Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Orchards Of East Liverpool, The during CMS and state inspections, most recent first.
Open insulin pens on a medication cart were not dated to show when they were first opened, including Basaglar, Lantus, insulin Lispro, and Liraglutide for several residents. An LPN verified the missing dates and stated she believed the pens could be used for 30 days, while the product inserts and facility policy required dating and disposal within 28 to 30 days depending on the medication.
Dishwasher chlorine sanitation was not completed properly on the rehab unit. A low-temp dish washer used for chemical sanitation failed to register the required chlorine level during multiple cycles, and the available test strips were expired. Later testing with replacement strips showed only 10 PPM, and the Dietary Mgr reported the dishwasher was not diluting properly.
Missing Comprehensive Skin Assessments for Postoperative Foot and Ankle Impairment: A resident with severe RLE infections and fractures had a surgical ankle dressing removed, but no comprehensive assessments of the surgical site or foot were documented afterward. Nursing notes later described the incision as well approximated with no drainage, yet the record lacked ongoing assessments for comparison while the foot was being monitored during dressing changes. The resident then developed warmth, redness, purulent drainage, black tissue, and odor, and hospital records described necrotic skin and pressure ulcers of the ankle, heel, and foot.
Delayed response to pharmacist medication review recommendations. Two residents receiving pantoprazole had pharmacy concerns documented about long-term PPI use and possible changes to PRN or another acid-reducing class, but the recommendations were not addressed in a timely manner. One resident was discharged before the physician response was entered, and another had no documented response before discharge and continued on pantoprazole after readmission.
An LPN failed to use appropriate PPE while administering IV Vancomycin through a PICC and while changing a PICC dressing for a resident with sepsis and osteomyelitis. The LPN did not wear a gown for IV medication administration, and during the dressing change did not don a gown or mask and used sterile gloves to remove the old dressing, clean the site, and apply the new dressing.
A resident reported missing money from her wallet, but the facility failed to timely report the allegation of misappropriation to the Ohio Department of Health as required. The DON mistakenly filed a complaint instead of a Self-Reported Incident (SRI). The facility's investigation found the allegation unsubstantiated, but the failure to report was a deficiency.
Unlabeled Open Insulin Pens on Medication Cart
Penalty
Summary
Drugs and biologicals were not labeled and stored in a way that allowed staff to know when insulin products should be discarded. During observation of the medication cart for rooms 21-31 in the long-term care building with an LPN, surveyors found open insulin pens for four residents that were not dated with the date they were opened. Resident #60 had an open Basaglar insulin glargine pen with no opening date, Resident #41 had an open Lantus Solostar insulin glargine pen with no opening date, Resident #12 had open Lantus, insulin Lispro, and Liraglutide pens with no opening dates, and Resident #36 had an open insulin Lispro pen with no opening date. Review of the insulin inserts showed that Basaglar and Lantus pens should not be used more than 28 days after first use, insulin Lispro pens should be discarded 28 days after opening, and Liraglutide should be used or discarded within 30 days. During the observation, the LPN verified that the insulin pens for Residents #12, #36, #41, and #60 were not marked with the date they were opened and stated she believed the pens could be used for 30 days. The facility policy on labeling medications and biologicals stated opened or accessed vials should be dated and discarded within 28 days unless the manufacturer specifies otherwise.
Dishwasher Chlorine Sanitation Failed in Rehab Unit
Penalty
Summary
Chemical sanitation was not completed on kitchen dishes in the rehabilitation unit. During an initial tour of the kitchen, the Dietary Manager identified a low temperature dish washer that used chlorine for chemical sanitation. Observation of a dishwasher cycle showed the test strips did not register the required chlorine dilution level of 50 to 100 parts per million, and three dishwasher cycles were run with all three failing to register any chemical dilution level. The report identified that this issue had the potential to affect all ten residents on the rehabilitation unit, with a census of 45 in the facility. Review of the Hydrion Chlorine test strips showed they were expired, and the Dietary Manager confirmed that all available test strips were expired. The Dietary Manager stated that Info Service, the provider of the test strips, was contacted and advised that the strips delivered were expired. Later observation and interview showed an Info Service technician was present for preventative maintenance, and when the sanitation dilution level was tested again with newly provided strips, it was found to be 10 PPM. The Dietary Manager reported the technician advised that the dishwasher was not diluting properly, and the Dietary Manager verified the replacement test strips were also expired with an expiration date of 06/25.
Missing Comprehensive Skin Assessments for Postoperative Foot and Ankle Impairment
Penalty
Summary
The facility failed to ensure comprehensive assessments of a resident’s skin impairment were documented for a resident with multiple serious diagnoses, including necrotizing fasciitis, MRSA infection, osteomyelitis, a displaced trimalleolar fracture of the right lower extremity, a fracture of the shaft of the right tibia, peripheral vascular disease, and local infection of the skin and subcutaneous tissue. On admission, the resident had a [NAME] dressing to the right ankle that was clean and dry, and staff were unable to view the surgical site because of the dressing. A weekly skin assessment order was discontinued, and after the resident’s surgeon removed the [NAME] dressing, dressing changes were ordered every other day, but no assessment of the surgical site was documented at that time. Nursing documentation after the dressing was removed noted the incision was well approximated with no drainage and staples/sutures intact, followed by additional notes stating the incision remained well approximated with no drainage. However, no comprehensive assessments of the surgical site or foot were located from the time the [NAME] boot was removed through the date the resident deteriorated. During this period, the resident’s foot was being monitored during dressing changes, but the record did not contain ongoing comprehensive assessments for comparison. On a later dressing change, the surgical incision was documented with warmth, redness, purulent drainage, black tissue, and an odor, and the physician was notified with an order for direct hospital admission. Hospital records described right ankle swelling, postoperative complications with scabbing and delayed healing, necrotic skin over the lateral ankle and dorsum of the foot, and pressure ulcers on the heel and medial ankle. The resident was admitted for debridement of necrotic skin and incision and drainage, and hospital documentation described postoperative pressure necrosis and skin necrosis of the ankle and foot.
Delayed Response to Pharmacist Medication Review Recommendations
Penalty
Summary
The facility failed to ensure that monthly medication regimen reviews by a licensed pharmacist were addressed in a timely manner for two residents receiving pantoprazole. For Resident #40, who had diagnoses including atrial fibrillation, stage 4 chronic kidney disease, severe protein-calorie malnutrition, and gastro-esophageal reflux disease, the pharmacist’s 10/01/25 review noted pantoprazole 40 mg twice daily had been ordered since 09/09/25 and asked the physician to consider changing the medication to as needed or to another acid-reducing class because of the increased risk for osteoporosis fracture with long-term proton pump inhibitor use. The resident was discharged home on 10/18/25, but the physician response was not documented until 11/10/25, when an order was entered to discontinue pantoprazole after the resident was no longer in the facility. For Resident #42, who had diagnoses including diaphragmatic hernia, gastro-esophageal reflux disease, and anemia, pantoprazole 40 mg daily was ordered on 09/05/25 and the 10/01/25 medication regimen review made the same recommendation to consider changing the frequency to as needed or changing to another class of acid-reducing medication. No response was documented before the resident was discharged home and later readmitted with pantoprazole reordered. RN #275 verified on 12/16/25 that there was no evidence the pharmacist’s recommendation had been addressed between the review and the resident’s discharge, and stated the resident continued to receive pantoprazole 40 mg daily after readmission.
PPE and PICC Dressing Infection Control Failures
Penalty
Summary
Staff failed to wear appropriate PPE while administering IV medication and failed to follow infection control practices during PICC dressing care for one resident with sepsis and osteomyelitis. The resident had physician orders for a PICC line dressing change every Monday and for Vancomycin 1.5 grams IV daily. During observation, an LPN prepared and initiated Vancomycin through the PICC without wearing a gown. Later the same day, the same LPN changed the resident’s PICC dressing without donning a gown or mask. The LPN applied sterile gloves immediately after opening the sterile dressing pack and used those gloves to remove the old dressing, clean the site, and apply the new sterile dressing. The LPN verified there was no order for EBP despite the resident having an indwelling medical device, and also verified she had not used a mask or gown during the dressing change.
Failure to Timely Report Allegation of Misappropriation
Penalty
Summary
The facility failed to timely report an allegation of misappropriation involving a resident. The incident involved a resident who was cognitively intact and had a history of chronic kidney disease, diabetes mellitus, anemia, heart failure, major depressive disorder, and intermittent explosive disorder. The resident reported to an LPN that $60.00 was missing from her wallet. The concierge confirmed that no recent funds had been given to the resident. Despite the resident's history of confusion and anxiety disorder, the allegation was not reported as a Self-Reported Incident (SRI) to the Ohio Department of Health (ODH) as required by the facility's policy. The Director of Nursing (DON) mistakenly filed a complaint with ODH instead of an SRI, citing it was her first time filing and she submitted the wrong report. The facility's investigation found the allegation unsubstantiated due to a lack of evidence. The facility's policy mandates that the Administrator or designee notify ODH of all alleged violations involving abuse, neglect, exploitation, mistreatment, or misappropriation of resident property within 24 hours of the incident being reported. This deficiency was investigated under Complaint Number OH00157339.
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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 East Liverpool
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Valley Oaks Care Center | 1.3 mi | ★★★★★ | 10 | 0 |
| Stone Pear Pavilion | 2.5 mi | ★★★★★ | 18 | 0 |
| Calcutta Health Care Center | 2.5 mi | ★★★★★ | 2 | 1 |
| Beaver Valley Rehabilitation And Healthcare Center | 11.2 mi | ★★★★★ | 29 | 1 |
| Friendship Rehab And Health | 13.5 mi | ★★★★★ | 53 | 1 |
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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.