Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Inspection Report
Plan of Correction
Deficiencies: 0
May 13, 2025
Visit Reason
The document serves as a Plan of Correction following acceptance of a credible allegation of substantial compliance for the facility.
Findings
The facility was found to be in substantial compliance and will be certified in compliance effective May 9, 2025, based on the accepted Plan of Correction.
Inspection Report
Annual Inspection
Census: 43
Deficiencies: 1
May 1, 2025
Visit Reason
The inspection was conducted as part of the facility's annual recertification survey from April 28, 2025 to May 1, 2025.
Findings
The facility failed to coordinate assessments with the PASARR program for one resident, missing an updated PASARR to include psychotic disorder. The facility submitted a new PASARR for the resident and plans ongoing monitoring and review of PASARR diagnoses for accuracy.
Deficiencies (1)
| Description |
|---|
| Failure to refer one resident with a negative Level I result for the PreAdmission Screening and Resident Review (PASRR) to the appropriate state-designated authority for Level II PASRR evaluation and determination. |
Report Facts
Census: 43
Inspection Report
Plan of Correction
Deficiencies: 0
Jun 4, 2024
Visit Reason
The document serves as a Plan of Correction following a prior inspection, indicating acceptance of the facility's credible allegation of substantial compliance.
Findings
The facility was found to be in substantial compliance based on the accepted Plan of Correction and will be certified in compliance effective June 4, 2024.
Inspection Report
Annual Inspection
Census: 43
Deficiencies: 3
May 13, 2024
Visit Reason
The inspection was conducted as the facility's annual recertification survey from May 13, 2024 to May 16, 2024.
Findings
The facility was found deficient in quality of care, pharmacy services, and infection prevention and control. Deficiencies included failure to assess and intervene appropriately for a resident's skin tear, delays in processing medication orders, and inadequate hand hygiene practices among staff.
Severity Breakdown
SS=D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to assess and provide appropriate intervention to a left lumbar skin tear resulting in decline to cellulitis for Resident #39. | SS=D |
| Facility failed to process and initiate medication orders timely for Resident #22. | SS=D |
| Facility failed to establish and maintain an infection prevention and control program, including proper hand hygiene during incontinence care and wound care for Residents #11, #13, and #32. | SS=D |
Report Facts
Residents reviewed: 13
Residents observed for infection control: 3
Census: 43
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 20, 2024
Visit Reason
A complaint investigation for complaint #115266-C was conducted on February 20, 2024.
Findings
The facility was found to be in substantial compliance.
Complaint Details
Complaint #115266-C was investigated and the facility was found to be in substantial compliance.
Inspection Report
Annual Inspection
Deficiencies: 0
Mar 2, 2023
Visit Reason
An annual recertification survey and investigation of incident #111654-I was conducted from 2/27/2023 to 3/2/2023.
Findings
The facility was found to be in substantial compliance with no deficiencies cited.
Inspection Report
Annual Inspection
Census: 41
Deficiencies: 2
Jan 20, 2022
Visit Reason
The inspection was conducted as an annual health survey of the facility to assess compliance with federal regulations.
Findings
The facility was found deficient in coordinating PASARR assessments for residents with serious mental illness and in food safety practices, including failure to date food storage containers and discard expired food.
Severity Breakdown
D: 1
E: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure a resident's complete and updated list of diagnosed mental illness was submitted for PASARR review. | D |
| Failure to procure, store, prepare, distribute, and serve food in accordance with professional food safety standards, including undated measuring scoops and expired food in storage. | E |
Report Facts
Census: 41
Deficiency severity level D: 1
Deficiency severity level E: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Rasch | Administrator | Signed the report and plan of correction |
| Director of Nursing | Interviewed regarding PASARR submission expectations | |
| Certified Dietary Manager | Reported on food safety deficiencies and corrective actions | |
| Registered Dietician | Interviewed regarding food storage and labeling |
Inspection Report
Abbreviated Survey
Census: 41
Deficiencies: 1
Sep 23, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals from 09/21/2020 through 09/23/2020 to assess infection prevention and control practices at the facility.
Findings
The facility failed to ensure appropriate infection control procedures related to staff screening for COVID-19 symptoms, as evidenced by incomplete screening logs and staff working while symptomatic. The Director of Nursing acknowledged issues with the current screening process and is working on improvements.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to establish and maintain an infection prevention and control program, specifically inadequate staff COVID-19 symptom screening procedures. | SS=D |
Report Facts
Census: 41
Dates of survey: Survey conducted from 2020-09-21 through 2020-09-23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nurse Assistant (CNA) | Answered yes to having COVID-19 symptoms and entered facility for testing |
| Staff B | Dietary Cook | Answered yes to headache and congestion during screening |
| Staff C | Certified Nurse Assistant (CNA) | Answered yes to cough and congestion on multiple dates; self-screened and thought she had a cold |
| Staff D | Certified Nurse Assistant (CNA) | Described self-screening procedures during shift |
| Staff E | Certified Nurse Assistant (CNA) | Stated staff always screen themselves in and out |
| Staff F | Dietary Aid | Observed screening herself and documenting temperature and screening answers |
| Director of Nursing | Director of Nursing (DON) | Acknowledged issues with screening process and stated staff education and new screening process are underway |
Inspection Report
Routine
Deficiencies: 0
Jun 16, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals on 6/16/20 to assess compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.
Inspection Report
Annual Inspection
Census: 45
Deficiencies: 3
Mar 3, 2020
Visit Reason
The inspection was conducted as the annual recertification and state licensure survey for Akron Care Center, Inc., completed March 2-5, 2020.
Findings
The facility was found deficient in several areas including reasonable accommodations for resident needs, accuracy of assessments, and infection prevention and control practices. Specific issues included inaccessible call lights for residents, inaccurate Minimum Data Set (MDS) assessments, and failure to follow appropriate infection control procedures during catheter care and oxygen tubing maintenance.
Severity Breakdown
SS=D: 2
SS=E: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to have a call light accessible while residents were in bed for 1 of 22 residents (Resident #37). | SS=D |
| Facility failed to accurately complete 1 of 15 resident's Minimum Data Set (MDS) assessments (Resident #27). | SS=D |
| Facility failed to utilize appropriate infection control practices during resident care for 1 of 3 residents reviewed (Resident #43). | SS=E |
Report Facts
Resident census: 45
Residents with call light issue: 1
Residents with inaccurate MDS: 1
Residents reviewed for infection control: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Magel | Administrator | Signed the inspection report on 3/3/20 |
| Staff A | Certified Nursing Assistant observed failing to perform appropriate hand hygiene during catheter care for Resident #43 | |
| Director of Nursing (DON) | Director of Nursing | Present during observations, assisted Resident #37, and provided statements regarding call light accessibility and infection control practices |
| MDS Coordinator | Submitted correction to CMS and corrected MDS assessment | |
| Infection Control Preventionist | Corrected and properly dated oxygen tubing for all affected residents and cleaned oxygen concentrators and filters |
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