Inspection Reports for
Anna Maria of Aurora, Inc.

889 NORTH AURORA ROAD, AURORA, OH, 44202

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 3.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

24% better than Ohio average
Ohio average: 4.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2023
2024
2025

Occupancy

Latest occupancy rate 202% occupied

Based on a December 2025 inspection.

Occupancy rate over time

192% 198% 204% 210% 216% 222% Aug 2023 Jul 2024 Dec 2024 Dec 2025

Inspection Report

Annual Inspection
Census: 87 Deficiencies: 7 Date: Dec 22, 2025

Visit Reason
Annual inspection survey conducted to assess compliance with healthcare regulations and standards at the nursing home facility.

Findings
The facility was found to have multiple deficiencies including failure to assist a resident with hearing aids, improper oxygen therapy administration and documentation, unclean medication storage, unsanitary kitchen and food storage conditions, inadequate waste disposal, inaccurate medical record documentation, and failure to follow infection control precautions for a resident with COVID-19.

Deficiencies (7)
F0685: The facility failed to ensure assistive hearing devices were in place to maintain hearing abilities for Resident #20, resulting in the resident not having hearing aids in her ears as ordered.
F0695: The facility failed to provide safe and appropriate respiratory care by not ensuring proper delivery of oxygen and accurate documentation for Residents #01 and #17, including failure to change oxygen tubing as ordered.
F0761: The facility failed to maintain clean medication storage in the North and South medication carts, with loose pills and pill residue observed affecting 50 residents.
F0812: The facility failed to maintain a clean and sanitary kitchen and unit refrigerators, with expired food, unclean ovens, incomplete cleaning logs, and improperly stored food items.
F0814: The facility failed to ensure the dumpster/refuse area was maintained in a clean and sanitary condition, with an overflowing dumpster and garbage bags on the ground.
F0842: The facility failed to ensure medical records contained accurate documentation of treatments and oxygen therapy for Residents #1, #17, and #45, with multiple instances of treatments not documented as completed.
F0880: The facility failed to ensure droplet infection control precautions were followed for Resident #82 with COVID-19, as an x-ray technician did not wear an N95 mask as required.
Report Facts
Residents affected by medication storage deficiency: 50 Facility census: 87 Dates of oxygen tubing changes documented: 2 Dates of incomplete treatment documentation: 6

Employees mentioned
NameTitleContext
LPN #501Licensed Practical NurseNamed in hearing aid assistance deficiency for Resident #20.
LPN #901Licensed Practical NurseNamed in oxygen tubing change documentation deficiency for Residents #01 and #17.
Director of NursingDirector of NursingVerified oxygen therapy and infection control deficiencies.
Dietary Manager #700Dietary ManagerNamed in kitchen sanitation and medication storage deficiencies.
XRT #423X-ray TechnicianNamed in infection control deficiency for not wearing N95 mask during x-ray of Resident #82.
RN/MDS #812Registered Nurse/Minimum Data Set NurseDocumented COVID-19 positive status and droplet precautions for Resident #82.
LPN #513Licensed Practical NurseVerified incomplete wound treatment documentation for Resident #45.

Inspection Report

Complaint Investigation
Census: 89 Deficiencies: 1 Date: Dec 9, 2024

Visit Reason
The inspection was conducted to investigate a complaint regarding inadequate assistance, supervision, and fall prevention measures for Resident #91, who sustained multiple falls with injuries during the admission period.

Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00159706.
Findings
The facility failed to provide adequate supervision and a comprehensive fall prevention program for Resident #91, resulting in multiple falls causing rib fractures and a wrist fracture. The resident was cognitively impaired and non-compliant, and staff failed to timely assess and prevent falls despite interventions.

Deficiencies (1)
F 0689: The facility failed to ensure a nursing home area was free from accident hazards and did not provide adequate supervision to prevent falls. Resident #91 sustained multiple falls with injuries due to insufficient assistance and ineffective fall prevention measures.
Report Facts
Facility census: 89 Residents affected: 1

Employees mentioned
NameTitleContext
PTA #432Physical Therapy AssistantNamed in fall incident where Resident #91 fell in therapy gym due to lack of supervision.
RN #392Registered NurseWitnessed Resident #91 fall in TV lounge and involved in post-fall assessment.
LPN #309Licensed Practical NurseWitnessed Resident #91 standing before fall in TV lounge.
CNA #348Certified Nursing AssistantWitnessed Resident #91 fall in dining area and documented fall circumstances.
NUM #346Nurse Unit ManagerOversaw fall investigations and provided interview details about Resident #91's falls.
PT #433Physical TherapistProvided skilled interventions and documented Resident #91's mobility status.
DONDirector of NursingInterviewed regarding oversight of fall investigations and facility fall prevention policies.

Inspection Report

Complaint Investigation
Census: 92 Deficiencies: 1 Date: Jul 15, 2024

Visit Reason
The inspection was conducted as a complaint investigation related to an incident of misappropriation of Resident #50's belongings, specifically the theft of a debit card and unauthorized transactions.

Complaint Details
This deficiency represents non-compliance investigated under Master Complaint Number OH00155122. The investigation substantiated the complaint as Resident #50's wallet was taken and unauthorized transactions occurred. The facility suspended the suspected staff member pending further evidence.
Findings
The facility failed to prevent misappropriation of Resident #50's property, resulting in unauthorized ATM withdrawals. The investigation included staff and resident interviews, review of surveillance footage, and facility policies. The facility implemented corrective actions and staff education following the incident.

Deficiencies (1)
F 0602: The facility failed to protect Resident #50 from wrongful use of her belongings, resulting in unauthorized ATM withdrawals after her wallet was found missing. The deficient practice was corrected with staff education and enhanced monitoring.
Report Facts
Unauthorized ATM withdrawal: 403.5 Unauthorized ATM withdrawal: 117 Facility census: 92

Employees mentioned
NameTitleContext
STNA #507State Tested Nurse AideSuspected in misappropriation incident; denied awareness of missing wallet
Director of NursingDirector of NursingAssisted resident with bank and reported findings
Assistant Director of Nursing #467Assistant Director of NursingCompleted weekly resident property monitoring
Nurse Unit Manager #441Nurse Unit ManagerCompleted weekly resident property monitoring
Human Resources #602Human ResourcesCompleted weekly camera monitoring of staff

Inspection Report

Annual Inspection
Census: 90 Deficiencies: 3 Date: Aug 24, 2023

Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident funds conveyance, medication storage, and food safety.

Findings
The facility failed to timely convey resident funds upon discharge, securely store medications, and maintain a clean and sanitary kitchen. These issues posed minimal harm or potential harm to residents.

Deficiencies (3)
F 0569: The facility failed to ensure resident funds were conveyed timely upon discharge, affecting one resident. Resident funds were not dispersed within 30 days of death.
F 0761: The facility failed to securely store medications, with a large bag containing medication cards and a bottle found unsecured in an unmonitored breezeway. This affected four ambulatory residents.
F 0812: The facility failed to maintain a clean and sanitary kitchen, with observations of food debris, sticky splatter, grease buildup, and lime deposits in multiple kitchen areas. This had the potential to affect all residents except one.
Report Facts
Resident census: 90 Medication cards observed: 43 Medication bottle observed: 1 Resident funds amount: 610.24

Inspection Report

Deficiencies: 2 Date: Dec 12, 2019

Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident activities and food service quality at the nursing home.

Findings
The facility failed to provide activities that met Resident #42's preferences and psychosocial needs, and failed to ensure room trays were served at safe and appetizing temperatures, affecting multiple residents.

Deficiencies (2)
F 0679: The facility failed to provide Resident #42 with activities that met his preferences and psychosocial needs. The activity plan lacked inclusion of Resident #42's preferences or interventions to meet his activity needs.
F 0804: The facility failed to ensure room trays were served at appetizing temperatures. Three residents complained of cold food temperatures when eating meals in their rooms on the North Unit.
Report Facts
Residents interviewed regarding activities: 27 Residents affected by activity deficiency: 1 Residents affected by food temperature deficiency: 3 Food temperatures observed: 167 Food temperatures observed: 177 Food temperatures observed: 187 Food temperatures observed: 165 Food temperatures observed: 168 Food temperatures observed: 177 Test tray food temperatures: 136 Test tray food temperatures: 114 Test tray food temperatures: 119 Residents eating in rooms on North unit: 3 Staff needed for outings: 6 Residents on bus outings: 10

Employees mentioned
NameTitleContext
Assistant Activities Director (AAD) #502Interviewed regarding activity program and dine-in schedule
Activities Director (AD) #501Interviewed regarding field trips and dine-in schedule
Foodservice Worker (FW) #200Interviewed and observed during food temperature checks

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