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 Pleasantview Care Center during CMS and state inspections, most recent first.
A resident with complex medical needs did not receive multiple doses of a prescribed electrolyte supplement because the medication was not available and there was a lack of proper communication between nursing staff, pharmacy, and practitioners. Documentation showed the medication was marked as unavailable, and required notifications and documentation were not completed according to facility policy.
A resident with right-sided hemiplegia, osteopenia, and impaired cognition, who was fully dependent on staff for bed mobility and personal care, sustained a significantly displaced right humeral neck fracture during staff-assisted care. The care plan required two-person assistance for all care, but staff could not identify any specific incident leading to the injury. The resident experienced increased pain and required orthopedic follow-up, with the injury contributing to her decline and death. This deficiency was identified during review of accident hazards.
A resident with impaired cognition and hemiplegia was found with a displaced right humeral neck fracture of unknown origin. Staff did not promptly notify management or the DON, and the incident was not reported to the State Survey Agency within the required timeframe, contrary to facility policy.
The facility failed to ensure proper labeling and storage of medications on the Ridgeview unit. An LPN found four loose pills in a medication cart without labels or identifiers. Additionally, a resident was self-administering Tikosyn and Preservision, but only Tikosyn was approved for self-administration. The medications were unsecured, and an RN was unaware of the resident's self-administration of Preservision, violating the facility's medication storage policy.
The facility failed to serve food at a hot and palatable temperature, affecting 145 residents. Several residents reported issues with cold food and missing meal components. Observations showed that while initial food temperatures were adequate, disorganized tray distribution led to significant cooling by the time meals were served, falling below policy requirements.
The facility did not provide non-flammable ashtrays in the resident smoking area, leading to cigarette butts being disposed of in a plastic trash receptacle with other combustible materials. This affected 19 identified residents who were smokers and potentially impacted all 154 residents. The facility's policy required non-flammable ashtrays and trash cans, which were not present during the observation.
A facility failed to complete a PASRR for a resident's new diagnosis of schizoaffective disorder. The resident, admitted with multiple mental health conditions, had a new diagnosis added in April, but no PASRR was conducted until June. The PASRR completed later showed no need for a level two evaluation.
Failure to Administer Ordered Medication Due to Availability and Communication Issues
Penalty
Summary
The facility failed to ensure that medications were administered as ordered for a resident with diagnoses including bladder cancer, dysphagia, and electrolyte and fluid imbalance. The resident had a physician's order for Phos-NaK, an electrolyte supplement, to be given four times daily. Review of the Medication Administration Record (MAR) showed that, except for one evening dose, all doses were marked as 'other,' indicating they were not administered. Progress notes documented that the medication was 'on order' or that the facility was waiting for the pharmacy to fill it, and multiple notes indicated that the facility's nurse practitioner was aware of the situation. However, interviews with two Certified Nurse Practitioners revealed they were not aware that the resident was missing her ordered medication. Further review showed that the pharmacy had informed nursing staff that Phos-NaK was an over-the-counter medication and should be provided by the facility. The Director of Nursing confirmed that the resident missed several days of the ordered medication. Facility policy required that if three consecutive doses were unavailable, the nurse was to notify the physician and document both the notification and the physician's response, but this was not followed in this case.
Failure to Prevent Injury During Personal Care for Dependent Resident
Penalty
Summary
A deficiency occurred when a resident with right hemiplegia/hemiparesis, osteopenia, and a history of stroke, who was dependent on staff for bed mobility and personal care, sustained a significantly displaced acute proximal right humeral neck fracture with medial angulation during the provision of care by staff. The resident's care plan indicated a need for two-person assistance for all care, as well as specific interventions for impaired mobility and pain management. Despite these documented needs, the resident suffered a severe injury while being assisted by staff, with no staff able to identify a specific incident or fall that led to the fracture. Medical record review showed the resident had impaired cognition and was unable to move her right arm more than a few inches due to contracture. Staff interviews confirmed the resident's limited mobility and dependence on staff for all activities of daily living, including rolling and transferring. The injury was discovered when redness and swelling were noted on the resident's right upper extremity, and subsequent imaging confirmed the fracture. Staff were unaware of any event that could have caused the injury, and the DON acknowledged the fracture must have occurred during care, given the resident's inability to move her arm independently. The resident experienced increased pain following the incident and required orthopedic surgical follow-up. The injury was further complicated by the resident's underlying conditions, including osteopenia, which made her bones more susceptible to fracture. The coroner's findings indicated that the fracture contributed to the resident's decline and eventual death, with the injury likely occurring during staff-provided care. This deficiency affected one resident out of three reviewed for accident hazards in a facility with a census of 75.
Failure to Timely Report Injury of Unknown Origin
Penalty
Summary
The facility failed to ensure that an injury of unknown origin was promptly reported to management and the State Survey Agency as required. A resident with impaired cognition, hemiplegia, and dependence on staff for transfers and mobility was found to have redness and swelling on the right upper extremity. An x-ray revealed a significantly displaced acute proximal right humeral neck fracture. Staff were unaware of any falls or incidents that could have caused the injury, and the resident was only able to roll to the right and use the grab bar with the left hand for assistance. Despite the discovery of the injury, the nursing supervisor on duty did not notify the DON or Administrator about the incident. The DON was not made aware of the fracture until two days later, and the incident was not reported to the Ohio Department of Health until several hours after the DON was informed. Facility policy required immediate notification of the Administrator or designee and reporting to the State Survey Agency within two hours of identifying an injury of unknown origin, which was not followed in this case.
Medication Labeling and Storage Deficiency
Penalty
Summary
The facility failed to ensure proper labeling and storage of medications on the Ridgeview unit, specifically with medication cart #1. During an observation, four loose white pills were found at the bottom of the medication cart drawer without any labels or resident identifiers. An LPN confirmed that these pills could not be identified, indicating a breach in medication management protocols. Additionally, the facility did not secure medications for a resident who was self-administering Tikosyn and Preservision. Although the resident was approved to self-administer Tikosyn, there was no order for self-administration of Preservision. The medications were found unsecured on the resident's bedside tray table, and the RN was unaware of the resident's self-administration of Preservision. This oversight in medication storage and management was contrary to the facility's policy, which requires all medications to be stored in labeled containers and secured in locked compartments.
Failure to Serve Food at Safe and Palatable Temperatures
Penalty
Summary
The facility failed to serve food at a hot and palatable temperature, affecting 145 residents who received meals from the kitchen. Several residents reported issues with the food, including it being served cold and difficult to chew. One resident mentioned not receiving meat with their meal, and another reported being served food they were allergic to. Observations during a lunch meal revealed that while food temperatures were initially logged at appropriate levels, the disorganized distribution of trays led to significant temperature drops by the time the food was served to residents. During the observation of the lunch meal, food temperatures were recorded before service, with all items meeting the required holding temperatures. However, the process of distributing the trays was disorganized, causing delays and multiple trips across the unit. This resulted in the food cooling significantly by the time it was served, with temperatures falling below the facility's policy requirements for hot food. The Dietary Manager was informed of the issue during a test tray observation, where the food was found to be not palatable at the served temperatures.
Failure to Provide Non-Flammable Ashtrays in Smoking Area
Penalty
Summary
The facility failed to ensure that residents had access to a non-flammable ashtray and properly disposed of used cigarettes, affecting 19 identified residents who were smokers and potentially impacting all 154 residents in the facility. During an observation, it was noted that cigarette butts were found in a plastic trash receptacle along with empty combustible cigarette boxes, paper napkins, and plastic candy wrappers. No metal ashtray was available in the designated resident smoking area at the time of the observation. The Administrator confirmed these findings during the observation. The facility's policy on Resident Smoking, dated 11/30/23, required smoking areas to have non-flammable ashtrays and non-flammable trash cans, which was not adhered to in this instance.
Failure to Complete PASRR for New Mental Health Diagnosis
Penalty
Summary
The facility failed to ensure a preadmission screening and resident review (PASRR) Identification Screen was completed for a new diagnosis of a serious mental illness for one resident. This deficiency was identified during a review of the medical record for a resident who was admitted with multiple mental health diagnoses, including bipolar disorder, recurrent major depressive disorder, anxiety disorder, post-traumatic stress disorder, and depressive type schizoaffective disorder. The PASRR screen dated March 30, 2023, did not include the schizoaffective disorder diagnosis. On April 23, 2024, a psychiatric note indicated that the resident endorsed auditory hallucinations and delusions, supporting a diagnosis of schizophrenia, and recommended adding a new diagnosis of schizoaffective disorder. The diagnosis was added to the resident's medical record on the same day. However, there was no evidence of an additional PASRR screening for this newly added diagnosis until June 11, 2024, when the Social Service Designee confirmed that a PASRR screen had not been completed for the new diagnosis. A PASRR screen was subsequently completed on June 11, 2024, which revealed that the resident did not require a level two evaluation and had no indications of serious mental illness or developmental disability.
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 1,307 citations issued within 25 miles in the last 12 months — including the 12 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 Parma
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pleasant Lake Villa | 0.2 mi | ★★★★★ | 0 | 0 |
| North Royalton Post Acute | 1.3 mi | ★★★★★ | 11 | 0 |
| Mt Alverna Home Inc | 1.6 mi | ★★★★★ | 7 | 0 |
| Greenbrier Health Center | 2.2 mi | ★★★★★ | 25 | 1 |
| Diplomat Healthcare | 3 mi | ★★★★★ | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Pleasantview Care Center.
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.