Below 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 Slovene Home For The Aged during CMS and state inspections, most recent first.
Surveyors found that food was not consistently served at appetizing temperatures, with a test tray showing items below appropriate heat levels after being left on a cart. Residents reported receiving cold meals, sometimes requiring reheating by staff, and a CNA confirmed ongoing complaints about cold food. The facility's concern log also documented similar complaints earlier in the year.
A resident with severe cognitive impairment and multiple serious diagnoses received narcotic pain medication, but LPNs failed to consistently document administration on both the MAR and NFR, resulting in incomplete and inaccurate medical records as confirmed by the DON.
The facility failed to serve hot and palatable foods, as multiple residents reported dissatisfaction with the food being cold, bland, and unappetizing. Observations confirmed these issues, with food items served at temperatures below the acceptable range, as verified by the Dietary Manager.
The facility failed to maintain sanitary conditions in food preparation and serving. A kitchen aide was observed without a hairnet, and a resident's uncovered tray was left near the dining room. Unsanitary conditions were found in serveries, including a dirty microwave. Another aide improperly handled a mask and utensils. The facility did not follow its sanitation policy.
The facility failed to serve meals in a timely manner on the Westpark Unit, with lunch service being delayed due to insufficient staff and disorganized meal trays. This affected residents who expressed dissatisfaction with the late meal delivery.
A resident with a suprapubic urinary catheter had their drainage bag uncovered and visible from the hallway, contrary to the facility's policy requiring privacy bags. The resident was alert, oriented, and dependent on staff for ADLs. Staff confirmed the requirement for privacy bags, but the policy was not followed.
A resident with severe cognitive impairment and a history of falls was found in a bed positioned high, contrary to physician's orders for a low bed. Despite interventions like dycem for wheelchair sliding, the bed's incorrect position was confirmed by an RN but not corrected until later by an STNA, violating the facility's Fall Risk Reduction Protocol.
A facility failed to document weekly weights for a resident at risk for weight loss, as per physician orders. The resident, with chronic conditions, was dependent on staff for ADLs and often refused meals. Despite a care plan requiring weekly weight monitoring, records showed a gap in documentation. Staff confirmed the missing records, and the dietician emphasized the need for regular weight checks to manage weight loss.
Failure to Serve Food at Appetizing Temperatures
Penalty
Summary
Surveyors observed that the facility failed to provide food at appetizing and safe temperatures, affecting nearly all residents except those identified as NPO. During a tray line observation, a test tray was prepared and delivered to a unit, but remained on the cart for nearly 20 minutes before being checked by the Kitchen Manager, who confirmed that the ham and waffle were not hot and not served at palatable temperatures. Resident interviews revealed that food was often served cold, with one resident stating her breakfast had to be reheated by staff, and another reporting that food was usually cold when delivered to her room but not when eaten in the dining room. A CNA also confirmed frequent complaints about cold food. Review of the Resident Concern Log showed documented complaints about cold food on two separate occasions within the year.
Incomplete and Inaccurate Documentation of Narcotic Administration
Penalty
Summary
The facility failed to ensure that medical records for a resident were accurate and complete, specifically regarding the documentation of administered narcotic pain medication. A review of the resident's records showed discrepancies between the Medication Administration Record (MAR) and the Narcotic Flow Record (NFR). On several occasions, an LPN documented the administration of oxycodone on the NFR but did not record it on the MAR, and vice versa. Another LPN also documented administration on the NFR without corresponding documentation on the MAR. These inconsistencies meant that the resident's medical record did not accurately reflect the administration of narcotic pain medication. The resident involved had severe cognitive impairment and multiple serious diagnoses, including malignant neoplasm of the breast, neoplasm of the lung, and primary osteoarthritis. The discrepancies were confirmed by the Director of Nursing, who acknowledged that the medical record did not accurately reflect the medications administered. The issue was identified during a review of records and interviews conducted as part of the survey process.
Failure to Serve Hot and Palatable Foods
Penalty
Summary
The facility failed to serve hot and palatable foods, as evidenced by multiple resident interviews and observations. Several residents reported dissatisfaction with the food, describing it as cold, bland, and unappetizing. Specifically, residents noted that the food was often served late and required reheating by staff. Observations confirmed these complaints, with one instance showing a mechanical pot pie served at a temperature of 76.8 degrees Fahrenheit, which is significantly below the acceptable range. Further observations revealed inconsistencies in food temperatures during meal service. On one occasion, the lunch meal items were initially tested at temperatures between 140 and 148.8 degrees Fahrenheit, but a subsequent test tray showed the stuffed cabbage at 117 degrees Fahrenheit and steamed carrots at 101 degrees Fahrenheit, both below the facility's standards. The milk was also served at an inappropriate temperature of 53.1 degrees Fahrenheit. These findings were verified by the Dietary Manager, indicating a failure to adhere to the facility's policy on serving food and drinks at safe and appetizing temperatures.
Sanitation and Infection Control Deficiencies in Food Preparation
Penalty
Summary
The facility failed to ensure food was prepared and served under sanitary conditions, as observed during a survey. A kitchen aide was seen preparing breakfast without wearing a hairnet, despite hairnets being available at the kitchen entrance. Additionally, a resident's uncovered breakfast tray was left on top of a microwave near the dining room, which was confirmed by an LPN. Further observations revealed unsanitary conditions in the serveries, including a microwave full of old food and an uncovered breakfast tray left on a countertop. During the lunch meal, another kitchen aide was observed pulling down a surgical mask with a gloved hand and then using the same hand to handle serving utensils, which was confirmed by the aide. The facility's policy on sanitation and infection prevention/control, revised in January 2023, requires that utensils and surfaces be washed, rinsed, and sanitized whenever contamination is suspected. However, the facility did not implement this policy, leading to the observed deficiencies.
Delayed Meal Service in Westpark Unit
Penalty
Summary
The facility failed to ensure that meals were served in a timely manner, affecting residents on the Westpark Unit. The scheduled meal times were not adhered to, as observed on multiple occasions. On one instance, the lunch meal service was delayed, with the first dining room meal being plated and served at 1:14 P.M., and room trays not being delivered until 2:10 P.M. This delay was attributed to the lack of available floor staff to assist with meal service, as confirmed by the Dietary Manager and other staff members. The delay in meal service was further compounded by the disorganization of room trays on the holding cart, which slowed down the process of delivering meals to residents' rooms. Staff interviews revealed that room trays were not in order, requiring additional time to search for each tray. This issue was observed on consecutive days, with the lunch meal being served late on both occasions. Residents expressed dissatisfaction with the delay, as evidenced by a resident verbally complaining about not receiving their lunch meal on time.
Failure to Cover Urinary Drainage Bags with Privacy Bags
Penalty
Summary
The facility failed to ensure that urinary drainage bags were covered with privacy bags, affecting a resident who was dependent on staff for Activities of Daily Living (ADLs). The resident, who was alert and oriented, had a suprapubic urinary catheter due to obstructive and reflux uropathy. The care plan and physician orders specified that the collection bag should be stored inside a protective dignity pouch and that a privacy bag should be maintained every shift. During an observation, the resident's urinary catheter bag was visible from the hallway, filled with urine, and uncovered, despite multiple staff and residents passing by. An occupational therapist confirmed that the catheter bags were supposed to be covered. A nursing assistant also confirmed that all urinary catheter bags were to be covered with a privacy bag. The facility's policy, revised in March 2019, required privacy bags to cover drainage bags, but this policy was not implemented.
Failure to Implement Fall Interventions for Resident
Penalty
Summary
The facility failed to ensure all fall interventions were in place for a resident who was severely cognitively impaired and required assistance for all personal care. The resident had a history of falls, including an incident where she attempted to transfer herself from her bed to her wheelchair, resulting in a fall without injury. Following this, neurological checks were instituted as an intervention. Another fall occurred when the resident slid out of her wheelchair, leading to the implementation of dycem on the wheelchair seat to prevent sliding. Despite these interventions, observations revealed that the resident's bed was repeatedly found in a high position, contrary to the physician's orders for it to be in a low position at all times. This was confirmed by a registered nurse who, upon reviewing the orders, acknowledged the discrepancy but did not correct it. A state-tested nursing assistant later adjusted the bed to the correct low position. The facility's Fall Risk Reduction Protocol also stipulated that beds should be in a low position, highlighting the failure to adhere to established safety measures.
Failure to Monitor Weekly Weights for At-Risk Resident
Penalty
Summary
The facility failed to ensure that weekly weights were taken and documented for a resident at risk for weight loss, as per physician orders. This deficiency affected one resident, who was admitted with chronic respiratory failure with hypoxia, type two diabetes mellitus, and chronic obstructive pulmonary disease. The resident was alert, oriented, and dependent on staff for Activities of Daily Living (ADLs). The care plan indicated the resident was at nutritional risk and required weekly weight monitoring. However, the records showed a gap in weight documentation from early August to late August, despite physician orders for weekly weights every Wednesday. Observations and interviews revealed that the resident often refused meals, which was documented in progress notes. Staff interviews confirmed the missing weight records for the specified period. The dietician noted the importance of regular weight monitoring to implement necessary interventions for maintaining or reducing weight loss. The facility's policy required regular monitoring and documentation of weights, but this was not adhered to, leading to the deficiency.
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What surveyors actually found near you
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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 Cleveland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Healthcare Of Euclid | 0.7 mi | ★★★★★ | 1 | 0 |
| Gardens Of Euclid Beach | 1 mi | ★★★★★ | 43 | 2 |
| Euclid Subacute Care Center | 1.1 mi | — | 0 | 0 |
| Willows Health And Rehab Ctr | 1.4 mi | ★★★★★ | 0 | 0 |
| Mount Saint Joseph Rehab Center | 1.4 mi | ★★★★★ | 0 | 0 |
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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.