Above average — CMS composite of the measures below.
The next survey window likely opens around May 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 Pleasant View Health Care Center during CMS and state inspections, most recent first.
Food temperatures were not properly monitored during tray line and tray cart service. A staff member did not check temperatures for all items, including alternates, before service, and cold fruit was served even when out of range. Multiple hot and cold items were placed on the steam table or sent on carts without ongoing checks, and a test tray was later found with hot foods below the expected range and fruit above the cold holding range.
Respiratory equipment was not consistently changed, dated, stored, or kept clean for three residents receiving oxygen or nebulizer therapy. One resident with COPD and chronic respiratory failure had oxygen tubing and a nebulizer mask dated and left improperly stored, with an empty undated humidification bottle; another resident with stroke and heart failure had grime on the oxygen concentrator; and a third resident had an undated nebulizer mask stored in a drawer instead of a bag. RN verification and facility policy confirmed weekly changes and proper storage were required.
A resident on EBP with a suprapubic catheter and PEG tube did not receive care with required PPE. An RN administered PEG tube meds wearing gloves but no gown, and a CNA completed catheter care and emptied the urinary bag without a gown or face shield. The room lacked an EBP sign and had no biohazard receptacles, while the facility policy required gloves and gowns for contact care activities including urinary catheter and feeding tube care.
Unsafe and Unclean Resident Room Conditions: The facility failed to keep resident rooms clean and orderly for two residents. One room had exposed wire connections where a call light panel had been removed, and another room had a sticky floor with dried red liquid on the floor, power strip, and plug ends that remained present on repeat observation. RN verified both environmental concerns, and facility policy required maintenance of a safe, operable environment and cleaning of spills and visibly soiled surfaces.
The facility failed to consistently provide and document daily oral and denture care for several dependent residents. One resident with dementia and malnutrition had denture care documented on only a fraction of morning and evening opportunities. Another resident with hemiplegia, vascular dementia, and dysphagia, who required maximum assistance, had tooth brushing recorded on only a small number of the possible AM and PM care times. A third resident with schizophrenia, obesity, and dysphagia received more frequent oral care but still had missed or marked not‑applicable opportunities. A fourth resident with cerebral ischemia, pneumonia, and CKD stage III, who required maximum assistance, had AM and PM denture care documented on only part of the available days. The DON stated that oral care was expected twice daily and as needed, documented in the EMR, and confirmed it was not provided as required, while the facility’s oral care policy lacked specific frequency and documentation requirements.
A resident with intact cognition reported that another resident with moderate cognitive impairment attempted to kiss and grab his genitalia. The incident was documented by the DON, and the resident was moved to a new room. However, the DON and Administrator did not file a self-reported incident with the State agency, citing lack of physical contact, despite facility policy requiring all abuse allegations to be reported.
A resident with a history of fractures experienced multiple falls due to staff not following physician orders for using a mechanical sling lift during transfers. The resident was lowered to the floor on several occasions when staff attempted to transfer without the required equipment, leading to non-compliance findings.
Food temperatures not monitored during tray line and tray cart service
Penalty
Summary
The facility failed to ensure that hot and cold food items were maintained within required temperature ranges and that all food items, including alternates, were temperature-checked before service. During observation of the kitchen tray line, the lunch menu included roasted turkey with gravy, yams, winter mix vegetables, pears, and a roll, and initial temperatures were recorded for several items, including roasted turkey at 193 degrees F, ground turkey at 188 degrees F, pureed turkey at 200 degrees F, yams at 207 degrees F, vegetables at 159 degrees F, pureed vegetables at 180 degrees F, kielbasa at 169 degrees F as an alternate, and pears at 51 degrees F. The temperatures of the gravy, thickened gravy, mashed potatoes as an alternate, and Brussels sprouts as an alternate were not taken before service. A staff member stated that alternate food items were not considered the main entree and confirmed that cold fruit would be served even if it was out of the appropriate temperature range, and that temperatures were not checked on all items prior to service. Ongoing observation showed multiple food items, including pears, gravy, mashed potatoes, yams, roasted turkey, vegetables, Brussels sprouts, chopped turkey, and additional trays of hot and cold foods, being placed on the steam table or removed from refrigeration and served without temperature checks. No temperature monitoring was observed for items on the steam table after meal service began. A test tray observation showed the last tray cart being served, then a tray assembled and loaded into the cart, the cart leaving the kitchen, trays being distributed to residents, and the food temperatures checked afterward at 128 degrees F for yams and roasted turkey, 134 degrees F for vegetables, and 57 degrees F for pears. The RD stated hot foods were expected to be above 135 degrees F and cold fruit below 41 degrees F, and verified that only a plate warmer was used for heat conservation.
Respiratory Equipment Not Changed, Stored, or Kept Clean as Ordered
Penalty
Summary
The facility failed to ensure respiratory equipment was changed, stored, and maintained according to physician orders and facility policy for three residents receiving oxygen or nebulizer therapy. The report identified that oxygen tubing, humidification bottles, and nebulizer masks were not consistently dated, were not always changed weekly as ordered, and were not kept in the required clean storage conditions. The deficiencies were found through record review, observation, interviews, and policy review. Resident #68 had diagnoses including COPD, chronic respiratory failure, and CHF, and was ordered continuous oxygen at 2 LPM via nasal cannula, weekly changes of oxygen tubing, mask, and cannula, and PRN ipratropium-albuterol nebulizer treatment. Although records showed oxygen use and treatment documentation, observations found the resident using oxygen equipment with tubing and a nebulizer mask dated 05/17/26, the nebulizer mask not stored in a bag, and the mask lying directly on the nightstand. On a later observation, the oxygen humidification bottle was empty and undated, and the same dated nebulizer mask remained improperly stored. RN #201 stated that oxygen tubing and nebulizer masks were to be changed weekly, nebulizer masks were to be stored in a bag, and humidification was to be changed when empty and dated. Resident #21 had diagnoses including stroke, CAD, and heart failure, with orders to change oxygen tubing, mask, and cannula weekly and provide oxygen to maintain blood oxygen levels above 90 percent. Records showed daily oxygen use and weekly tubing documentation, but observations found a layer of grime on the oxygen concentrator on the horizontal surface underneath the handle on two occasions. Resident #27, who had diagnoses including stroke, major depressive disorder, diabetes mellitus type two, and high blood pressure, was observed with an undated nebulizer mask stored in the top nightstand drawer and not in a bag on two occasions. RN #201 stated nebulizer tubing was to be dated and stored in a bag, and the facility policy stated nebulizer tubing and mask were to be replaced weekly.
EBP PPE Not Used During Device Care
Penalty
Summary
The facility failed to maintain infection prevention protocols for Resident #6, who was on enhanced barrier precautions (EBP). Resident #6 was admitted with diagnoses including dysfunction of the bladder, major depressive disorder, anxiety, GERD, PTSD, atrial fibrillation, gastrostomy status, and type 1 diabetes. The quarterly MDS showed the resident had an indwelling urinary catheter and a feeding tube, and the June 2026 physician orders included care for the suprapubic catheter but no orders for EBP. During observation of medication administration, an RN prepared and administered medications through the resident’s PEG tube while wearing gloves but no gown, and the room door had no sign to alert staff or visitors of EBP or PPE availability. Reusable gowns were observed hanging from the bathroom door, and there were no biohazard receptacles in the room. During observation of suprapubic catheter care, a CNA emptied the urinary collection bag and completed catheter care while wearing gloves but no face shield or gown. The RN and CNA later verified they had not worn gowns during the observed care, and the DON stated the facility used a blue dot to identify residents on EBP. The facility policy stated staff will wear gloves and gowns for contact care activities including device care of urinary catheter or feeding tube.
Unsafe and Unclean Resident Room Conditions
Penalty
Summary
The facility failed to maintain the environment in a clean and orderly manner for two residents, Resident #21 and Resident #89, out of four residents sampled for environmental concerns. In Resident #89's room, an observation on 06/09/26 at 8:15 A.M. revealed two exposed wire connections in the wall where a call light panel appeared to have been removed. A follow-up observation later that day at 12:05 P.M. showed the same exposed wire connections still present. During interview, RN #201 stated she would not expect exposed wires to be present in a resident room and verified the condition observed. In Resident #21's room, an observation on 06/08/26 at 2:30 P.M. found the floor at the foot of the bed sticky with multiple areas of dried red liquid consistent with a spill. The same dried red substance was also observed on the power strip and on the plug ends of items connected to the power strip. A repeat observation on 06/09/26 at 12:03 P.M. showed the dried red liquid still present on the floor, power strip, and plug ends. RN #201 verified these environmental concerns during interview. Facility policy stated that maintenance services were to keep the building in a safe and operable manner and free from hazards, and that floors were to be cleaned regularly, when spills occur, and whenever surfaces were visibly soiled.
Failure to Provide and Document Daily Oral and Denture Care
Penalty
Summary
The deficiency involves the facility’s failure to provide and document daily oral care, including denture care, for multiple residents who required staff assistance with oral hygiene. For Resident #81, who had Alzheimer’s dementia, vascular dementia with psychotic disturbance, and protein-calorie malnutrition, the MDS showed moderate cognitive impairment and a need for maximum assistance with oral hygiene, and the care plan indicated dependence on staff for oral hygiene. Over a 30‑day period, morning denture care was documented as provided only 8 times out of 30 opportunities, with numerous days marked as not applicable or left without any entry, and evening denture care was documented as provided only 11 times out of 30 opportunities, again with several days marked not applicable or not recorded. Resident #82, with hemiplegia and hemiparesis following cerebrovascular disease, vascular dementia, peripheral vascular disease, dysphagia, and chronic pain syndrome, had an MDS indicating intact cognition but a need for maximum assistance with oral hygiene, and the care plan documented dependence on staff for oral hygiene. For this resident, the task “Brush teeth with AM and PM care” over 30 days showed that brushing was recorded only once per day on 16 days, with no evidence of brushing on multiple other days and several days marked as not applicable. Out of 60 possible AM and PM oral care opportunities, brushing teeth was recorded as provided only 16 times. Resident #100, diagnosed with paranoid schizophrenia, obesity, and dysphagia, had an MDS indicating intact cognition and a need for setup with oral hygiene, while the care plan documented a need for maximum staff assistance with oral hygiene. Over 30 days, oral care was documented as provided twice daily on 21 days and once daily on 7 days, with some entries marked not applicable, resulting in 51 documented oral care events out of 60 opportunities. Resident #101, with cerebral ischemia, influenza and pneumonia, and stage III chronic kidney disease, had moderate cognitive impairment and required maximum assistance with oral hygiene per the MDS and care plan. For this resident, AM denture care was documented as provided 20 times out of 30 opportunities, and PM denture care was documented as provided 14 times out of 30 opportunities, with several days not recorded, marked as not provided, or not applicable. In an interview, the DON stated that oral care was to be provided in the morning, evening, and as needed and documented in the EMR, and confirmed that oral care was not provided as required for these residents. The facility’s oral care policy directed staff to review the care plan and notify the nurse of mouth pain or refusals but did not specify frequency of oral care or documentation requirements.
Failure to Report Alleged Sexual Abuse to State Agency
Penalty
Summary
The facility failed to report an allegation of sexual abuse to the State agency as required by policy. According to witness statements and interviews, a resident with intact cognition reported that another resident, who had moderate cognitive impairment and a diagnosis of Alzheimer's disease, attempted to kiss and grab his genitalia while sitting on his bed. The incident was immediately reported by the resident to staff, and the Director of Nursing (DON) documented the event, moved the reporting resident to a new room, and obtained statements from both residents. The accused resident denied the inappropriate contact and did not recall the incident. Despite the report and documentation of the alleged abuse, the DON and Administrator decided not to file a self-reported incident (SRI) with the State agency, reasoning that no actual contact occurred. Review of facility records confirmed that the incident was not reported to the State agency, contrary to the facility's policy, which requires all reports of abuse to be promptly reported and investigated. This deficiency was identified during a complaint investigation and was based on record review, resident and staff interviews, and review of facility policies.
Failure to Follow Transfer Orders Leads to Resident Falls
Penalty
Summary
The facility failed to ensure the safe transfer of a resident, leading to multiple incidents where the resident was lowered to the floor due to leg weakness. The resident, who had a history of fractures and required assistance for toileting and bathing, was involved in several incidents where staff did not follow the physician's orders for using a mechanical sling lift for transfers. On one occasion, the resident was transferred from bed to a shower chair without the use of the required Hoyer mechanical lift, resulting in the resident being lowered to the floor when unable to maintain weight. Further incidents occurred when the resident was in the spa, where staff attempted to assist the resident in standing at a grab bar to pull up pants, contrary to the order that specified the use of a mechanical sling lift. The resident's inability to stand led to being lowered to the floor again. The Director of Nursing confirmed that the staff did not adhere to the transfer orders, which required the use of a mechanical sling lift, and that the resident was inappropriately dressed while standing in the bathroom.
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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 Barberton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Barberton Post Acute | 0.3 mi | ★★★★★ | 0 | 0 |
| St Luke Lutheran Community-portage Lakes | 3.7 mi | ★★★★★ | 0 | 0 |
| Pebble Creek Healthcare Center | 5.2 mi | ★★★★★ | 2 | 0 |
| Green Village Skilled Nursing & Rehabilitation Ltd | 5.3 mi | ★★★★★ | 0 | 0 |
| Sanctuary Wadsworth | 5.6 mi | ★★★★★ | 28 | 0 |
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