
The facility failed to ensure that wound care was documented as ordered for two residents, affecting their medical records' accuracy. Resident #61, who has multiple diagnoses including congestive heart failure and chronic kidney disease, had physician orders for wound care on the sacrum that were not documented as completed on several dates across February, March, April, and May 2024. Despite the resident's report that wound care was performed daily, the treatment administration record (TAR) lacked documentation for specific dates, which was confirmed by a registered nurse. Similarly, Resident #101, with diagnoses including pressure ulcer and dementia, had physician orders for sacral wound care that were not documented on several dates in March, April, and May 2024. The resident confirmed that treatments were completed as scheduled, but the TAR did not reflect this, as verified by the same registered nurse. The lack of documentation for both residents indicates a failure to maintain accurate medical records in accordance with professional standards.
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 544 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 Youngstown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Austintown Healthcare Center | 1.7 mi | ★★★★★ | 11 | 0 |
| Windsor Health Care Center | 2.4 mi | ★★★★★ | 1 | 0 |
| Heritage Manor Jewish Hm For | 2.7 mi | ★★★★★ | 2 | 0 |
| Park Vista Nursing And Rehab | 3 mi | ★★★★★ | 5 | 0 |
| Briarfield At Ashley Circle | 3.1 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Omni Manor Nursing Home.
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.