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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Snf-the Villa At Marymount during CMS and state inspections, most recent first.
A resident with multiple health conditions, including multiple sclerosis and obesity, required two staff members for personal care. However, only one CNA provided care, resulting in the resident falling and fracturing a hip. The CNA, an agency aide, received incorrect information about the resident's care needs. The incident was confirmed by the resident's wife and facility staff.
The facility did not ensure food was served at a palatable temperature, affecting 107 residents. During a meal service, food temperatures were significantly below the required levels, with roasted chicken at 112°F and green beans at 107°F. Residents reported the food was cold and unappetizing. The facility's policy requires hot food to be held at 130°F or above, and cold food at 41°F or less, which was not adhered to.
The facility's kitchen was found to be unsanitary, with issues such as lack of hand drying paper towels, unclean cooler doors, expired food items, and charred food on cooking surfaces. These deficiencies were confirmed by the Food Service Manager and were contrary to the facility's sanitation policy.
The facility did not conduct the required quarterly Quality Assurance (QA) meetings, as revealed by a review of meeting minutes and an interview with the Administrator. The absence of QA meeting minutes prior to October 2024 indicated that these meetings were not held, potentially affecting all 110 residents.
The facility failed to provide education on the benefits and side effects of influenza and pneumococcal vaccines to residents and/or their representatives, affecting four residents. Medical records lacked documentation of consent or refusal for the vaccines, and the RN Infection Preventionist was unaware of the missing Vaccine Consent Forms.
A resident continued to receive Cephalexin for several days after a negative urine culture result was obtained. The facility failed to inform the NP of the negative result in a timely manner, leading to the resident receiving unnecessary doses of the antibiotic.
A facility failed to treat a resident with dignity and respect, as a CNA reportedly threw a breakfast tray, spilling coffee on the resident and bed. The resident, who was cognitively intact, was found shirtless with stained sheets. The CNA entered the room without knocking and engaged in a loud exchange with the resident, contrary to the facility's dignity policy.
Two residents in the facility did not receive timely assistance with eating and oral hygiene. One resident, with Multiple Sclerosis, reported not having his teeth brushed for several days, and observations confirmed his teeth were unclean. Another resident, with multiple medical conditions, was left with an unopened food tray and did not receive help with eating. Staff interviews revealed that assistance was not provided due to other residents' needs.
A resident with multiple medical conditions experienced significant weight loss due to the facility's failure to implement recommended nutritional supplements and conduct weekly weights as ordered. Despite a dietitian's recommendation for Ensure Plus, the supplement was not ordered or documented, and weekly weights were not performed due to the resident's dependency on a Hoyer lift.
The facility failed to properly disinfect the glucometer used for blood glucose testing, affecting two residents. An LPN used a 70% alcohol prep pad instead of the required Super Sani-Cloth or sodium hypochlorite solution, and was observed placing the glucometer in her pocket without disinfecting it after use. This non-compliance with the facility's policy increased the risk of cross-contamination of blood-borne pathogens.
A resident with intact cognition and a history of hemiplegia and diabetes reported being pushed and hit by a CNA who was upset about changing her. The incident was confirmed by the resident and substantiated by the facility, leading to the CNA's termination.
The facility failed to maintain a medication administration error rate below five percent, resulting in an eight percent error rate. Two residents experienced medication errors: one received a multivitamin with minerals instead of the prescribed version without minerals, and another did not receive prescribed triamcinolone cream and Biotene spray. These errors were confirmed by the LPNs involved, indicating noncompliance with the facility's medication administration policy.
Two residents were affected by a deficiency in medication administration when LPNs left medications unattended at their bedsides without ensuring consumption. One resident with a history of stroke and dementia was left with Miralax, while another with multiple sclerosis was left with Peridex mouthwash. The facility's policy requires nurses to observe residents to ensure complete ingestion, which was not followed.
The facility failed to ensure proper hand hygiene during medication administration for three residents. An LPN did not perform hand hygiene before handling medications for a resident with gastroparesis and chronic kidney disease. Another LPN also neglected hand hygiene for a resident with vascular dementia. Additionally, an LPN donned gloves without hand hygiene for a resident with high blood pressure, contrary to facility policy.
Failure to Provide Adequate Assistance Leads to Resident Fall and Injury
Penalty
Summary
The facility failed to ensure that Resident #16 was safely assisted with activities of daily living, resulting in a fall with a major injury. Resident #16, who had diagnoses including multiple sclerosis, disorder of bone density, and obesity, was assessed to require the assistance of two staff members for personal care. Despite this, on 02/06/25, only one staff member provided incontinence care, leading to the resident falling out of bed and sustaining a fractured hip. The resident was hospitalized for the injury and returned to the facility two days later. Interviews and record reviews revealed that the CNA providing care at the time of the incident was an agency aide who had received incorrect information, indicating that only one person was needed for assistance. The CNA was alone in the room when the resident fell, and the resident's wife, who was present, confirmed that only one staff member was providing care. The incident report and subsequent interviews with facility staff, including the LPN and the Director of Nursing, confirmed the deficiency in following the care plan that required two staff members to assist the resident, which directly led to the fall and injury.
Failure to Serve Food at Palatable Temperatures
Penalty
Summary
The facility failed to ensure that food was served at a palatable temperature, affecting 107 residents who received meals from nutrition services. During an observation on March 11, 2025, at 11:40 A.M., food temperatures were measured with a calibrated thermometer, showing roasted chicken at 185°F, green beans at 165°F, and twice baked potato at 165°F. However, when a test tray was checked at 12:56 P.M., after being placed on the unit hall cart, the temperatures had dropped significantly: roasted chicken was 112°F, green beans 107°F, and twice baked potato 121°F. Additionally, the coffee was missing, apple juice was 65°F, and milk was 49.5°F. Residents reported that the food was cold and unappetizing. The facility's policy requires hot food to be held at 130°F or above, and cold food at 41°F or less, according to FDA guidelines, which were not met in this instance.
Kitchen Sanitation Deficiencies
Penalty
Summary
The facility failed to maintain a clean and sanitary kitchen environment, which had the potential to affect all 107 residents receiving food from the kitchen. During an initial kitchen tour, several deficiencies were observed. The employee handwashing station lacked hand drying paper towels, and cooler doors were found to be unclean with food residue on the handles. The tray line cooler contained opened American cheese without a date, expired milk and lime juice, and a mayonnaise container with no expiration date. Additionally, the griddle and stove top had charred food items, and the range broiler window was coated in grease with burnt food at the bottom. The service ware drawer contained spatulas with ripped and frayed edges, and dirt, grease, and food debris were present in the service ware drawers by the cook station. These observations were confirmed by the Food Service Manager at the time of the inspection. The facility's policy on kitchen sanitation indicated that employees should recognize sanitation problems, as evidenced by the completion of a sanitation checklist.
Failure to Conduct Quarterly QA Meetings
Penalty
Summary
The facility failed to conduct quarterly Quality Assurance (QA) meetings, which is a requirement for maintaining quality standards. This deficiency was identified through a review of QA meeting minutes and an interview with the Administrator. The review revealed that there were no QA meeting minutes available prior to October 2024, indicating that the facility did not hold these meetings before the Administrator developed the QA program upon his arrival. This lapse had the potential to affect all 110 residents in the facility.
Failure to Provide Vaccine Education and Document Consent
Penalty
Summary
The facility failed to ensure that residents and/or their representatives were provided with education regarding the benefits and potential side effects of influenza and pneumococcal immunizations. This deficiency was identified through a review of medical records and interviews, affecting four out of five residents reviewed for immunizations. The records for these residents did not reflect the provision of education or the documentation of consent or refusal for the vaccines. Resident #80 was admitted with diagnoses including acute kidney failure, diabetes, and muscle weakness. The resident refused both the influenza and pneumococcal vaccines, but there was no evidence that a Vaccine Consent Form, which includes education on the vaccines, was provided. Similarly, Resident #166, who was readmitted with diabetes, anemia, and essential hypertension, had no documentation of receiving or refusing the vaccines, nor was there evidence of a signed Vaccine Consent Form. Resident #215, readmitted with osteomyelitis, unspecified dementia, and diabetes, refused the influenza vaccine and received the pneumococcal vaccine, but again, there was no documentation of education or consent. Resident #217, with diagnoses including pneumonia, acute bronchospasm, and hyperlipidemia, received the influenza vaccine prior to admission and refused the pneumococcal vaccine, yet there was no evidence of a Vaccine Consent Form being provided. The RN Infection Preventionist confirmed these findings and was unaware of the lack of Vaccine Consent Forms, which should have confirmed the provision of education and the right to refuse the vaccines.
Failure to Timely Discontinue Antibiotic After Negative Culture
Penalty
Summary
The facility failed to discontinue an antibiotic medication for a resident in a timely manner following the notification of a negative urine culture. The resident, who was admitted with diagnoses including adult T-Cell lymphoma, essential hypertension, and hyperlipidemia, was prescribed Cephalexin to be administered three times daily until sensitivity results were available. Despite the urine culture returning negative for growth on March 7, 2025, the resident continued to receive the antibiotic until March 11, 2025, resulting in 11 additional doses being administered after the negative result was obtained. Interviews with the RN Unit Manager and the Nurse Practitioner revealed that the culture results were received by the facility on March 7, 2025, but the Nurse Practitioner was not informed of these results until March 11, 2025. Consequently, the antibiotic was not discontinued until that date. This oversight affected the resident's medication regimen, which should have been adjusted promptly following the negative culture result.
Failure to Treat Resident with Dignity and Respect
Penalty
Summary
The facility failed to ensure that staff treated residents with respect and dignity, as evidenced by an incident involving a male resident with a history of hemiplegia, hemiparesis, and adjustment disorder. The resident, who was cognitively intact, was observed lying shirtless in bed with a large brown stain on his fitted sheet and hospital gown. The resident reported that a CNA had thrown his breakfast tray, spilling coffee on him and his bed. This incident was corroborated by the surveyor's observations. Further observations revealed that the CNA entered the resident's room without knocking and engaged in a loud and angry exchange with the resident, denying the resident's account of the incident. The facility's dignity policy, which requires staff to knock and request permission before entering residents' rooms and to speak respectfully to residents, was not followed. This deficiency was investigated under a specific complaint number, indicating noncompliance with the facility's policies on resident dignity.
Failure to Provide Timely Assistance with Eating and Oral Hygiene
Penalty
Summary
The facility failed to provide adequate and timely assistance with eating and oral hygiene for two residents. Resident #16, a male with Multiple Sclerosis and other conditions, required substantial assistance for hygiene care. Despite being dependent on staff for oral care, Resident #16 reported not receiving oral care for several days, and observations confirmed his teeth appeared unclean. Interviews with the resident and his wife, as well as with CNA #402, revealed that oral care was neglected due to the CNA being busy with other residents. Documentation in the resident's medical record also showed a lack of recorded oral care since a specific date. Resident #223, who had multiple medical diagnoses including hemiplegia and dementia, required maximal assistance for eating and oral hygiene. Observations revealed that Resident #223 was left lying in bed with an unopened food tray across the room, indicating she did not receive assistance with eating. Interviews with CNA #402 confirmed that Resident #223 was not fed because the CNA was attending to other residents. The Dietary Manager noted that lunch trays were delivered at a specific time, but Resident #223 did not receive the necessary assistance to eat.
Failure to Implement Nutritional Supplements and Monitor Weight
Penalty
Summary
The facility failed to monitor and implement nutritional oral supplements as recommended by the registered dietitian and did not conduct weekly weights as ordered by the physician for a resident. The resident, who had multiple medical conditions including pressure ulcers, diabetes, and protein-calorie malnutrition, was admitted with a weight of 153.6 lbs. Over the course of a month, the resident experienced a significant weight loss of 6.3%, dropping to 140.2 lbs. Despite the dietitian's recommendation to start Ensure Plus for added calories and protein support, the supplement was not ordered or documented in the resident's medical record. Additionally, the facility did not perform weekly weights as ordered by the physician. The resident was dependent on staff for mobility and required a Hoyer lift, which was cited as a reason for not obtaining weekly weights. Interviews with facility staff confirmed that the nutrition supplement order was not placed, and the weekly weights were not documented in the electronic medical record. This deficiency was identified during a complaint investigation.
Improper Disinfection of Glucometer in LTC Facility
Penalty
Summary
The facility failed to ensure proper sanitation and disinfection of the glucometer blood glucose testing (BGT) machine, leading to potential cross-contamination of blood-borne pathogens. This deficiency affected two residents who received medications from the Hall One medication administration cart. Observations revealed that an LPN used a 70% alcohol prep pad to disinfect the BGT machine after use, which is not in accordance with the facility's policy that requires the use of a Super Sani-Cloth Germicidal Disposable Wipe or a 1:10 sodium hypochlorite solution. Additionally, the LPN was observed placing the BGT machine in her pocket without disinfecting it after use, further increasing the risk of cross-contamination. Resident #209, who has type two diabetes, had their BGT taken by the LPN, who then cleaned the glucometer with an alcohol prep pad. Resident #166, also with type two diabetes, had their BGT taken, and the glucometer was placed in the LPN's pocket without being disinfected. Resident #80, who was in contact isolation for possible Clostridium Difficile, had their BGT taken, and the glucometer was again placed in the LPN's pocket without disinfection. The facility's policy and competency form clearly state the need for proper disinfection of the BGT machine, which was not adhered to, leading to this deficiency.
Resident Abuse by CNA
Penalty
Summary
The facility failed to protect a resident from abuse, as evidenced by an incident involving a Certified Nursing Assistant (CNA) and a resident with a history of hemiplegia, hemiparesis, diabetes with diabetic neuropathy, and repeated falls. The resident, who had intact cognition, reported to the Director of Nursing (DON) that the CNA was upset about having to change the resident and subsequently pushed her toward the wall and hit her in the head. The resident did not report the incident immediately but informed her daughter the following morning. The facility's investigation substantiated the abuse claim, and the CNA was identified by the resident as the perpetrator. The incident was confirmed through interviews with the resident, who stated that the staff treated her well except for the aide who had yelled at and hit her. The DON and the Administrator corroborated that the facility had substantiated the abuse and that the CNA was terminated. The facility's policy on abuse, which states that residents should be protected from abuse and that no abuse or harm of any type towards a resident would be tolerated, was not adhered to in this instance.
Medication Administration Errors Exceed Acceptable Rate
Penalty
Summary
The facility failed to maintain a medication administration error rate of less than five percent, resulting in an error rate of eight percent. This deficiency was identified during a survey involving four residents, where two residents experienced medication errors. Resident #12, who has a medical history including gastroparesis, gastroesophageal reflux disease, and chronic kidney disease, was administered a multivitamin with minerals instead of the prescribed multivitamin without minerals by an LPN. The error was confirmed during an interview with the LPN. Additionally, Resident #85, with diagnoses such as multiple sclerosis and atherosclerotic heart disease, did not receive the prescribed triamcinolone cream and Biotene spray during the medication administration process. An LPN confirmed that these medications were not administered as ordered. The facility's policy on medication administration emphasizes that medications should be administered as prescribed, which was not adhered to in these instances. This deficiency was investigated under Complaint Number OH00159325.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure medications were not left unattended at the resident bedside, affecting two residents during medication administration. For Resident #56, who has a medical history including stroke with left-sided paralysis and Alzheimer's dementia, a Licensed Practical Nurse (LPN) left a dose of Miralax dissolved in liquid at the resident's bedside without ensuring its consumption. The LPN admitted that she did not verify the resident consumed the medication, citing time constraints as a reason for not observing all residents taking their medications. Similarly, for Resident #85, who has diagnoses including multiple sclerosis and atherosclerotic heart disease, another LPN left a dose of Peridex oral solution mouthwash at the resident's bedside without ensuring the order was carried out. The LPN confirmed she did not observe the resident using the mouthwash as prescribed. The facility's policy on medication administration requires nurses to observe residents to ensure the complete ingestion of medications, which was not adhered to in these instances.
Failure in Hand Hygiene During Medication Administration
Penalty
Summary
The facility failed to ensure proper hand hygiene was performed by staff during medication administration, affecting three residents. For Resident #12, who was admitted with conditions such as gastroparesis and chronic kidney disease, an LPN did not perform hand hygiene before taking medications from the cart and administering them. This was confirmed in an interview with the LPN immediately following the observation. Similarly, for Resident #17, who had diagnoses including vascular dementia and chronic kidney disease, another LPN also failed to perform hand hygiene before handling medications. This was again confirmed in an interview with the LPN. Additionally, for Resident #37, who had conditions like high blood pressure and dysphagia, an LPN donned gloves without performing hand hygiene before preparing and administering medications. The facility's policy requires hand hygiene before medication handling, which was not adhered to in these instances.
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 1,186 citations issued within 25 miles in the last 12 months — including the 9 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 Garfield Heights
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Seven Hills Health & Rehab Center | 2.4 mi | ★★★★★ | 0 | 0 |
| Broadview Multi Care Center | 2.4 mi | ★★★★★ | 9 | 0 |
| Parma Care Center | 2.5 mi | ★★★★★ | 17 | 0 |
| Jennings Hall | 2.6 mi | ★★★★★ | 4 | 0 |
| Avenue At Brooklyn | 4.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Snf-the Villa At Marymount.
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 June 2026) and official state health department websites.