The most recent inspection on file for Brookdale Salem took place on February 4, 2026. Across the 3 inspections published by the Ohio Department of Health, surveyors cited 7 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 3 inspections listed, the state publishes the surveyor's written findings for 2; for the other 1 it publishes only the date, the type of visit and the number of deficiencies - 1 of which found none.
Facility Details
Inspections
3 on file · 7 deficienciesFebruary 4, 2026Licensure survey6 deficiencies▼
R-0615Fire drill requirements▼
Based on review of fire drill reports and interview, the facility failed to ensure fire drills were conducted as required. This had the potential to affect all 36 residents.
Findings include:
1. There was no evidence of a day shift fire drill being conducted every three months. None were recorded between 07/30/25 and 12/01/25.
On 02/04/26 between 9:15 A.M. and 10 A.M. during review of fire drills with Maintenance Director #65, he verified there were no recorded drills for day shift between 07/30/25 and 12/01/25. Maintenance Director #65 stated he was considering the testing of the fire alarm system on 10/23/25 as a drill. Maintenance Director #65 verified there was no fire drill report or information regarding who participated when the fire alarm was tested to be considered a formal fire drill.
2. There was no evidence of a night shift fire drill being conducted since 06/30/25. There was no evidence of evacuation of residents capable of self-evacuation being evacuated to safe areas during at least two fire drills during the year on night shift.
On 02/04/26 between 9:15 A.M. and 10 A.M., Maintenance Director #65 verified only one night shift fire drill had been conducted and residents who were capable of self-evacuation were not evacuated.
3. Review of a fire drill report dated 07/30/25 at 2:00 P.M. indicated a fire drill was held. However, the fire alarm signal report indicated the alarm was tested on 07/31/25 at 11:16 A.M. and not when the fire drill was conducted.
On 02/04/26 between 9:15 A.M. and 10 A.M., Maintenance Director #65 verified the reports indicated the alarm was activated the day after the drill although the drill was conducted at 2:00 P.M. Maintenance Director #65 stated he may have recorded the wrong date on the fire drill report but could not explain why the alarm would have been activated at 11:16 A.M. and the drill held at 2:00 P.M. No clarification information was provided.
4. Review of a fire drill report with two different dates of 12/01/25 and 11/28/25 recorded revealed a fire drill was conducted at 1:00 P.M. The report revealed the simulated fire was in the beauty salon. All residents were gathered in the dining room.
Observations during the tour had revealed there were no fire/smoke doors between the beauty salon and the dining room.
On 02/04/26 between 9:15 A.M. and 10 A.M., Maintenance Director #65 stated all residents were already in the dining room from lunch and were not evacuated to or from the dining room. Maintenance Director #65 verified there were no fire barriers between the salon and the dining room thus not considered an evacuation to a safe location.
5. Review of fire drill reports for 12/31/25 and 01/27/26 revealed the reports did not indicate if the fire alarm was activated.
On 02/04/26 between 9:15 A.M. and 10 A.M., Maintenance Director #65 verified the reports did not indicate if the alarm was activated. Maintenance Director #65 stated he generally attached the report from the fire alarm company to the drills and the information had not been received.
This violation is a recite to a complaint survey completed 04/29/25 and 07/28/22.
R-0616Disaster drill requirements▼
Based on review of disaster drill reports and interview, the facility failed to conduct a tornado drill between March and July 2025. This had the potential to affect all 36 residents.
Findings include:
Review of a tornado drill report indicated a date of 09/30/25. However, documentation revealed it was not an actual drill but a discussion with three night shift staff on what to do in the event of a tornado.
On 02/04/26 at 9:53 A.M., Maintenance Director #65 verified the tornado drill report dated 09/30/25 was not conducted as a drill but was education of the night shift staff and that it was not between the months of March and July. Maintenance Director #65 stated a drill was done for strong thunderstorms on 05/29/25 for his second disaster drill. Maintenance Director #65 initially stated the fire/evacuation drill report dated 06/30/25 was a tornado drill. However, Maintenance Director #65 verified the 06/30/25 report clearly designated it was a fire drill with a room designated as the area for the simulated fire.
R-0623Annual staff training on fire prevention▼
Based on record review and interview, the facility failed to ensure annual fire prevention training was provided by qualified fire personnel. This had the potential to affect all 36 residents.
Findings include:
Review of annual fire safety training sign in sheets revealed on 03/20/25 and 11/20/25, Maintenance Director #65 provided annual fire safety training.
On 02/04/26 at 10:00 A.M., Maintenance Director #65 verified he provided fire safety prevention training for the staff upon hire and twice annually. The state fire marshall or township, municipal or local legally constituted fire department were not involved in the training as required.
R-0675All pathways repaired, free of obstacles, no snow or ice▼
Based on observation and interview, the facility failed to maintain pathways free of ice. This had the potential to affect all 36 residents who had to leave the facility.
Findings include:
On 02/03/26 at 5:52 P.M., two large patches of ice were noted on the sidewalk leading to the front entrance of the facility. The areas were slick.
On 02/04/26 at 7:32 A.M., the sidewalk leading to the front entrance into the facility continued to have patches of ice.
On 02/04/26 at 7:45 A.M., an unidentified resident was sitting in a chair by the door awaiting transportation to leave the facility. Licensed Practical Nurse (LPN) #70 acknowledged the icy area on the sidewalk and applied salt.
R-0680Maintain building and grounds▼
Based on observation and interview, the facility failed to maintain their gutter system in a manner which would prevent moisture and accident hazards inside the facility. This had the potential to affect all 36 residents.
Findings include:
During the tour of the facility with Executive Director #50 on 02/03/26 at 3:30 P.M., the facility's sunroom was noted to have blankets, which were wet, lying on the floor the width of the sunroom. The outer wall of the sunroom was wet. There was clear liquid leaking from above the window and part of the painted area above the window was hanging down.
On 02/03/26 at 3:30 P.M., Maintenance Director #65 stated the problems with the water leaking into the sunroom was caused due to the gutters freezing. When addressing the risk of the wet floors causing a fall hazard, Maintenance Director #65 indicated he would keep the door locked.
R-0701Establish grievance committee▼
Based on observation and interview, the facility failed to ensure the facility established a grievance committee for review of residents' complaints. This had the potential to affect all 36 residents.
Findings include:
During the entrance conference on 02/03/26 at 3:05 P.M., Executive Director #50, Executive Director #55 and Wellness Director #60 were informed information was needed regarding the facility's grievance committee.
During the tour on 02/03/26 ending at 3:30 P.M., no information regarding the facility's grievance committee was observed posted.
On 02/4/26 at 3:00 P.M., Executive Director #50 verified the facility did not have a formal grievance committee/members. Executive Director #50 stated the facility addressed any concerns through resident council but there was no set resident to staff ratio.
April 29, 2025Licensure survey1 deficiency▼
R-0615Fire drill requirements▼
Based on record review and interview, the facility did not perform fire drills on each shift at least every three months and failed to evacuate residents capable of self-evacuation were evacuated to safe areas or to the exterior of the residential care facility in at least two fire drills a year on each shift. This had the potential to affect all 37 Residents.
Findings Include:
Review of the fire drills revealed ten fire drills were completed on day shift (7:00 A.M to 3:00 P.M), including the months of April, June, July, August, September, October, November, December of 2024 and February and March of 2025. Two fire drills were completed on afternoon shift (3:00 P.M. to 11:00 P.M.) for May 2024 and January 2025. There was no documented evidence fire drills were completed on night shift (11:00 P.M. to 7:00 A.M.) for the past 12 months. Fire drills from April, May, June, July, August, September, October, November, December 2024 and January, February, and March 2025 did not have documented evidence that residents capable of self-evacuation were evacuated on at least two fire drills a year per shift.
Interview with Maintenance Director #1 on 04/29/25 at 11:00 A.M. confirmed no fire drills were completed for the night shift in the past 12 months. The Maintenance Director also confirmed that he had not been evacuating residents capable of self-evacuation for any drills in the past 12 months.
This violation is a recite to the annual survey completed 07/28/22 originally cited at R0614.
January 4, 2023Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼
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 | 94.6 | |
| Caregivers | 88.3 | |
| Environment | 94.3 | |
| Facility culture | 85.5 | |
| Meals and dining | 79.3 | |
| Moving in | 78.3 | |
| Spending time | 73.3 |