Inspection Reports for Laurels of Massillon
2000 Sherman Cir NE, Massillon, OH 44646, United States, OH, 44646
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
6.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
48% worse than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
130 residents
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 130
Deficiencies: 6
Date: Jun 12, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to concerns about Resident #5's care, including treatment planning, communication, bathing, wheelchair fit, speech therapy services, and antibiotic use.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00166176.
Findings
The facility failed to provide a comprehensive, resident-centered treatment plan for Resident #5, including appropriate wheelchair fitting, communication aids, and speech therapy services. Resident #5's bathing preferences were not consistently met, and an inappropriate antibiotic was initially administered for a urinary tract infection. Privacy concerns were also noted for Resident #92 during wound care.
Deficiencies (6)
Failed to provide a comprehensive, resident-centered treatment plan to accommodate Resident #5's physical and communication needs.
Failed to provide privacy during wound care for Resident #92.
Failed to develop and implement a complete care plan that meets all Resident #5's needs with measurable timetables and actions.
Failed to provide care and assistance for activities of daily living, including bathing per Resident #5's preference and schedule.
Failed to provide or get specialized rehabilitative speech therapy services as required for Resident #5.
Failed to implement a program that monitors antibiotic use, resulting in Resident #5 being ordered an inappropriate antibiotic for a urinary tract infection.
Report Facts
Facility census: 130
Antibiotic dosage: 100
Antibiotic dosage: 2
Antibiotic dosage: 1
Speech therapy frequency: 5
Behavior monitoring dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rehabilitation Director #219 | Rehabilitation Director | Interviewed regarding Resident #5's wheelchair use and speech therapy services |
| Certified Nursing Assistant #585 | Certified Nursing Assistant | Reported Resident #5's fear of wheelchair and bathing preferences |
| Unit Manager/Registered Nurse #513 | Unit Manager/Registered Nurse | Interviewed about Resident #5's wheelchair and bathing documentation |
| Occupational Therapist, Registered #217 | Occupational Therapist, Registered | Interviewed about Resident #5's wheelchair footbox needs |
| Licensed Practical Nurse #531 | Licensed Practical Nurse | Interviewed about Resident #5's refusal of care and caregiver preferences |
| Certified Nursing Assistant #570 | Certified Nursing Assistant | Interviewed about communication with Resident #5 |
| Certified Nursing Assistant #341 | Certified Nursing Assistant | Interviewed about communication training and bathing care for Resident #5 |
| Registered Nurse #512 | Registered Nurse | Observed wound care and privacy concerns for Resident #92 |
| Licensed Practical Nurse #572 | Licensed Practical Nurse | Observed wound care and privacy concerns for Resident #92 |
| Director of Nursing | Director of Nursing | Interviewed about Resident #5's care plan and bathing issues |
| Assistant Director of Nursing #514 | Assistant Director of Nursing | Interviewed about antibiotic administration for Resident #5 |
Inspection Report
Complaint Investigation
Census: 130
Deficiencies: 2
Date: Dec 9, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to provide adequate supervision to prevent the elopement of a resident and failure to ensure residents were screened for tuberculosis on admission.
Complaint Details
This deficiency represents non-compliance investigation under Master Complaint Number OH00160053 and Complaint Numbers OH00159580 and OH00160053.
Findings
The facility failed to prevent the elopement of Resident #131 despite one-on-one supervision and failed to complete tuberculosis screening for Resident #63 upon admission. The elopement incident involved Resident #131 manipulating a window to exit the facility and required police and crisis center intervention. The facility implemented corrective actions including audits, staff education, and window modifications.
Deficiencies (2)
Failed to provide adequate supervision to prevent the elopement of Resident #131.
Failed to ensure residents were screened for tuberculosis on admission, affecting Resident #63.
Report Facts
Facility census: 130
Resident #131 admission date: Jul 26, 2024
Resident #63 admission date: Aug 7, 2024
Window modification audit rooms: 14
Window modification audit frequency: 2
Window modification audit duration weeks: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #209 | Registered Nurse | Updated the Director of Nursing about Resident #131's elopement and made the decision to allow Resident #131 to shut his door. |
| Receptionist #210 | Receptionist | Provided one-on-one supervision for Resident #131 and performed 15-minute checks. |
| Director of Nursing | Director of Nursing | Performed facility audit for elopement risk, educated staff on elopement policy, and conducted window modification audits. |
| Administrator | Administrator | Conducted incident investigation and provided statements regarding Resident #131's behaviors and elopement. |
| Maintenance Director #208 | Maintenance Director | Verified elopement drills, assessed doors and windows, and coordinated window modifications. |
Inspection Report
Complaint Investigation
Census: 130
Deficiencies: 1
Date: Jun 24, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to issue refunded monies to discharged residents in a timely manner.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00154375.
Findings
The facility failed to issue refunds to two discharged residents within the required 30-day timeframe, resulting in delayed payments. The deficiency was subsequently corrected prior to the survey.
Deficiencies (1)
Failed to issue refunded monies to discharged residents in a timely manner.
Report Facts
Residents affected: 2
Census: 130
Refund amount for Resident #145: 1572
Refund amount for Resident #160: 8548.6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Confirmed refund payment was issued late for Resident #145. | |
| Business Office Manager (BOM) #505 | Confirmed refund payment was issued late for Resident #160. |
Inspection Report
Complaint Investigation
Census: 121
Deficiencies: 1
Date: Dec 27, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to notify a resident's responsible party after a fall.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00149121.
Findings
The facility failed to notify Resident #94's responsible party after a fall on 11/28/23, despite the resident having a swollen and bruised hand and an x-ray ordered. Interviews with nursing staff confirmed no notification was made to the family or physician. The facility's fall management policy requires notification, representing non-compliance.
Deficiencies (1)
Failure to notify Resident #94's responsible party after a fall.
Report Facts
Residents affected: 1
Census: 121
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #303 | Licensed Practical Nurse | Did Resident #94's post-fall assessment and progress note; unsure if family was notified |
| Registered Nurse #300 | Registered Nurse | Nurse on duty during Resident #94's fall; did not notify physician, CNP, or responsible party |
| Director of Nursing | Director of Nursing | Verified no evidence Resident #94's family was notified of the fall |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 6, 2023
Visit Reason
Annual survey inspection of Laurels of Massillon nursing home conducted to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection. The level of harm and residents affected are unknown.
Inspection Report
Annual Inspection
Census: 119
Deficiencies: 2
Date: May 18, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to pressure ulcer care and fall prevention in the nursing home.
Findings
The facility failed to follow infection control standards during a pressure ulcer dressing change for one resident and failed to ensure fall interventions were consistently implemented for another resident, resulting in multiple falls and injuries.
Deficiencies (2)
Failed to follow infection control standards during Resident #56's pressure ulcer dressing change, contaminating the dressing with stool.
Failed to ensure fall interventions were in place per the plan of care for Resident #100, resulting in multiple falls and a fracture.
Report Facts
Residents reviewed for pressure ulcers: 3
Residents reviewed for falls: 3
Facility census: 119
Falls experienced by Resident #100: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #315 | Named in pressure ulcer dressing change finding | |
| Licensed Practical Nurse (LPN) #418 | Verified fall mat was not beside Resident #100's bed | |
| Director of Nursing | Verified fall investigation details for Resident #100 |
Inspection Report
Complaint Investigation
Census: 111
Deficiencies: 11
Date: Mar 5, 2020
Visit Reason
The inspection was conducted based on complaints and concerns regarding resident care, including respect and dignity, missing property, assessment accuracy, activity provision, pressure ulcer care, fall precautions, medication use, food consistency, food service sanitation, infection control, and vaccination education.
Complaint Details
The visit was complaint-related, triggered by allegations of verbal abuse, unresolved missing property concerns, inaccurate assessments, inadequate activities, improper pressure ulcer care, fall precaution lapses, inappropriate medication use, improper food consistency, unsanitary food carts, infection control breaches, and vaccination education deficiencies.
Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity, unresolved missing property concerns, inaccurate resident assessments, inadequate activity offerings, improper pressure ulcer care and documentation, failure to maintain fall precautions, inappropriate use of psychotropic medications without non-pharmacological interventions, improper food consistency for pureed diets, unsanitary food service carts, lapses in infection control practices, and incomplete vaccination education documentation.
Deficiencies (11)
Failed to ensure Resident #49 was always treated with respect and dignity.
Failed to ensure Resident #43's concerns regarding missing property were resolved timely.
Failed to ensure accurate assessments for Resident #13's wounds and Resident #104's discharge location.
Failed to provide activities to meet Resident #33 and Resident #68's needs and interests.
Failed to ensure pressure injuries were accurately assessed, measured and documented for Residents #13, #33, #92, and #94.
Failed to ensure Resident #33's fall precaution interventions were in place at all times.
Failed to implement non-pharmacological interventions prior to administering as needed anti-anxiety medication for Resident #49.
Failed to ensure pureed food was the proper consistency for Resident #92 and others on pureed diets.
Failed to ensure food service carts were maintained in a sanitary manner.
Failed to maintain standard infection control practices when Resident #1's food tray was delivered without proper PPE and during Resident #33's dressing change.
Failed to ensure two residents received education addressing benefits and risks of pneumococcal and influenza vaccines or documentation of re-offering.
Report Facts
Facility census: 111
Residents reviewed for comprehensive assessments: 25
Residents reviewed for unnecessary medications: 5
Residents reviewed for pressure injuries: 5
Residents reviewed for falls: 3
Residents reviewed for pneumococcal and influenza vaccines: 5
Residents on pureed diets: 13
Residents affected by unsanitary food carts: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| STNA #412 | State Tested Nursing Assistant | Named in verbal abuse incident involving Resident #49 |
| LPN #406 | Licensed Practical Nurse | Involved in verbal abuse incident investigation for Resident #49 |
| RN #413 | Registered Nurse | Investigated missing property concern for Resident #43 |
| Administrator | Conducted investigation and interviews related to Resident #49 and Resident #43 concerns | |
| RN #401 | Registered Nurse, Wound Nurse | Provided wound care and assessment for Resident #13, #33, #92, and #94 |
| RN #400 | Registered Nurse | Completed MDS assessments and discussed wound classification for Resident #13 |
| AD #414 | Activities Director | Interviewed regarding activity provision for Residents #33 and #68 |
| STNA #409 | State Tested Nursing Assistant | Verified pureed food consistency issue for Resident #92 |
| Dietary Manager #410 | Verified pureed food consistency issue for Resident #92 | |
| STNA #408 | State Tested Nursing Assistant | Verified food service carts were soiled |
| STNA #600 | State Tested Nursing Assistant | Verified food service carts were dirty |
| STNA #420 | State Tested Nursing Assistant | Failed to wear PPE delivering food tray to Resident #1 on contact isolation |
| RN #421 | Registered Nurse | Confirmed PPE should have been worn by STNA #420 |
| Director of Nursing | Verified lack of documentation for non-pharmacological interventions and vaccine education |
Inspection Report
Routine
Deficiencies: 11
Date: Feb 13, 2019
Visit Reason
The inspection was conducted as a routine regulatory survey to assess compliance with healthcare facility regulations, including resident care, medication administration, infection control, and safety.
Findings
The facility was found deficient in multiple areas including failure to obtain proper authorizations for managing resident funds, failure to maintain resident privacy during insulin injections, inaccurate Minimum Data Set assessments, inadequate assistance with activities of daily living, insufficient fall prevention and investigation, failure to monitor dialysis weights, delayed response to pharmacy recommendations, improper medication administration, unsanitary food storage, and ineffective infection control practices during wound care and medication administration.
Deficiencies (11)
Failed to ensure authorizations to manage resident personal fund accounts were properly obtained prior to managing resident funds.
Failed to ensure Resident #87's privacy was maintained during insulin injection administration.
Failed to ensure Minimum Data Set (MDS) 3.0 assessments were accurately coded for dialysis and antipsychotic medications for Resident #45 and related to falls for Resident #49.
Failed to provide adequate and timely assistance for activities of daily living including nail care and toileting for Residents #102 and #103.
Failed to ensure all falls were thoroughly investigated and effective fall/safety interventions and increased supervision were in place for Resident #49; also failed to ensure treatment cart was securely locked when unattended.
Failed to ensure weight monitoring was completed as ordered for Resident #45 who received hemodialysis.
Failed to timely address a pharmacy recommendation for Resident #45 regarding medication dosage.
Failed to ensure parameters for blood pressure monitoring were followed related to medication administration for Residents #45 and #49 and failed to prevent Resident #49 from receiving more than the maximum dosage of Acetaminophen in a 24 hour period.
Failed to ensure pots and pans were stored in a sanitary manner to prevent contamination.
Failed to maintain acceptable infection control practices to prevent the spread of infection during wound care for Residents #49 and #27 and during medication administration for Resident #87.
Failed to maintain an effective pest control program to prevent gnats in the kitchen.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 109
Residents affected: 3
Residents affected: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #460 | Licensed Practical Nurse | Named in privacy and medication administration findings related to Resident #87 |
| RN #470 | Assistant Director of Nursing | Interviewed regarding privacy, medication administration, and wound care findings |
| RN #452 | Registered Nurse | Interviewed regarding MDS assessment inaccuracies |
| LPN #300 | Licensed Practical Nurse | Interviewed regarding nail care findings for Resident #102 |
| STNA #312 | State Tested Nursing Assistant | Interviewed regarding nail care and incontinence care findings |
| STNA #400 | State Tested Nursing Assistant | Interviewed regarding delayed toileting assistance for Resident #103 |
| RN #450 | Registered Nurse | Observed and interviewed regarding wound care for Resident #49 |
| LPN #451 | Licensed Practical Nurse | Observed assisting with wound care for Resident #49 |
| Licensed Practical Nurse #320 | Licensed Practical Nurse | Interviewed regarding treatment cart security |
| Certified Nurse Practitioner (CNP) | Certified Nurse Practitioner | Named in delayed pharmacy recommendation response for Resident #45 |
| Registered Nurse (RN) #470 | Assistant Director of Nursing | Interviewed regarding medication administration and pharmacy recommendations |
| Certified Dietary Manager (CDM) #500 | Certified Dietary Manager | Interviewed regarding food storage and pest control findings |
| LPN #310 | Licensed Practical Nurse | Observed and interviewed regarding wound care for Resident #27 |
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