Deficiencies (last 3 years)
Deficiencies (over 3 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
12
9
6
3
0
Occupancy
Latest occupancy rate
96% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 1
Date: Oct 14, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to the treatment and care of a Stage 3 pressure ulcer for Resident #3.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number 2637068.
Findings
The facility failed to provide appropriate treatment for a Stage 3 pressure ulcer present upon admission and did not use proper linens with a pressure reducing mattress to promote healing. Multiple layers of linens were used contrary to manufacturer recommendations.
Deficiencies (1)
F 0686: The facility failed to ensure a Stage 3 pressure ulcer present upon admission received proper treatment and proper linens were not used with the pressure reducing mattress, risking further injury to Resident #3.
Report Facts
Facility census: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing (ADON) | Interviewed and observed wound care for Resident #3 |
Inspection Report
Routine
Census: 39
Deficiencies: 9
Date: May 30, 2024
Visit Reason
Routine inspection to assess compliance with care planning, medication administration, infection control, safety, and vaccination policies at Norwich Springs Health Campus.
Findings
The facility failed to implement and update care plans for multiple residents, ensure proper medication administration, maintain safety measures such as bed rail assessments and Wanderguard use, maintain an effective water management plan, and ensure timely and documented vaccinations.
Deficiencies (9)
F0655: The facility failed to address bed rails on the baseline care plan for Resident #196 within 48 hours of admission.
F0656: The facility failed to develop and implement complete care plans with measurable timetables for seven residents, including interventions for hearing aids, mobility bars, psychotropic drug use, splint use, and wandering behaviors.
F0689: The facility failed to ensure a resident was assessed prior to removal of a Wanderguard bracelet, affecting Resident #21.
F0690: The facility failed to ensure the correct catheter bag was used to prevent urine reflux for Resident #28.
F0700: The facility failed to assess and obtain consents or orders for the use of bed rails for six residents using side rails.
F0760: The facility failed to prime an insulin pen prior to administration, resulting in a medication error for Resident #23.
F0761: The facility failed to ensure medications were not left unattended at the bedside, affecting Resident #30.
F0880: The facility failed to maintain a water management plan with monitoring measures, acceptable ranges, and appropriate actions for abnormal test results.
F0883: The facility failed to ensure signed consents were completed and vaccinations were administered timely for pneumonia and flu vaccines for three residents.
Report Facts
Residents affected: 1
Residents affected: 7
Residents affected: 1
Residents affected: 1
Residents affected: 6
Residents affected: 1
Residents affected: 1
Residents affected: 39
Abnormal water test results: 7
Residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #115 | Licensed Practical Nurse | Administered insulin without priming pen and left medications unattended at bedside |
| RN #118 | Registered Nurse | Confirmed catheter bag issue for Resident #28 |
| MDS Support #147 | Verified enabler/mobility bars not checked on baseline care plan | |
| MDS Nurse #137 | Verified care plans and interventions for psychotropic drugs were not in place | |
| Director of Nursing | Director of Nursing (DON) | Verified lack of care plans, bed rail assessments, and medication issues |
| Corporate Nurse #145 | Corporate Registered Nurse | Verified care plan deficiencies and Wanderguard issues |
| Assistant Director of Health Services #62 | Assistant Director of Health Services | Verified care plan deficiencies and Wanderguard issues |
| Administrator | Confirmed no reassessment documentation for Wanderguard bracelet removal | |
| Corporate Maintenance #146 | Corporate Maintenance | Confirmed abnormal water test results and lack of flushing/disinfection |
| LPN #125 | Licensed Practical Nurse | Confirmed wander guard implementation for Resident #28 |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 21, 2021
Visit Reason
Annual survey inspection of Norwich Springs Health Campus to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
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