Inspection Report Summary
The most recent inspection on November 17, 2025, identified deficiencies related to medication and shower documentation and call light accessibility. Earlier inspections showed a pattern of issues involving sanitation, dietary services, infection control, staff qualifications, resident care documentation, and safety measures such as fall prevention and discharge planning. Complaint investigations included substantiated findings of verbal abuse by staff, narcotic medication misappropriation, and inadequate assistance with activities of daily living, but fines or enforcement actions were not listed in the available reports. Most complaints were substantiated, with corrective actions documented in some cases. The inspection history shows ongoing challenges with documentation and environmental cleanliness, with no clear trend toward consistent improvement or decline.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
9.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
104% worse than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
156 residents
Based on a November 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 156
Deficiencies: 2
Date: Nov 17, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding medication administration documentation, bathing/shower documentation, and accessibility of call lights for residents.
Complaint Details
This deficiency represents incidental findings of non-compliance investigated under Complaint Number 2659263.
Findings
The facility failed to ensure accurate documentation of medication administration and showers for residents, and failed to ensure call lights were accessible in resident bathrooms. These deficiencies affected a few residents and represented incidental findings of non-compliance.
Deficiencies (2)
Failed to ensure medications and showers were accurately documented for residents #24 and #31.
Failed to ensure call lights were accessible in resident #25's bathroom and bathing area.
Report Facts
Facility census: 156
Missed medication sign-offs: 7
Missed bathing documentation dates: 34
Fall incidents: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Verified medication administration record issues and bathing record incompleteness; provided statements about staffing and expectations | |
| Licensed Practical Nurse (LPN) #32 | Confirmed call light was inaccessible and assisted in making it accessible to Resident #25 | |
| Supervisor | Spoke with DON about missed medication sign-offs when no IV certified nurse was present |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 4, 2025
Visit Reason
This document is the annual inspection survey completed for McKinley Nursing facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 154
Deficiencies: 4
Date: Jan 14, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to sanitation, infection control, dietary concerns, and pest control issues at McKinley Nursing facility.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Numbers OH00161141 and OH00161383. Issues included sanitation problems in Resident #72's room, dietary concerns about menu and portion sizes, kitchen sanitation failures, and pest control problems with cockroaches in Resident #72's room.
Findings
The facility failed to maintain a clean, sanitary, and homelike environment for residents, including poor room sanitation for Resident #72, inadequate menu planning and portion control, unsanitary kitchen conditions, and ineffective pest control resulting in cockroach presence in a resident's room. These issues affected multiple residents and represented non-compliance with regulatory standards.
Deficiencies (4)
Failed to ensure a clean, sanitary, and homelike environment for residents, including unsanitary conditions in Resident #72's room.
Failed to ensure menus were prepared in advance, updated periodically, and residents received correct portion sizes.
Failed to maintain a sanitary kitchen and food storage areas and failed to ensure infection control during meal service.
Failed to eradicate cockroaches from Resident #72's room due to sanitation issues and ineffective pest control.
Report Facts
Facility census: 154
Residents affected: 1
Residents affected: Many
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #201 | Licensed Practical Nurse | Confirmed unsanitary conditions in Resident #72's room |
| CNA #205 | Certified Nurse Assistant | Reported Resident #72's room was usually a mess and housekeeping usually cleaned it |
| Housekeeper #207 | Housekeeper | Reported cleaning Resident #72's room after lunch; resident sometimes refused cleaning |
| Housekeeping Supervisor #208 | Housekeeping Supervisor | Attempted to clean Resident #72's room and reported refusal to Licensed Social Worker |
| LSW #304 | Licensed Social Worker | Interviewed regarding cleaning refusals and housekeeping communication |
| Director of Nursing | Director of Nursing | Verified expectation for timely addressing infection control/sanitation issues |
| Assistant Dietary Manager #200 | Assistant Dietary Manager | Confirmed menu issues, kitchen sanitation problems, and improper food handling |
| Dietary Aide #202 | Dietary Aide | Observed using ungloved hands during food service and improper portioning |
| Resident #73 | Resident | Reported concerns about food not on menu and small portion sizes |
| Resident #74 | Resident Council President | Reported repeated resident concerns about meals and portion sizes not taken seriously |
| Activity Director #300 | Activity Director | Reported dietary issues discussed in food committee meetings |
| Administrator | Administrator | Reported pest control efforts and sanitation issues related to cockroach infestation |
Inspection Report
Complaint Investigation
Census: 150
Deficiencies: 4
Date: Apr 2, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to discharge planning, food quality, and infection control concerns at the nursing facility.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Numbers OH00151767 and OH00151976.
Findings
The facility failed to ensure timely discharge planning and proper documentation for Resident #1, served improperly prepared cinnamon rolls affecting many residents, and failed to maintain appropriate infection control when a used insulin syringe was improperly disposed of.
Deficiencies (4)
Failed to ensure a timely discharge/transfer and failed to provide the resident or resident representative with required documentation upon discharge.
Failed to ensure a discharge summary including a recapitulation of the resident's stay was completed at discharge.
Failed to ensure cinnamon rolls were properly prepared to ensure palatability and an appetizing appearance.
Failed to maintain appropriate infection control precautions when a used insulin syringe was not properly disposed of.
Report Facts
Residents affected: 1
Residents affected: 31
Facility census: 150
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Designee #300 | Social Services Designee | Named in discharge planning and documentation deficiencies |
| Admissions Coordinator #400 | Admissions Coordinator | Named in discharge planning and documentation deficiencies |
| Director of Nursing | Director of Nursing (DON) | Confirmed discharge planning and summary deficiencies and infection control observations |
| State Tested Nursing Assistant #303 | STNA | Reported complaints about cinnamon rolls and observed food quality |
| Registered Nurse #304 | RN | Reported resident complaints about cinnamon rolls |
| Dietary Manager #304 | Dietary Manager | Confirmed cinnamon roll preparation issues and staff education |
| Licensed Practical Nurse #320 | LPN | Observed improperly disposed insulin syringe |
| Business Office Manager #302 | Business Office Manager | Advised Social Services Designee on MDS data transmission |
Inspection Report
Complaint Investigation
Census: 150
Deficiencies: 1
Date: Mar 2, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to ensure a registered nurse was on duty for at least eight consecutive hours a day, seven days a week.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00150409.
Findings
The facility failed to have a registered nurse on duty for at least eight consecutive hours on 01/01/2024, as confirmed by staffing schedules and an interview with the Administrator. This deficiency potentially affected all 150 residents.
Deficiencies (1)
Failure to ensure the services of a registered nurse were used for at least eight consecutive hours a day, seven days a week.
Report Facts
Residents affected: 150
Inspection Report
Complaint Investigation
Census: 147
Deficiencies: 2
Date: Dec 13, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to concerns about proper food portions being served and sanitary food handling practices at the facility.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00148558.
Findings
The facility failed to ensure proper food portions were served to meet the individual needs of Resident #143 and other residents, including failure to provide double portions as ordered. Additionally, a dietary staff member with artificial nails was observed not wearing gloves during meal service, posing a potential food safety risk.
Deficiencies (2)
Failure to ensure proper food portions were served to meet individual resident needs, including Resident #143 who was ordered double portions.
Failure to serve food in a sanitary manner when a dietary staff member with artificial nails was observed not wearing gloves during tray line.
Report Facts
Facility census: 147
Residents affected: 146
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Cook/Supervisor #413 | Dietary Cook/Supervisor | Named in findings related to improper portion sizes and lack of knowledge about portion control sheets |
| State Tested Nursing Assistance #347 | State Tested Nursing Assistance | Observed Resident #143's breakfast tray and confirmed single portion served |
| Dietary Manager #505 | Dietary Manager | Confirmed Resident #143's tray card should have specified double portions and acknowledged audit process |
| Dietary Aide #432 | Dietary Aide | Observed with artificial nails not wearing gloves during tray line |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Nov 3, 2023
Visit Reason
The inspection was conducted as a complaint investigation regarding failure to notify family and physician of changes in Resident #200's condition, failure to ensure qualified staff transferred the resident after a fall, inadequate fall prevention interventions, and failure to provide necessary behavioral health care.
Complaint Details
Complaint Number OH00147385 investigated non-compliance related to failure to notify family/physician, unqualified staff transferring resident, inadequate fall prevention, and failure to provide behavioral health care.
Findings
The facility failed to notify Resident #200's family and physician of changes in condition, failed to ensure qualified staff transferred the resident after falls, failed to implement adequate fall prevention interventions resulting in multiple falls and injuries including rib fractures, and failed to identify and provide necessary behavioral health care related to substance abuse disorder. Central Supply staff, unqualified for resident care, assisted in transferring the resident after falls. The resident exhibited cognitive impairment and behavioral changes that were not adequately addressed.
Deficiencies (4)
Failure to notify resident's family and physician of changes in condition.
Failure to ensure Resident #200 was transferred by qualified staff following a fall.
Failure to implement comprehensive and individualized fall/safety interventions to prevent falls including a fall with injury.
Failure to provide necessary behavioral health care and services related to substance abuse disorder.
Report Facts
Falls: 3
Date of survey completion: Nov 3, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #803 | Licensed Practical Nurse | Cared for Resident #200 on 09/27/23, involved in fall incidents and assessments. |
| STNA #804 | State Tested Nursing Assistant | Involved in assisting Resident #200 after falls on 09/27/23. |
| STNA #805 | State Tested Nursing Assistant | Involved in assisting Resident #200 after falls on 09/27/23. |
| Central Supply #808 | Central Supply Staff | Unqualified staff who picked Resident #200 up from the floor after falls. |
| LPN Unit Manager #810 | Licensed Practical Nurse Unit Manager | Responded to Resident #200 on 09/27/23, conducted neurological checks. |
Inspection Report
Complaint Investigation
Census: 150
Deficiencies: 1
Date: Aug 11, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding an incident of staff to resident verbal abuse involving Resident #1 and Licensed Practical Nurse (LPN) #205.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00145146.
Findings
The facility failed to ensure Resident #1 was free from staff to resident verbal abuse, involving a verbal altercation with LPN #205 where both parties exchanged insults and Resident #1 physically pushed the nurse. The incident was reported, investigated, and corrective actions were implemented including suspension and termination of LPN #205, staff education, and resident interviews.
Deficiencies (1)
Failure to protect Resident #1 from staff to resident verbal abuse involving LPN #205.
Report Facts
Facility census: 150
Dates of key events: Jul 21, 2023
Dates of corrective actions: Aug 2, 2023
Dates of staff suspension and termination: Jul 21, 2023
Dates of staff suspension and termination: Jul 25, 2023
Date of staff abuse prevention education completion: Jul 26, 2023
Date of resident interviews for abuse/mistreatment: Aug 2, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #205 | Licensed Practical Nurse | Named in verbal abuse incident with Resident #1 |
| STNA #211 | State Tested Nurse Aide | Witness to verbal altercation between Resident #1 and LPN #205 |
| STNA #219 | State Tested Nurse Aide | Witness to verbal altercation between Resident #1 and LPN #205 |
Inspection Report
Complaint Investigation
Census: 148
Deficiencies: 7
Date: May 1, 2023
Visit Reason
The inspection was conducted based on complaint investigations related to call light accessibility, narcotic medication misappropriation, assistance with activities of daily living, weight monitoring, nurse aide training compliance, kitchen sanitation, and dumpster area cleanliness.
Complaint Details
This inspection was conducted as a complaint investigation under Complaint Number OH00135062. The complaint involved issues such as call light accessibility, narcotic medication misappropriation, inadequate assistance with activities of daily living, failure to monitor weights, nurse aide training compliance, and sanitation concerns.
Findings
The facility was found non-compliant in multiple areas including failure to ensure call lights were accessible to residents, misappropriation of narcotic medications by a staff member, inadequate assistance with activities of daily living, failure to monitor resident weights as ordered, nurse aides working without completing required state testing, unsanitary kitchen conditions, and improper maintenance of the dumpster area.
Deficiencies (7)
Failed to ensure call lights were within resident reach, affecting one resident.
Failed to protect residents from misappropriation of narcotic medications by staff members, affecting three residents.
Failed to provide care and assistance for activities of daily living for two residents.
Failed to monitor resident weights as ordered by the physician for one resident.
Failed to ensure nurse aides completed state testing within required time frames, potentially affecting all residents.
Failed to maintain kitchen in a clean and sanitary condition, potentially affecting many residents.
Failed to maintain dumpster area in a clean and sanitary condition, potentially affecting all residents.
Report Facts
Residents affected: 1
Residents affected: 3
Residents affected: 2
Residents affected: 1
Residents affected: 148
Residents affected: 147
Residents affected: 148
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #658 | Registered Nurse | Named in narcotic medication misappropriation finding |
| LPN #701 | Licensed Practical Nurse | Named in narcotic medication misappropriation finding |
| LPN #604 | Licensed Practical Nurse | Named in narcotic medication misappropriation finding |
| LPN #556 | Licensed Practical Nurse | Confirmed call light accessibility issue |
| RN #518 | Registered Nurse | Verified lack of showers for Resident #89 |
| LPN #615 | Licensed Practical Nurse | Verified fingernail care issues for Resident #143 |
| HR Director #520 | Human Resources Director | Provided information on nurse aide training compliance |
| RN #508 | Registered Nurse | Discussed nurse aide training compliance and scheduling |
| DM #519 | Dietary Manager | Verified kitchen and dumpster sanitation issues |
Inspection Report
Complaint Investigation
Census: 148
Deficiencies: 4
Date: May 1, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint Number OH00135062, triggered by allegations of non-compliance in resident care and facility operations.
Complaint Details
The deficiencies represent non-compliance investigated under Complaint Number OH00135062.
Findings
The facility was found to have multiple deficiencies including failure to ensure call lights were within resident reach, inadequate assistance with activities of daily living, failure to monitor resident weights as ordered, and employing nurse aides who had not completed required state testing within the appropriate time frames.
Deficiencies (4)
Failed to ensure call lights were within resident reach affecting one resident.
Failed to ensure residents received assistance needed for activities of daily living affecting two residents.
Failed to monitor resident weights as ordered by the physician affecting one resident.
Failed to ensure nurse aides completed state testing within appropriate time frames affecting all residents.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 148
Census: 148
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #556 | Licensed Practical Nurse | Confirmed call light was out of resident's reach |
| Registered Nurse #518 | Registered Nurse | Verified showers had not occurred as scheduled for Resident #89 |
| Licensed Practical Nurse #615 | Licensed Practical Nurse | Verified Resident #143's fingernail condition |
| Director of Nursing | Verified weights were not obtained per physician's orders | |
| Human Resources Director #520 | Human Resources Director | Verified nurse aide training and testing status of employees |
| Registered Nurse #508 | Registered Nurse | Relied on HR and scheduler to inform about nurse aide certification status |
Inspection Report
Routine
Census: 167
Deficiencies: 9
Date: Jan 15, 2020
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, treatment, facility conditions, and staff training at McKinley Nursing facility.
Findings
The facility was found deficient in multiple areas including failure to provide appropriate water containers to residents, inadequate notification to residents and families regarding discharge and bed-hold policies, failure to assess and treat wounds and pressure ulcers as ordered, incomplete nurse aide training, improper labeling and storage of insulin, unsanitary kitchen conditions, and incomplete documentation of resident care such as wine provision per physician orders.
Deficiencies (9)
Failed to provide residents on the Taft unit with appropriate water containers affecting multiple residents.
Failed to ensure timely notification to residents and representatives before transfer or discharge including appeal rights.
Failed to notify residents or representatives in writing about bed-hold policy upon hospital transfer.
Failed to assess, monitor, and treat Resident #20's left lower leg scar and wounds.
Failed to provide pressure ulcer care as ordered for Residents #47 and #78.
Failed to ensure all state tested nurse aides completed twelve hours of in-service education annually.
Failed to ensure insulin vials were dated when opened for Resident #110.
Failed to maintain the kitchen in a sanitary manner with multiple sanitation violations observed.
Failed to document provision of wine per physician order for Resident #110.
Report Facts
Facility census: 167
Residents affected: 25
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 166
Residents affected: 1
STNA continuing education hours: 0
Insulin expiration days: 42
Insulin expiration days: 28
Wine bottles delivered: 16
Wine bottles remaining: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| STNA #411 | State Tested Nursing Assistant | Interviewed regarding water pitchers on Taft unit |
| LSW #200 | Licensed Social Worker | Confirmed no individual water pitchers due to thickened liquids orders |
| Director of Nursing | Director of Nursing | Interviewed regarding water pitchers and wound care findings |
| LPN #709 | Licensed Practical Nurse | Interviewed regarding Resident #20's leg scar and wounds |
| STNA #401 | State Tested Nursing Assistant | Observed pressure ulcer care for Resident #47 |
| STNA #609 | State Tested Nursing Assistant | Observed pressure ulcer care for Resident #47 |
| ADON | Assistant Director of Nursing | Reviewed treatment administration records and confirmed wound care findings |
| HR Director | Human Resource Director | Confirmed lack of continuing education documentation for STNA #407 |
| Registered Nurse #600 | Registered Nurse | Verified insulin vials were open and undated |
| Dietary Manager #102 | Dietary Manager | Verified multiple kitchen sanitation concerns |
| Registered Nurse #801 | Registered Nurse | Observed medication storage room and wine bottles |
| Resident #110's guardian | Confirmed delivery of wine bottles to facility |
Inspection Report
Complaint Investigation
Census: 171
Deficiencies: 9
Date: Dec 6, 2018
Visit Reason
The inspection was conducted to investigate complaints related to cleanliness, personal hygiene, activities, nutrition, and medical record accuracy at McKinley Nursing facility.
Complaint Details
This deficiency substantiates Complaint Number OH00101368 related to cleanliness and personal hygiene issues.
Findings
The facility failed to maintain clean resident rooms, ensure personal hygiene and grooming, provide activities of preference, maintain accurate resident weights and diet orders, serve food at proper temperatures, follow pureed diet recipes, and maintain kitchen cleanliness. Documentation inconsistencies and inaccurate diet orders were also found.
Deficiencies (9)
Rooms for Residents #143 and #132 were not maintained in a clean manner.
Failed to provide care and assistance for activities of daily living for Resident #81, including missed showers and improper shaving.
Failed to ensure personal hygiene was completed for Residents #58, #64, and #81.
Failed to provide activities of preference or assistance to attend activities for Resident #27.
Failed to identify and monitor a bruise on Resident #120's left hand.
Failed to ensure Resident #54 was served thickened liquids as ordered, and failed to obtain accurate weights for Residents #216 and #142 as ordered.
Failed to ensure food and drink were palatable, attractive, and served at safe and appetizing temperatures, affecting Residents #35, #38, and 16 residents on pureed diets.
Failed to maintain kitchen and steam tables in a clean and sanitary manner.
Failed to ensure accurate and complete documentation for Resident #132 related to refusing assistance with care and for Resident #166 related to ordered diet.
Report Facts
Facility census: 171
Resident #216 weights: 137
Resident #216 weights: 194
Resident #216 weights: 165
Resident #216 weights: 158
Resident #216 weights: 164
Resident #216 weights: 170
Resident #216 weights: 166
Resident #216 weights: 157
Resident #216 weights: 169
Resident #216 weights: 158
Resident #216 weights: 158
Resident #216 weights: 165
Resident #216 weights: 162
Food temperature: 93
Food temperature: 83
Food temperature: 115
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #32 | Licensed Practical Nurse | Confirmed observations of Resident #143's room cleanliness and bruise monitoring on Resident #120 |
| Environmental Services Director #145 | Environmental Services Director | Interviewed regarding cleaning of Resident #143's room |
| LPN #69 | Licensed Practical Nurse | Interviewed about Resident #132's room condition and refusals |
| Director of Nursing | Director of Nursing | Confirmed no evidence of Resident #132 non-compliance and verified Resident #81's grooming issues |
| Laundry #146 | Laundry Staff | Helped clean Resident #132's room after family complaint |
| STNA #85 | State Tested Nursing Assistant | Shaved Resident #81 due to skin problem |
| Restorative LPN #37 | Restorative Licensed Practical Nurse | Interviewed about shaving responsibilities for Resident #81 |
| Social Worker #16 | Social Worker | Verified Resident #58 and #64 podiatry status |
| LPN #30 | Licensed Practical Nurse | Verified long toenails of Resident #58 |
| LPN #104 | Licensed Practical Nurse | Verified long toenails and dry skin of Resident #64 |
| STNA #40 | State Tested Nurse's Assistant | Reported not trimming toenails or applying lotion for Resident #64 |
| Activity Director #168 | Activity Director | Interviewed about Resident #27's lack of activity participation |
| LPN #37 | Licensed Practical Nurse | Monitored resident weights and documented weight discrepancies for Resident #216 |
| Registered Dietitian #164 | Registered Dietitian | Reviewed weights and noted documentation errors for Resident #216 and Resident #166 |
| Dietary Manager #24 | Dietary Manager | Verified food temperatures and kitchen cleanliness issues |
| Dishwasher #122 | Dishwasher Staff | Verified kitchen cleanliness issues |
| STNA #36 | State Tested Nurse Aide | Reported Resident #132's refusals of care |
| Speech Therapist #124 | Speech Therapist | Confirmed Resident #166 diet and swallowing therapy |
| STNA #112 | State Tested Nurse Aide | Reported documentation practices for Resident #132 refusals |
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