Inspection Reports for
Solon Pointe at Emerald Ridge
5625 EMERALD RIDGE PARKWAY, SOLON, OH, 44139
Back to Facility ProfileCitations (last 5 years)
Citations (over 5 years)
6.2 citations/year
Citations are regulatory findings recorded during state inspections.
35% worse than Ohio average
Ohio average: 4.6 citations/year
Citations per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Census: 92
Citations: 3
Date: Jan 8, 2026
Visit Reason
The inspection was conducted due to complaints regarding failure to revise resident care plans to reflect current medical and psychological status and failure to implement appropriate fall interventions to prevent falls.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number 2597600.
Findings
The facility failed to update care plans for residents to reflect current conditions and failed to implement consistent fall prevention interventions, including the use of fall mats, despite residents being identified as high fall risks.
Citations (3)
F 0657: The facility failed to revise Resident #22's care plan to reflect the absence of documented behaviors for at least three months. The care plan continued to list extensive behavioral concerns without reassessment.
F 0657: The facility failed to ensure appropriate fall interventions were consistently implemented for Resident #82, who was a high fall risk and did not have fall mats in place despite multiple requests from the resident's Power of Attorney.
F 0689: The facility failed to ensure the nursing home area was free from accident hazards by not providing fall mats or adequate supervision to prevent falls for Resident #82, who had a history of sliding out of bed and seizures.
Report Facts
Facility census: 92
Residents affected: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #925 | Registered Nurse | Named in relation to Resident #82's fall and subsequent care |
| LPN #839 | Licensed Practical Nurse | Interviewed regarding Resident #82's fall risk and fall mat interventions |
| CNA #745 | Certified Nurse Aide | Interviewed regarding Resident #82's fall risk and care |
| MD #926 | Medical Doctor | Interviewed regarding Resident #82's fall risk and interventions |
| Social Service Director #701 | Social Service Director | Interviewed regarding Resident #22's care plan status |
| Director of Nursing | Director of Nursing | Interviewed regarding fall risk assessments and interventions for Resident #82 |
Inspection Report
Complaint Investigation
Census: 88
Citations: 7
Date: May 22, 2024
Visit Reason
Complaint investigations related to resident care, safety, and facility conditions including call light accessibility, mobility assistance, elopement prevention, respiratory care, medication monitoring, documentation, and environmental safety.
Complaint Details
The complaint investigations included issues with call light accessibility, mobility assistance delays, elopement prevention failures, oxygen therapy order completeness, medication administration monitoring, medical record documentation, and environmental safety concerns. Immediate Jeopardy was cited for failure to prevent elopement of a cognitively impaired resident.
Findings
The facility was found deficient in multiple areas including failure to ensure resident call light accessibility, delayed mobility interventions, failure to prevent elopement of a cognitively impaired resident, incomplete oxygen therapy orders, failure to monitor blood pressure prior to medication administration, incomplete medical documentation, and failure to timely repair resident room wall damage.
Citations (7)
F 0558: The facility failed to ensure a resident's call light was accessible to request assistance as needed, affecting one resident observed.
F 0688: The facility failed to timely implement measures to promote mobility for a resident requiring a specialized wheelchair, delaying therapy evaluation and use of a custom wheelchair.
F 0689: The facility failed to prevent elopement of a cognitively impaired resident who left through an alarmed elevator that did not sound, resulting in Immediate Jeopardy.
F 0695: The facility failed to ensure oxygen orders included liters and frequency of administration, and failed to document oxygen use for a resident receiving respiratory services.
F 0757: The facility failed to monitor a resident's blood pressure prior to administration of medication as ordered and failed to document blood pressure assessments.
F 0842: The facility failed to maintain complete medical records and documentation for a resident with a tracheostomy, including treatment records and transport times.
F 0921: The facility failed to timely repair a resident's wall with large holes, dents, and scrape markings, affecting the resident's environment.
Report Facts
Facility census: 88
Residents affected: 1
Residents affected: 1
Residents affected: 5
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #370 | Licensed Practical Nurse | Verified call light was out of reach for Resident #28 |
| OT #685 | Occupational Therapist | Provided therapy evaluation and treatment for Resident #28 and discussed wheelchair issues |
| LPN #615 | Licensed Practical Nurse | Charge nurse during elopement incident for Resident #70 and involved in wander guard checks |
| DON | Director of Nursing | Provided multiple interviews regarding deficiencies and corrective actions |
| RT #683 | Respiratory Therapist | Provided respiratory therapy and oxygen care for Resident #18 |
| Physician #680 | Primary Care Physician/Medical Director | Provided orders and interview regarding blood pressure monitoring for Resident #93 |
| Maintenance Director #470 | Maintenance Director | Aware of and did not repair holes in Resident #28's wall |
Inspection Report
Complaint Investigation
Census: 93
Citations: 1
Date: May 24, 2023
Visit Reason
The visit was conducted as a complaint investigation related to concerns about cleanliness and sanitation in the nursing home shower room on the Chestnut unit.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00143122.
Findings
The facility failed to ensure a clean and sanitary shower room on the Chestnut unit, with observation of bowel movement present on a shower chair and smearing on the floor. Staff interviews revealed unclear responsibility for timely cleanup and sanitation.
Citations (1)
F 0921: The facility failed to maintain a clean and sanitary shower room on the Chestnut unit, with observed bowel movement on a shower chair and smearing on the floor. Staff were unclear about responsibility for cleaning up bodily fluids promptly.
Report Facts
Residents affected: 22
Facility census: 93
Inspection Report
Complaint Investigation
Census: 88
Citations: 2
Date: May 9, 2023
Visit Reason
The inspection was conducted as a complaint investigation under Complaint Number OH00142180 regarding concerns about resident care and facility compliance.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00142180.
Findings
The facility failed to honor resident preferences for transfer assistance and provide timely incontinence care. Observations and interviews revealed delays in assisting residents out of bed and providing incontinence care, affecting resident well-being.
Citations (2)
F 0561: The facility failed to honor Resident #2's preferences for transfer assistance, resulting in delayed assistance to get out of bed and missed dining room meals. This affected one of three residents reviewed for transfer assistance.
F 0690: The facility failed to provide timely incontinence care to Resident #31, who was found incontinent with a large wet area and had not received care since the previous evening. This affected one resident of two observed for incontinence care.
Report Facts
Residents affected: 1
Residents affected: 1
Facility census: 88
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #5 | Named in relation to delayed assistance for Resident #2 and medication passing | |
| Agency State Tested Nurse Aide (STNA) #6 | Named in relation to delayed assistance for Resident #2 | |
| State Tested Nursing Assistant (STNA) #105 | Named in relation to delayed incontinence care for Resident #31 |
Inspection Report
Annual Inspection
Census: 78
Citations: 5
Date: Jan 12, 2023
Visit Reason
The inspection was conducted as a regulatory annual survey to assess compliance with healthcare facility standards and regulations at Solon Pointe at Emerald Ridge.
Findings
The facility was found to have multiple deficiencies including inaccurate medical records regarding code status, incomplete care plans for residents with sensory deficits, improper labeling and storage of medications, unsanitary dumpster area, and multiple environmental cleanliness and maintenance issues throughout the facility.
Citations (5)
F 0578: The facility failed to maintain an accurate medical record for Resident #45 regarding code status, with conflicting information between paper and electronic records.
F 0656: The facility failed to develop and implement a complete care plan addressing communication and sensory deficits for Resident #48, despite documented hearing impairment.
F 0761: The facility failed to ensure all drugs and biologicals were accurately labeled and stored securely, including unlabeled insulin pens and syringes found in medication storage rooms.
F 0814: The facility failed to maintain the dumpster area in a clean and sanitary condition, with open dumpsters exposing used gloves, masks, incontinence supplies, food scraps, and other waste.
F 0921: The facility failed to maintain a clean and sanitary environment, with multiple maintenance and cleanliness issues including mold in shower rooms, broken flooring, dirty curtains, stained carpeting, and dead bugs in light fixtures.
Report Facts
Facility census: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #101 | Verified conflicting code status information for Resident #45 | |
| Social Service Director (SSD) #8 | Unaware of Resident #48's hearing aid needs | |
| Director of Nursing (DON) | Interviewed regarding medication labeling and care planning | |
| MDS Coordinator #41 | Initiated communication problem care plan for Resident #48 | |
| Dietary [NAME] (DC) #46 | Confirmed dumpster area sanitation findings | |
| Housekeeping Supervisor (HSK) #99 | Conducted environmental tour identifying cleanliness and maintenance issues |
Inspection Report
Complaint Investigation
Census: 84
Citations: 9
Date: Sep 19, 2019
Visit Reason
The inspection was conducted based on complaints regarding resident rights, facility environment, notification procedures, assessment accuracy, medication security, adaptive equipment use, food sanitation, and infection control.
Complaint Details
This deficiency substantiates Complaint Number OH00106518. The complaint involved issues with resident rights, environment, notification, assessments, medication security, adaptive equipment, food sanitation, and infection control.
Findings
The facility was found deficient in multiple areas including failure to provide weekend access to resident funds, maintain a clean and homelike environment, timely notification of resident transfers, accurate resident assessments, secure medication administration, consistent use of adaptive eating equipment, proper sanitation of dishes, and adherence to infection control protocols for glucometer cleaning.
Citations (9)
F 0567: The facility failed to ensure Resident #37 had access to resident funds on weekends, affecting 56 residents with active accounts.
F 0584: The facility failed to maintain a clean, sanitary, and homelike environment and ensure sufficient towels and wash cloths for resident use, affecting Residents #32, #67, and #22 and potentially all 84 residents.
F 0623: The facility failed to provide timely notification to Resident #44's representative and the Ombudsman regarding hospital transfer and bed hold notice.
F 0625: The facility failed to notify Resident #44 or representative in writing about bed hold duration during hospital transfer.
F 0641: The facility failed to ensure accurate Minimum Data Set (MDS) assessments for Residents #16 and #84, with errors in medication and discharge documentation.
F 0761: The facility failed to secure medications properly during administration, leaving medications unattended on an unlocked cart, affecting Resident #57.
F 0810: The facility failed to ensure consistent use of adaptive eating equipment for Resident #46, who did not receive the required two handled sippy cup at meal time.
F 0812: The facility failed to ensure proper sanitation and storage of dishes, including use of a malfunctioning dish machine and presence of chipped plates, potentially affecting 81 residents.
F 0880: The facility failed to adhere to infection control standards for cleaning glucometers, using alcohol wipes instead of required Santi wipes, affecting five residents receiving blood sugar monitoring.
Report Facts
Residents affected: 56
Residents affected: 84
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 81
Residents affected: 5
Chipped plates: 12
Total plates: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #86 | Licensed Practical Nurse | Named in medication administration finding for leaving medications unattended on unlocked cart |
| LPN #81 | Licensed Practical Nurse | Named in infection control finding for improper glucometer cleaning |
| Director of Housekeeping #184 | Director of Housekeeping | Named in linen supply deficiency regarding emergency stock |
| Dietary Manager #186 | Dietary Manager | Named in adaptive equipment and dish sanitation findings |
| Regional Dietary Manager #185 | Regional Dietary Manager | Named in dish sanitation finding |
| Dish Machine Technician #187 | Dish Machine Technician | Named in dish sanitation finding |
| MDS Nurse #82 | MDS Nurse | Named in inaccurate assessment finding |
| Admissions Director #31 | Admissions Director | Named in failure to notify resident representative and Ombudsman |
Inspection Report
Routine
Census: 83
Citations: 4
Date: Aug 16, 2018
Visit Reason
Routine inspection to assess compliance with regulatory requirements including resident rights, assessments, staffing information, and medication storage.
Findings
The facility was found deficient in obtaining written authorization for managing resident funds, accurate coding of PASRR status on assessments, timely posting of nurse staffing information, and securing medication storage rooms. These deficiencies affected multiple residents and had potential or minimal harm.
Citations (4)
F 0567: The facility failed to obtain written authorization from Resident #53 or her representative prior to managing her personal funds.
F 0641: The facility failed to ensure the Pre-admission Screen and Resident Review (PASRR) status was coded correctly for five residents with level two mental illness or intellectual disability.
F 0732: The facility failed to ensure daily posted nursing staff information was updated timely, affecting all 83 residents.
F 0761: The facility failed to ensure only nursing staff had access to medication storage rooms, allowing maintenance staff with master keys access to emergency medications.
Report Facts
Residents affected: 1
Residents affected: 5
Residents affected: 83
Residents affected: 83
Social Security check amount: 1551
Care cost withdrawal: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager #700 | Verified unauthorized fund management for Resident #53 | |
| Social Worker #500 | Verified concerns regarding PASRR coding inaccuracies | |
| Admissions Director #800 | Verified untimely posted nursing staff information | |
| Maintenance Director #101 | Had master key access to medication storage room and installed additional security | |
| Licensed Practical Nurse #805 | Confirmed location and security of emergency medications | |
| Maintenance Assistant #103 | Had master key access to medication storage room |
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