Inspection Reports for O’Neill Healthcare North Ridgeville
38600 Center Ridge Rd, North Ridgeville, OH 44039, United States, OH, 44039
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
128 residents
Based on a September 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 128
Deficiencies: 1
Date: Sep 16, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding an incident where a resident (#69) sustained a laceration during a transfer using a sit-to-stand mechanical lift.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH001357840.
Findings
The facility failed to properly transfer Resident #69, resulting in a leg laceration requiring 14 sutures. The investigation found the injury occurred during transfer with a sit-to-stand lift, leading to changes in transfer methods and staff training to prevent further injury.
Deficiencies (1)
Failure to ensure a nursing home area is free from accident hazards and provide adequate supervision to prevent accidents.
Report Facts
Residents reviewed for transfers: 3
Residents affected: 1
Census: 128
Sutures required: 14
Dates of weekly skin checks: 01/08/25 and 01/15/25
Incident date and time: 01/18/25 at 9:15 P.M.
Physician order duration: 5
Physician order discontinued: 01/24/25 and 02/02/25
Audit period: 01/23/25 through 04/02/25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Physician #500 | Physician | Authored progress note assessing Resident #69's laceration and ordered treatment |
| CNA #700 | Certified Nursing Assistant | Witness statement regarding transfer incident and injury to Resident #69 |
| CNA #750 | Certified Nursing Assistant | Witness statement regarding transfer incident and injury to Resident #69 |
| RDCO #600 | Regional Director of Clinical Services | Investigated incident, met with family, and provided training following injury |
| LPN #220 | Licensed Practical Nurse | Provided assessment and information about Resident #69's injury |
Inspection Report
Routine
Census: 133
Deficiencies: 2
Date: Sep 19, 2024
Visit Reason
The inspection was conducted to review the facility's compliance with medication regimen review requirements, specifically ensuring pharmacy recommendations were addressed in a timely manner.
Findings
The facility failed to ensure pharmacy recommendations were addressed timely for two residents (#73 and #117) out of five reviewed for unnecessary medications. The Director of Nursing confirmed delays and missed pharmacy recommendations related to laboratory testing and medication titration.
Deficiencies (2)
Failure to ensure pharmacy recommendations were addressed in a timely manner for Resident #73 regarding hemoglobin A1c laboratory testing.
Failure to ensure pharmacy recommendations were addressed in a timely manner for Resident #117 regarding nicotine patch titration orders.
Report Facts
Residents affected: 2
Residents reviewed: 5
Facility census: 133
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding pharmacy recommendation follow-up and medication titration issues |
Inspection Report
Complaint Investigation
Census: 116
Deficiencies: 4
Date: Feb 22, 2022
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to ensure proper transportation of Resident #34 in a tilt-n-space chair, resulting in a fall and injury, as well as other medication and sanitation concerns.
Complaint Details
This deficiency substantiates Complaint Number OH00130127.
Findings
The facility failed to ensure Resident #34 was transported correctly in a tilt-n-space chair, resulting in a fall and laceration requiring sutures. Additionally, the facility failed to ensure appropriate use of psychotropic medication for Resident #94, failed to administer eye drop medication as ordered for Resident #86, and failed to maintain a clean and sanitary kitchen.
Deficiencies (4)
Failed to ensure Resident #34 was transported correctly in a tilt-n-space chair, resulting in a fall and laceration requiring sutures.
Failed to ensure one resident (#94) did not receive a psychotropic drug (Seroquel) without adequate indications for use.
Failed to ensure eye drop medication was given per physician orders for Resident #86.
Failed to maintain a clean and sanitary kitchen, including dusty and greasy hood, old oven with buildup, dirty beverage cart, food on cooler floor, and ice buildup in freezer.
Report Facts
Residents reviewed for accidents: 6
Residents reviewed for medications: 6
Residents reviewed for medication errors: 7
Facility census: 116
Employees mentioned
| Name | Title | Context |
|---|---|---|
| State Tested Nursing Assistant #210 | STNA | Involved in transporting Resident #34 when fall occurred. |
| Registered Nurse #300 | RN | Instructed STNA #210 to tilt back Resident #34's chair. |
| Director of Nursing | DON | Interviewed regarding the fall of Resident #34 and medication issues. |
| Certified Nurse Practitioner | CNP | Discontinued Seroquel medication for Resident #94 after discussion. |
| Certified Dietary Manager #700 | CDM | Verified kitchen sanitation deficiencies during inspection. |
Inspection Report
Complaint Investigation
Census: 142
Deficiencies: 4
Date: Apr 25, 2019
Visit Reason
The inspection was conducted to investigate complaints related to failure to provide timely written notification to residents and their representatives upon hospital transfer, failure to notify residents about the bed hold policy, inadequate catheter care, and failure to ensure ongoing communication with dialysis providers.
Complaint Details
The complaint investigation revealed failures in notification to residents and representatives regarding hospital transfers and bed hold policies, inadequate catheter care, and lack of communication with dialysis providers. The facility census was 142, and multiple residents were affected.
Findings
The facility failed to provide written notification to residents and their representatives at the time of hospital transfer, failed to notify residents of the bed hold policy duration, did not ensure proper anchoring device use for Foley catheters, and failed to maintain communication with the dialysis center for a resident receiving dialysis. These deficiencies affected multiple residents and were verified through medical record reviews, staff interviews, and policy reviews.
Deficiencies (4)
Failed to provide written notification to the resident and resident representative at the time of hospital transfer.
Failed to notify the resident or resident’s representative in writing about the duration the nursing home will hold the resident’s bed during hospital transfer.
Failed to ensure an anchoring device was used to prevent trauma or injury from Foley catheter tension or removal.
Failed to ensure ongoing communication between the facility and dialysis center for a resident receiving dialysis.
Report Facts
Residents affected: 2
Residents affected: 3
Residents affected: 1
Residents affected: 1
Facility census: 142
Dialysis communication missing dates: 8
Residents with catheters: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding failure to provide written notification of hospital transfer and bed hold policy | |
| License Practical Nurse (LPN) #450 | Observed catheter care for Resident #69 and noted lack of anchoring device | |
| License Practical Nurse (LPN) #500 | Interviewed and verified Resident #69 did not have anchoring device applied | |
| Director of Nursing (DON) | Interviewed regarding dialysis communication failures for Resident #109 |
Viewing
Loading inspection reports...
