Inspection Reports for
Shepherd of the Valley-Poland
301 WESTERN RESERVE ROAD, POLAND, OH, 44514
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
67% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
39% occupied
Based on a December 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Sep 18, 2025
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to ensure proper personal hygiene and safe respiratory care for Resident #1.
Complaint Details
The investigation was complaint-driven, focusing on Resident #1's personal hygiene and respiratory care. The findings confirmed the complaints were substantiated.
Findings
The facility failed to shave Resident #1 according to his preferences despite his request and medical orders, and the portable oxygen tank for Resident #1 was not working properly, resulting in low oxygen saturation levels.
Deficiencies (2)
F 0676: The facility failed to ensure Resident #1 was shaved per his preferences despite being on a blood thinner and having an order for cautious shaving.
F 0695: The facility failed to ensure the portable oxygen tank for Resident #1 was working properly, causing low oxygen saturation readings.
Report Facts
Oxygen saturation percentage: 85
Oxygen saturation percentage after intervention: 89
Medication dosage: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #125 | Verified Resident #1 needed shaving and confirmed the oxygen tank was not working properly. |
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 2
Date: Dec 27, 2024
Visit Reason
The inspection was conducted due to a complaint investigation (Complaint Number OH00160184) regarding failure to notify physicians of significant changes in residents' conditions and inadequate care for an acute change in condition for Resident #27.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00160184. The complaint involved failure to notify physicians of changes in residents' conditions and inadequate care for Resident #27, who suffered an acute decline and died after hospitalization.
Findings
The facility failed to notify physicians of weight gain, low blood pressure, and changes in appetite for two residents. Resident #27 experienced inadequate monitoring and treatment for acute illness, resulting in hospitalization and death. The facility did not provide timely care or notify the physician of significant condition changes.
Deficiencies (2)
F 0580: The facility failed to notify the physician of a 3.2 pound weight gain in one day for Resident #5 and failed to notify the physician of decreased meal intake and hypotension for Resident #27.
F 0684: The facility failed to provide appropriate treatment and care for Resident #27's acute change in condition, including nausea, vomiting, diarrhea, and dehydration, resulting in hospitalization and death.
Report Facts
Resident census: 26
Weight gain: 3.2
Blood pressure: 87
Blood pressure: 90
White blood cell count: 21.4
Blood urea nitrogen (BUN): 128
Creatinine: 4
Fluid intake: 460
Fluid intake: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse Practitioner #131 | Nurse Practitioner | Visited Resident #27 twice and stated she would have sent resident to emergency room if aware of symptoms |
| Director of Nursing | Director of Nursing | Interviewed regarding failure to notify physician of weight gain and resident condition changes |
| Licensed Practical Nurse #82 | Licensed Practical Nurse | Provided care to Resident #27, aware of standing orders but did not administer medications |
| Registered Nurse #80 | Registered Nurse | Cared for Resident #27 and notified physician of diarrhea via secure message |
| Certified Occupational Therapy Assistant #130 | Certified Occupational Therapy Assistant | Provided therapy to Resident #27 and reported resident's diarrhea and weakness |
| Physical Therapy Assistant #129 | Physical Therapy Assistant | Observed Resident #27's increased fatigue and discussed concerns with nursing |
Inspection Report
Routine
Census: 29
Deficiencies: 1
Date: Jun 1, 2023
Visit Reason
The inspection was conducted to assess compliance with therapeutic diet orders and diet waiver policies for residents, specifically focusing on diet consistency adherence.
Findings
The facility failed to provide the physician-ordered honey thick liquid diet to Resident #3, who had a diet waiver allowing thin liquids despite the risk of aspiration. Observations and interviews confirmed non-thickened liquids were served contrary to orders, and documentation of diet waivers was not clearly communicated in the electronic medical record.
Deficiencies (1)
F 0808: The facility failed to provide the physician-ordered honey thick liquid diet to Resident #3, who received non-thickened liquids despite the risk of aspiration. Documentation of diet waivers was not clearly communicated in the electronic medical record.
Report Facts
Facility census: 29
Employees mentioned
| Name | Title | Context |
|---|---|---|
| State Tested Nursing Assistant (STNA) #365 | Confirmed non-thickened orange juice served to Resident #3 | |
| Registered Nurse #341 | Confirmed mandarin oranges in non-thickened juice for Resident #3 | |
| Dietitian #319 | Confirmed diet waiver details and communication issues | |
| Director of Nursing (DON) | Confirmed lack of documentation of diet waiver details in electronic medical record |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Jul 8, 2021
Visit Reason
The document is a statement of deficiencies and plan of correction related to a nursing home regulatory inspection.
Findings
The facility failed to ensure Resident #11's Lantus long acting insulin was not expired and was not discarded twenty-eight days after initial use as required by manufacturer directions. This deficiency affected one resident out of three receiving insulin on the 100 hall.
Deficiencies (1)
F 0761: Ensure drugs and biologicals are labeled per professional principles and stored in locked compartments. The facility failed to discard Resident #11's expired Lantus insulin, which was administered approximately nine days past expiration.
Report Facts
Residents affected: 1
Residents receiving insulin on 100 hall: 3
Days insulin expired: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #801 | Interviewed regarding expired insulin and medication storage |
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