Inspection Reports for
O‘Neill Healthcare Fairview Park

OH, 44126

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 2.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

48% better than Ohio average
Ohio average: 4.6 deficiencies/year

Deficiencies per year

4 3 2 1 0
2019
2022
2023
2024
2025

Occupancy

Latest occupancy rate 77% occupied

Based on a June 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

40% 60% 80% 100% Mar 2019 Jan 2022 Oct 2023 Sep 2024 Oct 2024 Jun 2025

Inspection Report

Complaint Investigation
Census: 91 Deficiencies: 1 Date: Jun 26, 2025

Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to provide restorative therapy as ordered and care planned for certain residents.

Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00166104.
Findings
The facility failed to provide restorative nursing services as ordered for four residents reviewed for therapy services. Interviews and record reviews confirmed lack of evidence that restorative therapy was provided as care planned.

Deficiencies (1)
F 0688: The facility failed to provide restorative therapy to maintain or improve range of motion and mobility for four residents as ordered and care planned.
Report Facts
Residents affected: 4 Facility census: 91

Employees mentioned
NameTitleContext
Regional Administrator #700Regional AdministratorConfirmed lack of evidence of restorative therapy for residents.
Administrator #601AdministratorConfirmed lack of evidence of restorative therapy for residents.
Certified Nurse Assistant #585Certified Nurse AssistantReported inability to complete restorative therapy due to being pulled to work the floor.
Director of Clinical Services #701Director of Clinical ServicesStated Resident #120 was not on a restorative therapy program and therapy was not to assess until next review.

Inspection Report

Complaint Investigation
Census: 105 Deficiencies: 1 Date: Oct 31, 2024

Visit Reason
The inspection was conducted as a complaint investigation regarding staff sleeping while on duty, which posed a potential neglect risk to residents.

Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00158747.
Findings
The facility failed to ensure residents were free from potential neglect when staff were found sleeping while on duty on two occasions, affecting 16 residents on 08/05/24 and 22 residents on 09/04/24. Three Licensed Practical Nurses were terminated due to sleeping on duty or failing to cooperate with the investigation, and corrective actions including staff education and increased monitoring were implemented.

Deficiencies (1)
F 0600: The facility did not ensure residents were free from potential neglect when staff were sleeping while on duty on 08/05/24 and 09/04/24, affecting some residents. Three LPNs were found sleeping during their shifts.
Report Facts
Residents affected on 08/05/24: 16 Residents affected on 09/04/24: 22 Facility census: 105

Employees mentioned
NameTitleContext
Licensed Practical Nurse (LPN) #608Terminated due to sleeping while on duty on 08/05/24
Licensed Practical Nurse (LPN) #604Terminated due to sleeping while on duty on 09/04/24
Licensed Practical Nurse (LPN) #613Terminated due to failing or refusing to cooperate with investigation regarding sleeping on duty
Director of Nursing (DON)Verified incidents and implemented increased monitoring
Human Resource (HR) #614Signed termination reports and conducted employee orientation
AdministratorSigned termination reports and conducted staff in-service

Inspection Report

Complaint Investigation
Census: 105 Deficiencies: 1 Date: Sep 24, 2024

Visit Reason
The inspection was conducted as a complaint investigation regarding the facility's failure to provide appropriate foot care to Resident #58, specifically related to podiatry services and toenail care.

Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00156781.
Findings
The facility failed to ensure dependent residents received proper nail care, affecting Resident #58 whose toenails were long, thick, and pressing into overlapped toes. The facility did not follow up on requests for podiatry evaluation and treatment despite multiple complaints from the resident's representative.

Deficiencies (1)
F 0687: The facility failed to provide appropriate foot care to Resident #58, resulting in long, thick toenails pressing into overlapped toes and dry, red, scaly skin. The facility did not ensure the podiatrist evaluated or treated the resident's feet despite requests from the resident's representative.
Report Facts
Facility census: 105

Employees mentioned
NameTitleContext
Nursing Unit Manager Licensed Practical Nurse #111Nursing Unit Manager Licensed Practical NurseConfirmed Social Service Director was responsible for scheduling podiatry visit and did not follow up on concerns
Director of NursingDirector of NursingConfirmed unawareness of Resident #58's concerns and podiatrist did not see Resident #58
AdministratorAdministratorConfirmed performing Social Service Director duties and had no knowledge of podiatry visit request

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Apr 12, 2024

Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at O'Neill Healthcare Fairview Park.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Complaint Investigation
Census: 97 Deficiencies: 1 Date: Oct 10, 2023

Visit Reason
The inspection was conducted as a complaint investigation related to infection prevention and control practices, specifically regarding COVID-19 precautions.

Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00147111.
Findings
The facility failed to implement appropriate personal protective equipment (PPE) protocols when entering and leaving the rooms of COVID-19 positive residents, affecting multiple residents. Observations and interviews confirmed staff did not properly remove or use PPE according to CDC guidelines.

Deficiencies (1)
F 0880: The facility failed to implement the appropriate personal protective equipment when entering and leaving a resident's room who was confirmed COVID-19 positive. Staff did not remove surgical masks over N95 respirators or use eye protection as required by CDC guidelines.
Report Facts
Facility census: 97 Residents affected: 2 Potentially affected residents: 44

Employees mentioned
NameTitleContext
State Tested Nursing Assistant (STNA) #815Observed not following PPE protocols in COVID-19 positive resident rooms
AdministratorProvided information confirming PPE requirements and observations

Inspection Report

Complaint Investigation
Census: 97 Deficiencies: 1 Date: Oct 10, 2023

Visit Reason
The inspection was conducted as a complaint investigation related to infection prevention and control practices concerning COVID-19 precautions.

Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00147111.
Findings
The facility failed to implement appropriate personal protective equipment protocols when entering and leaving the rooms of COVID-19 positive residents, affecting two residents directly and potentially impacting 44 others. Staff did not properly remove or use masks and eye protection as required by CDC guidelines.

Deficiencies (1)
F 0880: The facility failed to implement the appropriate personal protective equipment when entering and leaving a resident's room who was confirmed COVID-19 positive. Staff did not remove surgical masks over N95 respirators or use eye protection as required by CDC Infection Control guidelines.
Report Facts
Facility census: 97 Residents potentially affected: 44 Residents directly affected: 2

Employees mentioned
NameTitleContext
State Tested Nursing Assistant (STNA) #815Observed failing to properly don and doff PPE in COVID-19 positive resident rooms
AdministratorProvided information about PPE requirements and confirmed noncompliance

Inspection Report

Census: 75 Deficiencies: 3 Date: Jan 12, 2022

Visit Reason
The inspection was conducted to assess compliance with nursing care planning, sanitation of refuse areas, and maintenance of the physical environment in the nursing home.

Findings
The facility failed to timely develop comprehensive nursing care plans for residents, maintain the dumpster/refuse area in a clean and sanitary condition, and ensure resident rooms were well-maintained with significant damage to walls behind headboards.

Deficiencies (3)
F 0657: The facility failed to develop complete nursing care plans within 7 days of comprehensive assessment for two residents, with delays up to two months after admission.
F 0814: The facility failed to maintain the dumpster/refuse area in a clean and sanitary condition, with refuse bags and debris observed outside the dumpster.
F 0921: The facility failed to ensure a well-maintained environment, with significant gouges, scrapes, chipped paint, and scratches on walls behind headboards in 33 resident rooms.
Report Facts
Residents reviewed for care planning: 22 Residents affected by dumpster/refuse issue: 75 Resident rooms with environmental damage: 33 Resident rooms inspected for environmental damage: 51

Inspection Report

Complaint Investigation
Census: 86 Deficiencies: 4 Date: Mar 21, 2019

Visit Reason
The inspection was conducted following complaints related to resident care participation, misappropriation of resident property, dietary sanitation, and infection control practices.

Complaint Details
The complaint investigation substantiated issues including failure to include a resident in care planning, misappropriation of resident property by a staff member, unsanitary dietary conditions, and lapses in infection control procedures.
Findings
The facility failed to ensure resident participation in care planning, protect a resident from misappropriation of property by an employee, maintain sanitary conditions in dietary serveries, and enforce proper infection control procedures for residents under isolation precautions.

Deficiencies (4)
F 0553: The facility failed to ensure Resident #26 was able to participate in his care planning conferences as required by policy.
F 0602: The facility failed to protect Resident #43 from misappropriation of her wallet by an employee, substantiated by a police investigation.
F 0812: The facility failed to maintain sanitary conditions in the north and south dietary serveries, including dirty microwaves and freezer stains.
F 0880: The facility failed to ensure proper infection control procedures were followed for residents under contact and droplet isolation precautions.
Report Facts
Facility census: 86 BIMS score: 13 Incident date: Feb 16, 2019 Employee termination date: Feb 21, 2021 Resident admission date: Jan 23, 2019 Resident admission date: Mar 16, 2017 Resident admission date: Jul 14, 2019

Employees mentioned
NameTitleContext
STNA #496State Tested Nurse AideNamed in misappropriation of resident property finding; employment terminated due to investigation.
STNA #68State Tested Nurse AideNamed in infection control finding for failure to wash hands after exiting isolation room.
Social Services #7Social Services StaffInterviewed regarding resident care conference participation.
Dietary Manager #21Dietary ManagerInterviewed regarding dietary servery sanitation issues.
Housekeeping Aide #35Housekeeping AideInterviewed regarding failure to wear mask in droplet precaution room.
AdministratorInterviewed regarding multiple findings including care conference documentation and misappropriation investigation.

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