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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Pinnacle Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
A resident with a right hip fracture repair was admitted with a surgical dressing and an orthopedic plan for follow-up care. An orthopedic provider phoned in orders to an LPN Unit Manager that included removing the right hip staples on a specified date if the incision was well approximated, and the LPN documented that the staples could be removed on that date. Facility records show the dressing was monitored but the staples were never removed by staff, and instead were taken out later at the surgeon’s office during a follow-up visit. The orthopedic office and the DON confirmed that the order to remove the staples was given and that the staples were not removed as ordered.
A resident with dementia and a history of depression refused to undergo a scheduled abdominal CAT scan, resulting in the procedure's cancellation. Despite facility policy and the resident's daughter being the legal guardian, the facility did not notify the guardian of the refusal. Leadership confirmed the lack of notification, and court documentation verified the daughter's status as guardian.
The facility failed to disinfect high touch surfaces, affecting all 66 residents. Housekeepers used an all-purpose cleaner instead of a disinfectant due to incorrect setup of the dispensing system. The cleaning solution used was not suitable for disinfection, as confirmed by the manufacturer's safety data sheet.
Failure to Timely Remove Surgical Staples per Orthopedic Orders
Penalty
Summary
The deficiency involves the facility’s failure to ensure timely removal of a resident’s right hip/femur surgical staples in accordance with orthopedic orders. The resident was admitted from the hospital with a right cephalomedullary nail and diagnoses including encounter for other orthopedic aftercare and a nondisplaced fracture of the greater trochanter of the right femur with routine healing, as well as bipolar disorder. Hospital documentation indicated a follow-up with orthopedics was planned, and on 03/13/26 there was an order for a right hip silverlon dressing to remain in place until the orthopedic follow-up, with monitoring each shift and physician notification if drainage was noted. On 03/16/26, the orthopedic provider spoke with the LPN Unit Manager and gave new orders, including that the staples could be removed on 03/21/26 if the incision was well approximated, along with other medication and care instructions. The LPN Unit Manager documented these instructions, including that the staples could be removed on 03/21/26 if the incision was well approximated, and noted the resident’s report of increased right upper thigh pain while using the bedside commode. Subsequent documentation, including the Surgical Wound Note and Surgical Wound Care Services form, showed that the resident was admitted with a right hip surgical dressing and that the surgeon ultimately removed the staples at an office visit on 03/25/26. Review of the medication and treatment administration records from 03/16/26 to 04/11/26 showed that staff monitored the dressing but did not remove the staples as ordered for 03/21/26. Telephone interviews with the orthopedic physician’s office confirmed that they had given the order on 03/16/26 to remove the staples on 03/21/26 if the incision was well approximated, and the DON confirmed that the staples were not removed per the orthopedic surgeon’s orders. The facility’s Telephone Orders policy allowed acceptance of verbal telephone orders from each resident’s attending physician, but the order to remove the staples was not carried out as directed.
Failure to Notify Guardian of Resident's Refusal of Procedure
Penalty
Summary
The facility failed to notify a resident's legal guardian of the resident's refusal to undergo a planned abdominal CAT scan. The resident, who had diagnoses including unspecified dementia, depression, and gastrostomy status, was accompanied by a CNA to the imaging appointment but repeatedly refused to transfer onto the exam table, resulting in the cancellation of the test. The resident's medical record indicated a memory problem, and court documents confirmed that the resident's daughter was the current legal guardian, with a Guardian Ad Litem appointed to independently assess the resident's best interests. Despite the facility's policy requiring prompt notification of the resident's representative regarding changes in medical or mental condition, the legal guardian was not informed of the resident's refusal of the procedure. Interviews with facility leadership confirmed that the guardian was not notified, and a representative from the probate court reiterated that the daughter remained the valid guardian at the time of the incident.
Failure to Disinfect High Touch Surfaces
Penalty
Summary
The facility failed to ensure that high touch surfaces were properly cleaned and disinfected to prevent the spread of infections, affecting all 66 residents. Observations revealed that Housekeeper #75 used a housekeeping cart with a bucket of water and cleaning solution on top, and a large bucket of cleaning solution with a mop on the bottom. The Housekeeping Manager (HM) #76 confirmed that two different cleaning products were used in the facility, with the all-purpose cleaning solution being used for high touch surfaces, which did not disinfect as required. The automatic dispensing system in the housekeeping room was incorrectly set up, with the all-purpose cleaner placed in the compartment labeled for disinfecting solution. Interviews with Housekeeper #81 revealed that she performed both laundry and housekeeping duties and used the all-purpose solution for cleaning high touch surfaces, which was not suitable for disinfection. The manufacturer's safety data sheet for the all-purpose cleaner confirmed it was not intended for disinfecting surfaces. This deficiency was investigated under Master Complaint Number OH00158482 and Complaint Number OH00158209.
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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 Tallmadge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Colony Healthcare Center | 1.1 mi | ★★★★★ | 24 | 0 |
| Tallmadge Health & Rehab Center | 1.4 mi | ★★★★★ | 6 | 0 |
| Heather Knoll Retirement Village | 2.1 mi | ★★★★★ | 2 | 0 |
| Falls Village Skilled Nursing & Rehabilitation | 3 mi | ★★★★★ | 0 | 0 |
| Divine Rehabilitation And Nursing At Canal Pointe | 3.1 mi | ★★★★★ | 2 | 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 June 2026) and official state health department websites.