Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 St Catherine's C C Of Fostoria during CMS and state inspections, most recent first.
Improper Food Labeling, Storage, and Dented Cans in Kitchen: Surveyors found multiple prepared food items in the kitchen refrigerator that were unlabeled and undated, including cucumber and tomato salad and ketchup, and a container of salad mix that was brown, discolored, and contained an unidentified liquid. Staff confirmed the items were not labeled as required by policy. Surveyors also observed several dented cans in dry storage, and staff gave inconsistent responses about how dented cans were handled.
Missed Scheduled Bathing Services: A resident with intact cognition and multiple medical diagnoses, including AFib, HTN, anxiety, depression, PTSD, and prior TIA/CVA, was scheduled for showers twice weekly but did not receive bathing services as documented. The resident reported missing showers, the shower schedule confirmed the assigned days, and the DON verified that only one shower was documented during the review period despite multiple opportunities.
Failure to Provide Personal Hygiene Assistance: A resident with multiple chronic conditions, cognitive impairment, and dependence for all functional abilities was observed seated in a wheelchair with long, unkept nails and dark brown substance caked on several fingers. An RN verified the condition of the nails, and the facility policy stated that residents unable to perform ADLs are to receive necessary services to maintain grooming and personal hygiene.
Delayed Pressure Ulcer Assessment and Treatment A resident with multiple serious diagnoses, including a stage four sacral pressure ulcer, was not accurately assessed on admission and did not have the wound timely evaluated or treated. Facility documentation later identified the coccyx wound as present on admission, while the wound provider described it as an unstageable DTI with heavy drainage; the DON verified the admission assessment was inaccurate and that the dressing remained in place for several days before the wound was assessed.
A resident with an indwelling urinary catheter, moderately impaired cognition, and diagnoses including bladder dysfunction and BPH was observed during catheter care without a catheter securement device in place. CNA verification confirmed the device was not present despite an order for catheter care every shift.
PPE was not used as required during care for two residents on EBP. A resident with an indwelling urinary catheter had catheter care provided by a CNA who did not wear a gown, and the CNA confirmed she forgot it. Another resident with a stage IV sacral pressure ulcer had wound care and wound vac care provided by an ICRN and WNP who also did not wear gowns, and both verified the omission. The residents’ care plans and orders required EBP during these care activities.
A resident with multiple complex medical conditions was discharged without prescribed medications due to incomplete discharge documentation and failure by nursing staff to complete a full discharge assessment, as confirmed by the DON. Required sections of the discharge form were left blank and the form was not signed or dated, resulting in non-compliance with facility policy.
A resident with a Stage IV sacral pressure ulcer and multiple complex medical conditions was admitted and remained dependent for all ADLs. The facility failed to perform required wound assessments or measurements during the stay, and the wound worsened, ultimately requiring a wound vac. Staff interviews and record review confirmed that wound monitoring and documentation were not completed as per facility policy.
A resident on a pureed diet due to dysphagia choked after consuming whole food left by another resident when staff were not present, requiring emergency intervention and hospitalization. The same resident experienced a fall when a required Dycem pad was not in place, and another resident fell when their bed was not locked as care planned. Both incidents were linked to lapses in supervision and failure to implement fall precautions.
Improper Food Labeling, Storage, and Dented Cans in Kitchen
Penalty
Summary
The facility failed to store, label, date, and maintain food in a manner to prevent contamination and spoilage. During a kitchen tour, surveyors observed 10 four-ounce containers of cucumber and tomato salad in the free-standing refrigerator that were unlabeled and undated, and a one-half full three-quart container of ketchup that was also unlabeled and undated. Nutrition Services Assistant #210 confirmed the salad containers and ketchup were unlabeled and undated and stated the salad had been prepared on 03/20/26. Surveyors also observed an approximately one-half full six-quart container of salad mix in the refrigerator that was brown, discolored, and contained an unidentified liquid; the container was labeled with a preparation date of 03/17/26. Nutrition Services Assistant #238 confirmed the condition of the salad mix and stated facility policy requires prepared food items to be labeled with the name of the item, preparation date, and discard date, and to be discarded three days after preparation. In the dry storage area, surveyors observed dented canned goods, including two 50-ounce cans of Swedish-Style Meatballs with large dents in the sides, one 108-ounce can of Corned Beef Hash with a dent in the bottom rim, and one six-pound, seven-ounce can of stewed tomatoes with a dent in the bottom rim. Staff confirmed the dented cans and stated they were unsure of the process for handling them, while another staff member stated dented cans are to be removed from use and returned to the distributor.
Missed Scheduled Bathing Services
Penalty
Summary
The facility failed to ensure a resident who was not dependent on staff for activities of daily living received bathing services as scheduled. Resident #44 was admitted with diagnoses including atrial fibrillation, hypokalemia, HTN, anxiety, depression, peripheral autonomic neuropathy, PTSD, cervical spinal stenosis, obstructive sleep apnea, abnormal weight loss, attention and concentration deficit, frontal lobe and executive function deficit, palpitations, a history of TIA, and cerebral infarction. The admission MDS dated 02/10/26 showed a BIMS score of 15, indicating intact cognition, and also indicated the resident required partial or moderate assistance with functional abilities including hygiene and showering/bathing. Resident #44 stated during interview that she did not receive showers as scheduled, specifically on Fridays. The facility shower schedule showed the resident was scheduled for showers on Tuesday and Friday during the 7:00 A.M. to 3:00 P.M. shift. Review of the facility shower documentation for February 2026 showed eight opportunities for the resident to receive a shower with no documentation that showers were provided on the scheduled days. Review of documentation for 03/01/26 through 03/25/26 showed seven opportunities for showers and only one documented shower on 03/06/26. The DON verified that the only shower documentation for the review period from 01/29/26 through 03/25/26 was on 03/06/26. The facility policy stated each resident will receive the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being in accordance with the comprehensive assessment and plan of care.
Failure to Provide Personal Hygiene Assistance
Penalty
Summary
The facility failed to provide necessary assistance with personal hygiene to maintain grooming and cleanliness for one resident reviewed for ADLs. Resident #41 was admitted with multiple diagnoses including hemiplegia and hemiparesis following cerebral infarction, COPD, DM2, vascular dementia, aphasia following cerebral infarction, CHF, epilepsy, atrial fibrillation, CKD3, osteoporosis, major depressive disorder, hyperlipidemia, anemia, diverticulitis, ventral hernia, constipation, atopic dermatitis, allergic rhinitis, and long-term use of anticoagulants and insulin. The most recent MDS assessment indicated the resident’s cognition could not be determined by BIMS and that the resident had unilateral impairment in both upper and lower extremities and was dependent for all functional abilities, including hygiene, bathing, dressing, transfers, and wheelchair propulsion. During observation, Resident #41 was seated in a wheelchair in the common area with long, unkept nails. The nails on the thumb, index finger, and middle finger of the right hand were caked with an unidentified dark brown substance. An RN verified the nails were long and unkept and confirmed the dark brown substance on those fingers. The facility policy stated that residents unable to carry out ADLs are to receive necessary services to maintain grooming, personal hygiene, and oral hygiene.
Delayed Assessment and Treatment of Pressure Ulcer
Penalty
Summary
The facility failed to timely assess and treat a pressure ulcer for Resident #8, who had diagnoses including metabolic encephalopathy, COPD with acute exacerbation, acute respiratory failure with hypercapnia, hypertensive chronic kidney disease, and a stage four sacral pressure ulcer. The resident’s record showed a hospital wound on the sacral area with an unknown age, and the facility’s admission assessment documented no skin issues. However, the resident’s wound was later identified in facility documentation as a new stage two pressure ulcer on the coccyx, with the note that it was present on admission and that no measurement was taken because the dressing was intact. The wound provider’s initial evaluation later described the area as an unstageable DTI with heavy sero-sanguinous drainage and measurements of 4.4 cm by 4.6 cm by 0.1 cm. The TAR showed the first documented wound treatment on 08/13/25, while the DON and Regional Nurse verified that the dressing on the coccyx had been dated 08/06/25 and remained in place until 08/12/25 when the wound was assessed and new measurements were taken. The facility policy stated that the assessment would accurately reflect the resident’s status, and the DON verified the admission assessment was inaccurate because the resident had the wound on admission.
Missing Catheter Securement Device
Penalty
Summary
The facility failed to ensure a catheter securement device was used for one resident reviewed for catheter securement devices. Resident #4 was admitted with diagnoses including nontraumatic intracranial hemorrhage, hypertensive heart disease with heart failure, neuromuscular dysfunction of the bladder, benign prostatic hyperplasia with lower urinary tract symptoms, and peripheral vascular disease. The resident’s modified admission MDS showed moderately impaired cognition with a BIMS score of 12 and indicated an indwelling urinary catheter. A physician order dated 02/03/26 directed indwelling catheter care every shift for other retention of urine. During observation of catheter care on 03/25/26 at 2:13 P.M., Resident #4 did not have a catheter securement device present, and CNA #224 confirmed this during interview at 2:20 P.M.
PPE Not Used During Care for Residents on Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure personal protective equipment was applied during resident care as required and that enhanced barrier precautions were in place for two residents reviewed. Resident #4 was admitted with diagnoses including nontraumatic intracranial hemorrhage, hypertensive heart disease with heart failure, neuromuscular dysfunction of the bladder, benign prostatic hyperplasia with lower urinary tract symptoms, and peripheral vascular disease. His MDS showed moderately impaired cognition with a BIMS score of 12 and an indwelling urinary catheter. His care plan identified enhanced barrier precautions related to the catheter and directed direct care staff to use gowns and gloves for all personal care. During observed catheter care, a CNA did not wear a gown, and later verified she had forgotten to wear one. Resident #8 was admitted with diagnoses including metabolic encephalopathy, COPD with acute exacerbation, acute respiratory failure with hypercapnia, hypertensive chronic kidney disease, and a stage four pressure ulcer of the sacral region. His MDS showed intact cognition with a BIMS score of 15, and his care plan and physician orders included wound management and wound vac care for the coccyx. During observed wound care, the Infection Control RN and the Wound Nurse Practitioner did not wear gowns while providing care. Both staff members verified they were not wearing gowns as required for the resident’s enhanced barrier precautions. The facility’s infection control policy stated enhanced barrier precautions were an infection control intervention for residents with MDROs or those at increased risk of MDRO acquisition, including residents with wounds or indwelling medical devices.
Failure to Provide Prescribed Medications at Discharge
Penalty
Summary
The facility failed to ensure that prescribed medications were sent with a resident upon discharge. Record review showed that a resident with multiple complex diagnoses, including acute kidney failure, acute respiratory distress syndrome, bacteremia, sacral pressure ulcer, congestive heart failure, and atrial fibrillation, was discharged after a respite stay. The resident was dependent for all activities of daily living and had an intact cognition. The discharge documentation included a handwritten list of medications, but the sections indicating which medications were sent with the resident and which prescriptions were called in for pick-up were left blank. Additionally, the discharge form was not signed or dated. Interview with the DON confirmed that nursing staff did not complete a full discharge assessment and did not ensure that medications were provided to the resident at discharge. Review of the facility's discharge policy indicated that a discharge summary should include a reconciliation of all medications and a post-discharge plan of care, but these requirements were not met in this case.
Failure to Monitor and Assess Pressure Ulcer on Admission
Penalty
Summary
A deficiency occurred when the facility failed to adequately monitor and assess a resident's Stage IV sacral pressure ulcer during her respite stay. The resident, who was admitted with multiple complex diagnoses including acute kidney failure, acute respiratory distress syndrome, bacteremia, congestive heart failure, and atrial fibrillation, was dependent for all activities of daily living and had intact cognition. Despite the presence of a severe pressure ulcer on admission, the medical record lacked any wound evaluations or measurements throughout her stay. Staff interviews confirmed that the facility did not measure or assess the resident's pressure ulcer as required. The resident's home health nurse reported that the wound worsened during the facility stay and subsequently required a wound vac, noting that the wound had been close to healing prior to admission. Facility policy required weekly monitoring and documentation of wounds, including measurements and detailed descriptions, but this was not completed for the resident in question.
Failure to Prevent Choking and Falls Due to Inadequate Supervision and Implementation of Precautions
Penalty
Summary
A resident with a history of cerebral vascular accident, schizoaffective disorder, epilepsy, mild intellectual disabilities, and congestive heart failure was placed on a pureed diet due to dysphagia and difficulty chewing. Despite these precautions, the resident was left unsupervised in the dining room when staff left the table to clean, allowing another resident to place a regular-texture fruit cup in front of him. The resident consumed the whole food, choked, and required the Heimlich maneuver, which was initially unsuccessful. Emergency services were called, and the resident was transported to the hospital with ongoing respiratory distress and altered mental status. The same resident was also identified as being at risk for falls due to a seizure disorder, history of stroke with mild right foot drop, mild developmental disability, and previous falls. The care plan included the use of a Dycem pad in the recliner to prevent sliding. However, the resident experienced an unwitnessed fall when the Dycem pad was not in place as required, resulting in the resident sliding out of the recliner. No injuries were reported from this incident. Another resident, recently admitted with diagnoses including rhabdomyolysis, acute kidney failure, dementia, epilepsy, and femur fracture, was assessed as high risk for falls. The care plan required the bed to be in the lowest locked position. The resident was found on the floor after the bed, which was not locked, moved while the resident attempted to get out of bed. No injuries were noted, but the incident was attributed to the failure to lock the bed as required by the care plan.
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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 Fostoria
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Shepherd Home | 0.2 mi | ★★★★★ | 1 | 0 |
| Independence House | 1.7 mi | ★★★★★ | 4 | 0 |
| The Willows At Tiffin | 10.5 mi | ★★★★★ | 0 | 0 |
| Autumnwood Care Center | 11.6 mi | ★★★★★ | 22 | 0 |
| St Francis Senior Ministries | 12.3 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.