Deficiencies (last 4 years)
Deficiencies (over 4 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
28% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
94% occupied
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 1
Date: Aug 7, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to concerns about the facility's provision of timely incontinence care for residents.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number 1359849.
Findings
The facility failed to provide timely incontinence care to Resident #1, resulting in the resident being heavily soiled with urine. The facility's policies and resident profiles lacked specific time intervals for incontinence checks, contributing to inadequate care.
Deficiencies (1)
F 0690: The facility failed to provide appropriate incontinence care and prevent urinary tract infections for Resident #1, who was incontinent of bowel and bladder. Resident #1 was not checked for incontinence for approximately 3.5 hours, resulting in heavy soiling and potential harm.
Report Facts
Residents present: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #200 | Interviewed regarding incontinence care and observations of Resident #1 | |
| Registered Nurse (RN) #300 | Interviewed regarding incontinence care and observations of Resident #1 | |
| Director of Nursing (DON) | Interviewed regarding facility policies and resident profile use |
Inspection Report
Routine
Census: 56
Deficiencies: 6
Date: Jan 4, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, medication management, dietary practices, and infection control at Genoa Retirement Village.
Findings
The facility was found deficient in multiple areas including failure to ensure residents had access to call lights, timely addressing resident grievances, fall prevention measures, pharmacist recommendations, proper dietary staff hand hygiene, and infection prevention practices including hand hygiene and proper handling of soiled linens.
Deficiencies (6)
F 0558: The facility failed to ensure a resident had access to a call light, which was found on the floor out of reach.
F 0585: The facility failed to timely address a resident's concerns about weight loss and dissatisfaction with care, with staff unaware of resident complaints.
F 0689: The facility failed to have fall mats in place as care planned to reduce injury risk for a resident at risk of falls.
F 0756: The facility failed to ensure provider addressed pharmacist recommendations regarding potential duplication of medications for a resident.
F 0812: Dietary staff failed to use appropriate hand hygiene during food service, handling ready-to-eat foods with gloved hands without changing gloves.
F 0880: The facility failed to ensure hand hygiene prior to eye medication administration and proper transport of soiled linen, risking infection spread.
Report Facts
Facility census: 56
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 3
Residents affected: 1
Residents potentially affected: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #549 | Confirmed call light and fall mats were not in place for Resident #7 | |
| Director of Social Services (DSS) #513 | Unaware of resident grievance and did not address concerns | |
| Registered Dietitian #623 | Did not provide weight loss diet education to Resident #18 | |
| Director of Nursing (DON) | Confirmed lack of response to pharmacist recommendations and proper hand hygiene practices | |
| Dining Services Assistant Director (DSAD) #589 | Observed failing to change gloves during food service | |
| Licensed Practical Nurse (LPN) #543 | Failed to perform hand hygiene before medication administration and improperly transported soiled linen |
Inspection Report
Routine
Census: 39
Deficiencies: 3
Date: Apr 22, 2021
Visit Reason
The inspection was conducted to assess compliance with resident rights, catheter care, incontinence care, infection prevention and control, and medication administration protocols at Genoa Retirement Village.
Findings
The facility was found deficient in maintaining resident privacy during catheter care, timely implementation of interventions to prevent urinary tract infections, proper infection control practices including PPE use during COVID-19, and medication administration protocols to prevent cross contamination. These deficiencies affected multiple residents and had the potential to impact all 39 residents.
Deficiencies (3)
F 0550: The facility failed to ensure a resident's privacy was maintained during catheter care, exposing the resident to the hallway and not closing window blinds as required by policy.
F 0690: The facility failed to implement timely interventions to prevent incontinence and urinary tract infections for a resident, lacking specific toileting or incontinence monitoring schedules.
F 0880: The facility failed to ensure healthcare personnel applied appropriate infection control precautions and PPE to prevent COVID-19 spread, and failed to prevent cross contamination during medication administration.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 39
Incontinence episodes: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| State Tested Nurse Aide (STNA) #101 | Named in privacy deficiency observation | |
| State Tested Nurse Aide (STNA) #100 | Named in incontinence care deficiency interviews | |
| Corporate Nurse (CN) #1 | Interviewed regarding incontinence care monitoring | |
| Assessment Nurse (AN) #2 | Interviewed regarding incontinence care monitoring | |
| Physical Therapy Director (PTD) #1 | Observed and interviewed regarding PPE use | |
| Registered Nurse (RN) #501 | Facility Infection Control Preventionist interviewed | |
| Regional Registered Nurse (RRN) #1 | Observed PPE storage and interviewed | |
| Registered Nurse (RN) #500 | Observed medication administration deficiency |
Inspection Report
Annual Inspection
Census: 67
Deficiencies: 3
Date: Mar 14, 2019
Visit Reason
The annual survey was conducted to assess compliance with healthcare regulations and infection control practices at Genoa Retirement Village.
Findings
The facility was found deficient in ensuring proper monitoring of a resident's casted extremity, timely physician response to pharmacist recommendations for medication dose reductions, and adherence to infection prevention and control protocols including isolation precautions and urinary catheter care.
Deficiencies (3)
F 0684: The facility failed to ensure continued assessment and circulation monitoring during the application of a fiberglass cast for one resident. No ongoing monitoring documentation was found.
F 0756: The facility physician failed to timely address gradual dose reduction recommendations for antipsychotic medications for one resident, despite multiple pharmacist notifications.
F 0880: The facility failed to implement infection prevention and control programs properly, including removal of isolation equipment before negative test results and improper urinary catheter care leading to infection risks.
Report Facts
Facility census: 67
Residents reviewed for infection control: 17
Residents reviewed for unnecessary medications: 5
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