The most recent inspection on file for Ontario Estates Senior Living took place on February 19, 2026. Across the 15 inspections published by the Ohio Department of Health, surveyors cited 8 deficiencies.
A deficiency is a rule the surveyor found the facility was not meeting. Ohio inspects against two rule books at once, so most findings carry a federal code and an Ohio code for the same problem; each is counted once here, the way the state counts it. Correction dates are the state's confirmation that the issue was fixed.
This report reproduces what Ohio publishes and nothing else. Of the 15 inspections listed, the state publishes the surveyor's written findings for 4; for the other 11 it publishes only the date, the type of visit and the number of deficiencies - 11 of which found none.
Facility Details
Inspections
15 on file · 8 deficienciesFebruary 19, 2026Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼
November 10, 2025Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼
September 3, 2025Complaint survey1 deficiency▼
R-0127Types of allowed personal care services training▼
Based on staff interviews, resident record review, and review of employee job description, the facility failed to ensure staff was properly trained on how to obtain Finger Stick Blood Sugars (FSBS). This had the potential to affect six residents (#6, #10, #31, #42, #45,and #46) reviewed for FSBS. The facility census was 62.
Findings include:
1. Review of the medical record for Resident #46 revealed an admission date of 01/31/20. Diagnoses included diabetes. Further review of the medical record revealed Resident #46 required Blood Sugar (BS) checks.
2. Review of the medical record for Resident #6 revealed an admission date of 01/15/25. Diagnoses included diabetes. Further review of the medical record revealed Resident #6 required BS checks.
3. Review of the medical record for Resident #42 revealed an admission date on 04/07/15. Diagnoses included diabetes. Further review of the medical record revealed Resident #42 required BS checks.
4. Review of the medical record for Resident #45 revealed an admission date of 07/27/24. Diagnoses included diabetes. Further review of the medical record revealed Resident #45 required BS checks.
5. Review of the medical record for Resident #10 revealed an admission date on 10/25/24. Diagnoses included diabetes. Further review of the medical record revealed Resident #10 required BS checks.
6. Review of the medical record for Resident #31 revealed an admission date on 03/10/16. Diagnoses included diabetes. Further review of the medical record revealed Resident #31 required BS checks.
Interview on 08/28/25 at 8:25 A.M. with Resident Assistant (RA) #140 revealed the RAs were obtaining FSBS and reporting the results to the nurse. RA #140 stated she was not trained by a nurse, and was trained by an RA to obtain the FSBS. RA #140 stated there was no check off or observation from a nurse for obtaining a FSBS.
Interview on 08/28/25 at 8:43 A.M. with RA #100 revealed the RAs obtain FSBS at times to help the nurses. RA #100 stated there was no training on how to obtain a FSBS, and an RA was the one who demonstrated how to obtain a FSBS.
Interview on 08/28/25 at 9:09 A.M. with the Director of Nursing (DON) revealed the RAs obtain FSBS. The DON stated RAs train each other on how to obtain a FSBS and then report back to the nurse. The DON further confirmed that nurses should be the ones training RAs on how to obtain FSBS.
Interview on 08/28/25 at 10:06 A.M. with RA #160 revealed the RAs obtain FSBS at times and write the number down on paper and give it to the nurse. RA #160 stated there was no training on how to obtain a FSBS and that RAs train each other on how to obtain a FSBS, and the nurses do not train the RAs on any tasks.
Interview on 08/28/25 at 12:09 P.M. with the Administrator revealed the RAs train each other on how to obtain a FSBS. The Administrator stated the facility should not use RAs to obtain FSBS without proper training. The Administrator verified there was no official training given to RAs on how to obtain FSBS. The Administrator also verified the RA job description did not include RAs obtaining FSBS.
Interview on 08/28/25 at 2:30 P.M. with Resident #10 revealed RAs obtain FSBS.
Review of the RA job description revealed there were no specific job duties related to obtaining a FSBS or completing any training regarding FSBS.
Review of the personnel file for RA #100 revealed no formal training on how to obtain FSBS.
Review of the personnel file for RA #160 revealed no formal training on how to obtain FSBS.
Review of the personnel file for RA #140 revealed no formal training on how to obtain FSBS.
The facility did not have official education provided to RAs on how to obtain FSBS.
This violation represents non-compliance investigated under Complaint Number OH00168067.
July 15, 2025Licensure survey2 deficiencies▼
R-0561Menu Planning; record keeping▼
Based on observation and staff interview, the facility failed to maintain a written record of all menu substitutions. This had the potential to affect all 60 residents.
Findings include:
Observation on 07/15/25 at 11:50 A.M. of the dining room entrance revealed a whiteboard near the entrance to the dining room entrance that had the meal substitutions listed for the meal being prepared.
During an interview with the Dietary Manager #96 at the time of the observation it was revealed the facility does not retain written records of the menu substitutions for the meals served. Dietary Manager #96 stated substitutions are written daily on a whiteboard near the dining room entrance and are not saved after the meal is served. The Dietary manager confirmed no other written record of prior substitutions was available for review.
R-0627Smoking requirements, including electronic smoking device, and vapor products▼
Based on observation, staff interview, and review of the facility's employee smoking policy, the facility failed to ensure staff smoked only in the designated area and failed to maintain the facility grounds free of improperly discarded smoking materials. This deficient practice had the potential to affect all 60 residents. The facility census was 60.
Findings include:
Observation on 07/09/25 at 9:32 A.M., a plastic water bottle filled with cigarette butts was observed on the ledge of the building outside the employee entrance near the kitchen. The area was not equipped with any signage or ashtray indicating it was a designated smoking area.
During an interview conducted at that time, Dietary Staff #83 stated not being a smoker and confirmed the area near the kitchen employee entrance was not the designated smoking area for staff, but the staff do smoke in that area.
Review of the facility's employee smoking policy (undated) revealed staff are required to smoke only in the designated smoking area and to dispose of cigarette waste in proper receptacles provided in that area.
June 26, 2025Complaint survey1 deficiency▼
R-0103Sufficient additional staff▼
Based on medical record review, review of a call light tracking log, observations and resident and staff interviews, the facility failed to ensure sufficient staff to timely meet the needs of residents. This affected two (#27 and #32) out of three residents reviewed for staffing. Facility census was 62.
Findings include:
1. Review of the medical record revealed Resident #32 was admitted to the facility on 07/31/23. Diagnoses included multiple sclerosis, hypertension, neuropathy, cellular atrophy, hypercholesterolemia, general anxiety, hypertension, allergic rhinitis, hypothyroidism, panic disorder, panic disorder, hypercholesterolemia pure, cerebral degeneration, glaucoma, tobacco dependence syndrome, and depression.
Review of the evaluation dated 02/07/25 revealed Resident #32 was able to effectively communicate their needs verbally. Resident #32 also required assistance with incontinence care/toileting.
Review of the active service plan dated 06/23/25 revealed Resident #32 required two staff for positioning and toileting.
Interview on 06/25/25 at approximately 4:05 P.M. revealed Resident #32 reported her bottom hurt because she was on a bedpan and had been since approximately 2:50 P.M. Resident #32 reported the facility was understaffed and when she pressed her call light, staff were not often able to assist her in a timely manner.
Observation on 06/25/25 from 4:09 P.M. through 4:44 P.M. revealed Resident #32 activated her call button at 4:09 P.M. for assistance with getting off of the bedpan. At 4:35 P.M., Resident #32 could be heard yelling ow from her room. Resident Assistant (RA) #283 entered Resident #32's room to assist the resident at approximately 4:43 P.M.
An interview on 06/25/25 at 5:21 P.M. with RA #283 verified Resident #32's call light had been alarming for quite awhile. RA #283 reported there were multiple resident call lights alarming at once and RA #283 had been responding to them in the order they occurred. RA #283 reported they had been in other resident rooms assisting residents and were not able to get to the resident any sooner. RA #283 verified when call lights were activated, all staff working the floor were alerted and aware.
2. Review of the medical record revealed Resident #27 was admitted to the facility on 05/15/24. Diagnoses included chronic kidney disease, chronic hypoxic respiratory failure, hypertension transurethral resection of the prostate, tonsillectomy, and hernia repair.
Review of the evaluation dated 05/15/25 revealed Resident #27 was able to effectively communicate their needs verbally. Resident #27 also had a catheter and required staff assistance for emptying the catheter bag.
Review of the active service plan dated 06/12/25 revealed Resident #27 had a catheter bag which was to be emptied three times per day, seven days per week.
Review of the call light tracking log for 06/25/25 revealed Resident # 27's call light had been activated for approximately 36 minutes before staff responded.
Observation and interview on 06/25/25 at 4:26 P.M. with Resident #27 revealed the resident was sitting in the hallway outside of his room. Resident #27 reported they activated his call button at 4:15 P.M. and had been waiting for help. Resident #27 reported his urinary catheter bag was extremely full and needed emptied. Resident #27 pointed at his catheter bag which was seen bulging through the bottom of his pantleg. Resident #27 reported they often waited a long period of time for staff to respond when activating their call button. Continued observation of Resident #27 revealed staff arrived to assist Resident #27 at approximately 4:51 P.M.
Interview on 06/25/25 at 4:58 P.M. with RA #282 revealed when a resident activated their call button, all RA's working the floor were alerted via pager. RA #282 reported pagers then alarmed every 10 to 15 minutes to remind them a resident was waiting for assistance.
Interview on 06/26/25 at 9:37 A.M. with RA #482 revealed there were not enough staff to meet the needs of residents in a timely manner. RA #482 reported residents had to wait frequently for a prolonged period of time for staff assistance.
Interview on 06/26/25 at 10:05 A.M. with RA #328 revealed there were not enough staff to meet resident needs in a timely manner. RA #328 reported residents often had to wait a prolonged period of time for staff assistance.
Interview on 06/26/25 at 2:54 P.M. with Licensed Practical Nurse (LPN) #389 revealed some days there were enough staff to meet resident needs in a timely manner, and some days there were not enough staff.
Interview on 06/26/25 at 11:12 A.M. with the Director of Nursing verified Resident #27's call light was not answered in a timely manner.
This violation represents non-compliance investigated under Complaint Number OH00162580 and Complaint Number OH00162225.
Resident Satisfaction
2025-2026 surveyOhio interviews residents directly and publishes the results by area. Scores run from 0 to 100.
| Area | This facility | |
|---|---|---|
| Care and services | 95.8 | |
| Caregivers | 85.4 | |
| Environment | 95.3 | |
| Facility culture | 87.8 | |
| Meals and dining | 89.7 | |
| Moving in | 87.0 | |
| Spending time | 78.8 |