10
Inspections on file
7
Deficiencies cited
5
Visits with none
0
Substandard care
0
Immediate jeopardy

The most recent inspection on file for Cottages of Clayton, Inc The took place on February 27, 2026. Across the 10 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 10 inspections listed, the state publishes the surveyor's written findings for 5; for the other 5 it publishes only the date, the type of visit and the number of deficiencies - 5 of which found none.

Facility Details

Ohio license number
#2490R
County
Montgomery
Administrator
Amanda Treadway
Director of nursing
Sydney Weaver
Phone
(937) 280-0300
Ownership
For Profit - Corporation

Inspections

10 on file · 7 deficiencies
February 27, 2026Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies
No deficiencies cited
Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.
November 4, 2025Licensure survey3 deficiencies
R-0392Establish/implement written infection control P/P; infection prevention and control program and designee requirementsOhio citation
What the surveyor found

Based on observation, staff interview, and review of the facility policy, the facility failed to maintain proper infection control protocols during medication administration. This affected one (Resident #80) of three residents observed for medication administration. The facility census was 87 residents.

Findings include:

Observation of medication administration to Resident #80 on 11/04/25 at 8:39 A.M. per Licensed Practical Nurse (LPN) #217 revealed the nurse touched the resident's medications (Eliquis, spironolactone, senna, atorvastatin, Farxiga) with her bare hands while placing them in the medicine cup for administration to the resident.

Interview on 11/04/25 at 8:44 A.M. with LPN #217 confirmed she touched Resident #80's medications with her bare hands while preparing medication for administration to Resident #80.

Interview on 11/04/25 at 3:14 P.M. with Clinical Operations Officer (COO) #247 confirmed she had been doing medication audits and education with nursing staff, and staff knew not to touch medication with bare hands.

Review of the facility policy titled Administering Medications dated December 2012 revealed staff should follow established facility infection control procedures (e.g. handwashing, antiseptic technique, gloves, isolation precautions, etc.) for the administration of medications, as applicable.

Rule
Ohio Administrative Code - residential care rules
R-0615Fire drill requirementsOhio citation
What the surveyor found

Based on record review, staff interview, and review of the facility policy, the facility failed to complete resident evacuations during fire drills at least two times a year on each shift. This had the potential to affect all of the residents residing in the facility. The facility census was 87 residents.

Findings include:

Review of the facility fire drills dated 10/01/24 to 10/31/25 revealed the facility had one fire drill on 07/29/25 in which resident evacuation occurred.

Interview on 11/04/25 at 8:03 A.M. with Plant Operations Director (POD) #238 confirmed the facility conducted only one fire drill with a resident evacuation for 10/01/24 to 10/31/25.

Review of the facility policy titled Fire Drills dated 10/01/19 revealed fire drills would include evacuation procedures and methods used to remove residents from the danger area.

Rule
Ohio Administrative Code - residential care rules
R-0625Monthly fire inspectionsOhio citation
What the surveyor found

Based on record review and staff interview, the facility failed to complete monthly fire safety self-inspection as required. This had the potential to affect all of the residents residing in the facility. The facility census was 87 residents.

Findings include:

Review of the facility fire safety documents revealed there were no monthly fire safety self-inspections completed from October 2024 to October 2025.

Interview on 11/04/25 at 8:05 A.M. with Plant Operations Director (PDO) #238 confirmed the facility had not completed the required fire safety self-inspections each month from October 2024 to October 2025.

Rule
Ohio Administrative Code - residential care rules
September 11, 2025Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies
No deficiencies cited
Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.
August 26, 2025Complaint survey1 deficiency
R-0390Significant change in resident statusOhio citation · correction confirmed 10/08/2025
What the surveyor found

Based on staff interviews and medical record review, the facility failed to ensure pertinent resident information was provided during a physician appointment for a resident experiencing a change of mental status due to a urinary tract infection (UTI). This affected one (Resident #26) out of three residents reviewed for accommodations for outside appointments arranged by the facility. The facility census was #84.

Findings include:

Review of the medical record for Resident #26 revealed the resident was admitted to the facility on 02/09/25. Diagnoses included epidural hemorrhage without loss of consciousness, other herpesviral infection, major depressive disorder, malignant neoplasm of prostate, anxiety disorder, unspecified retention of urine, cerebellar stroke syndrome, and ataxia following cerebral infarction amongst other diagnoses. Further review of the medical record for Resident #26 revealed on 02/10/25 the resident was assessed as cognitively intact.

Further review of progress notes dated 08/12/25 and 08/13/25 revealed a urine sample had been collected from Resident #26 due to unusual behavior such as talking to the wall on the dates the progress notes were written.

Review of a progress note dated 08/20/25 revealed the urine sample had tested positive for a bacterial infection. Resident #26 received medication orders for treatment of a UTI on 08/20/25.

Interview on 08/26/25 at approximately 2:55 P.M. with the Director of Nursing (DON) revealed residents are usually given information packets about one week in advance of an outside appointment to take with them to their appointments and supply pertinent medical information to the outside providers. The DON revealed Resident #26 might have forgotten to bring their information packet with them to the outside appointment on 08/20/25 related to possible altered mental status in the setting of a UTI. The DON added the facility was aware the resident had a UTI with possibly related mental status changes at the time of the appointment. The DON stated it would have been best to supply Resident #26 with their information packet on the day of the outside appointment instead of a week in advance due to the change in the resident's status.

Interview on 08/26/25 at approximately 3:23 P.M. via phone call with Bus Driver #146 revealed he drove Resident #26 to his outside appointment on 08/20/25. Bus Driver #146 stated the resident did not have any information packet or medical information such as a face sheet or list of medications with him for the appointment. Residents normally have this information with them when they go to appointments. Bus Driver #146 stated he did go into the facility for the appointment with Resident #26 but was told by staff at the facility he should wait in the waiting area while Resident #26 was taken to an exam room for his appointment.

The facility was unable to provide any record indicating Resident #26 was supplied with an information packet to take to an outside appointment that occurred on or around 08/20/25.

This violation represents non-compliance investigated under Complaint Number OH00168009.

Rule
Ohio Administrative Code - residential care rules
July 17, 2025Complaint survey1 deficiency
R-0339Administered meds - given only to and as prescribedOhio citation · correction confirmed 11/04/2025
What the surveyor found

Based on medical record review, review of the Medication Error Report, review of the Incident/Accident log, staff interview and policy review, the facility failed to administer medication to the correct resident. This affected one (#57) out of three residents reviewed medication administration. The facility census was 85.

Findings include:

Review of the medical record for Resident #57 revealed an admission date of 08/09/24 with diagnoses of major depressive disorder, malignant neoplasm of bladder, and multiple sclerosis.

Review of the care plan dated 01/14/22 revealed Resident #57 was dependent on staff for all medication administration with intervention of nurse or med tech to administer medications per orders.

Review of the physician orders revealed Resident #57 had an order for the following medications every morning: Atorvastatin Calcium tablet 80 milligram (mg)1 tablet, Clopidogrel Bisulfate tablet 75 mg 1 tablet, Aspirin enteric-coated (EC) 81 mg 1 tablet, Abilify 5 mg 1 tablet, Flonase Allergy Relief Nasal Suspension 50 micrograms (mcg)/act 2 sprays in both nostrils, Lantus 100 units/milliliter (ml) give 30 units, hold if finger stick blood sugar (FSBS) less than 100, Meloxicam 7.5 mg 1 tablet, Miralax Packet 17 grams (gm) daily, Trulicity 0.75 mg-give 0.5 ml subcutaneously, Vitamin D3 20 mcg 1 tablet, Depakote delayed release 500 mg give 1 tablet, Dicyclomine HCl 10 mg 1 capsule, Gabapentin 300 mg give 1 capsule, Carvedilol 12.5 mg 1 tablet, Tramadol HCl 50 mg 1 tablet, and Refresh Tears ophthalmic solution instill 1 drop in left eye.

Review of the Medication Error report dated 05/20/25 at 8:00 A.M. revealed Resident #57 was administered Resident #55's medication in error which included: Aspirin EC delayed release 81 mg 1 tablet, Eliquis 5 mg 1 tablet, Folic Acid 1 mg 1 tablet, Depakote Delayed Release 250 mg 1 tablet, Metoprolol Tartrate 25 mg 0.5 tablet, Ibuprofen 400 mg 1 tablet, Allopurinol 100 mg 1 tablet, Norvasc 10 mg 1 tablet, Vitamin D3 10 mcg 1 tablet, Artificial Tears Ophthalmic Solution 1 drop in each eye, Sertraline HCL 100 mg 1 tablet, Ibuprofen 400 mg,

Depakote delayed release 250 mg 1 tablet, and Eliquis 5 mg 1 tablet.

Review of the Incident/Accident Log dated 01/06/25 through 07/15/25 revealed one medication error dated 05/20/25 at 8:00 A.M. for Resident #57 who was given the wrong medication in the morning.

Interview on 05/17/25 at 12:52 P.M. with LPN #335 confirmed she gave Resident #57 medications that belonged to Resident #55 by accident on 05/20/25. Interview with LPN #335 confirmed the medications administered in error to Resident #57 included a blood thinner, a anticonvulsant, a beta-blocker, and a calcium channel blocker.

Review of the Medications & Treatments - Assistance: Routine Medications policy, undated revealed all licensed staff will wash their hands, verify resident's name, medication to be administered, on the right date, right time, right route, and right dose prior to administering the medications.

This violation represents non-compliance investigated under Complaint Number OH00166727.

Rule
Ohio Administrative Code - residential care rules
June 10, 2025Complaint survey1 deficiency
R-0390Significant change in resident statusOhio citation · correction confirmed 10/08/2025
What the surveyor found

Based on closed medical record review, staff interviews, Nurse Practitioner (NP) interview, review of the emergency medical services (EMS) report, review of a death certificate, review of the facility investigation, review of the facility's policy for cardiopulmonary resuscitation (CPR) [an emergency life-saving procedure performed when someone's breathing or heartbeat has stopped] and review of the American Heart Association Journal, the facility failed to timely implement life-saving measures for one resident (Resident #90) found outside, unresponsive, without a pulse or respirations, and was identified as a Full Code Status (medical term that indicates a patient/resident's wish to receive all possible life-saving measures in the event of a cardiac or respiratory arrest). This resulted in Real and Present Danger and serious life-threatening harm and ultimate death, when Resident #90 did not receive CPR by staff after he was discovered facedown, outside the facility, unresponsive, with no pulse or respirations on 02/05/25 at 9:49 P.M. and EMS was contacted. This affected one (#90) of one resident who expired unexpectedly at the facility with a Full Code Status. The facility identified a total of 50 residents with a Full Code Status. The facility census was 88. On 05/28/25 at 12:03 P.M., the Chief Executive Officer/Executive Director (CEO/ED), Clinical Operations Officer (COO) #30, and Corporate Nurse (CN) #80 were notified Real and Present Danger began on 02/05/25 at approximately 9:49 P.M., when Resident #90, who was a Full Code resuscitation status, was outside the facility, found face down and unresponsive by Hospitality Aide (HA) #10. HA #10 notified Licensed Practical Nurse (LPN) #20 of Resident #90 being found outside and unresponsive. LPN #20 did not initiate CPR upon discovering Resident #90 had no respirations or pulse and called nine-one-one (911). When EMS arrived, CPR was initiated for Resident #90, and the resident was transported to the local hospital where he subsequently expired in the Emergency Room (ER). The Real and Present Danger was abated on 05/29/25, when the facility implemented the following corrective actions: On 02/05/25, LPN #20 was notified by HA #10 that Resident #90 was lying in the outside doorway. LPN #20 responded and attempted to arouse the resident. When LPN #20 found him to be unresponsive, she dialed 911. LPN #20 stated the resident was lying face down and she was unable to move him to his back for CPR. EMS arrived, assessed Resident #90 and began CPR. LPN #20 failed to initiate CPR in accordance with the Resident #90's full code status. Resident #90 is now deceased. On 02/05/25, NP #100 was notified of the event by COO #30. On 02/06/25, notification was made to Area on Aging Representative #70 by the CEO/ED. On 02/06/25, the CEO/ED and COO #30 conducted interviews with LPN #20 and HA #10 who discovered Resident #90 unresponsive. On 05/27/25 to 05/28/25, COO #30 audited all residents' Code Status to validate those residents with advance directives in place, and matching the advance directive orders in the medical record. There were no identified concerns. On 05/28/25, LPN #20 who failed to initiate CPR, was provided with a Performance Correction by COO #30. On 05/28/25, COO #30 audited former resident stays that ended in death from 01/01/25 to present, to identify others who may have requested full code status but were not provided CPR. None were identified. On 05/28/25, the CPR policy was revised to clearly state that any resident who is found unresponsive, will be assessed, and if found to be without a pulse, and if the resident does not have a Do Not Resuscitate order, CPR will be initiated. The policy was revised by the CEO/ED and CN #80. On 05/28/25, education was initiated with the direct care staff and will be provided to oncoming staff, prior to working their next shift, regarding unresponsive residents with Full Code Status and the need to initiate CPR. This education was provided by the CEO/ED, COO #30, Assistant Clinical Operations Officer (ACOO) #31, and CN #80. No employee will be permitted to work without receiving this education. Post-tests were administered following the education regarding the process for finding an unresponsive resident to validate comprehension of the education with all clinical staff by CEO/ED, COO #30, ACOO #31, and CN #80. Re-education regarding the process for finding an unresponsive resident, followed by a comprehensive post-test, will be completed in one month, six months and with the annual training thereafter. On 05/28/25, the CEO/ED added new education regarding the process for finding an unresponsive resident to the orientation materials for the facility staff including a post-test to be administered by the CEO/ED, COO #30, ACOO #31, or Human Resource Director (HRD) #90 upon hire, and prior to the employee performing direct resident care. On 05/28/25, a Quality Assurance (QA) meeting was held with the Interdisciplinary Team (IDT) to review the abatement plan. Additionally, QA meetings will be held weekly for four weeks to monitor compliance and effectiveness of the plan. The IDT includes the following: CEO/ED, COO #30, ACOO #31, Plant Director (PD) #125, Activity Director (AD) #40, Business Office Manager (BOM) #115, HRD #90, and Dietary Manager (DM) #120. Beginning on 05/28/25, to monitor ongoing compliance, the CEO/ED and/or COO #30 will audit admissions and readmissions daily Monday through Friday to ensure proper code status is recorded in the medical records with the appropriate validation for four weeks then monthly for three months, then ongoing as needed. All findings will be reviewed in QA meetings presented by CEO/ED. Beginning on 05/28/25, to monitor ongoing compliance, the CEO/ED and/or COO #30 will audit in-house resident deaths or discharges to ensure resident deaths were not a direct result of non- compliance with the CPR policy. This audit will be performed daily Monday through Friday for four weeks, then monthly for three months, then ongoing as needed. All findings will be reviewed in QA meetings presented by the CEO/ED. Although the Real and Present Danger was abated on 05/29/25, the facility remained out of compliance, as the facility is still in the process of implementing their corrective action plan and monitoring to ensure ongoing compliance. Findings include: Review of the closed medical record for Resident # 90 revealed an admission date of 08/31/21 and discharged on 02/05/25. Diagnoses included Type II Diabetes Mellitus (DM II), chronic obstructive pulmonary disease (COPD), and major depressive disorder. Review of the physician order dated 08/31/21, revealed Resident #90 was a full code. Review of the Service Plan dated 09/13/21, revealed Resident #90 chose to be a full code status. Interventions included CPR would be initiated in the event of cardiac arrest. Review of the EMS report dated 02/05/25, revealed 911 was called at 9:49 P.M. and EMS arrived at the facility at 9:58 P.M. Staff relayed that Resident #90 went outside to smoke and was found ten minutes later face down and unresponsive. Resident #90 was covered with a sheet by staff, and EMS moved the resident into the dining room and initiated CPR. Resident #90 had an abrasion to the left forehead/eye area, and his skin was cold, dry, and pale. The Lucas Device (a mechanical chest compression system designed to deliver consistent and continuous chest compressions during cardiac arrest) was put into place, and the resident was intubated (a process where a breathing tube is inserted through a person's mouth or nose, then down into their trachea [airway]. Resident #90 remained in asystole (a medical term referring to the absence of electrical activity and mechanical contractions in the heart) and was transferred to the hospital. Review of the Facility Incident Report dated 02/05/25 at 11:00 P.M., revealed HA #10 exited out the back of the cottage and found Resident #90 face down on the ground. HA #10 notified LPN #20. Resident #90 was found unresponsive to verbal stimuli with no pulse. Nine-one-one (911) was called to initiate CPR and further evaluation. The CEO/ED and NP #100 were notified of the incident. Review of the Death Certificate revealed Resident #90 was pronounced dead on 02/05/25 at 11:04 P.M. related to acute cardiopulmonary arrest. Review of a progress note dated 02/05/25 at 11:43 P.M., authored by LPN #20, revealed Resident #90 was on the ground out back. Resident #90 was found face down, unresponsive and EMS was notified. EMS arrived and transported Resident #90 to the hospital. Review of a progress note dated 02/06/25 at 10:44 A.M., authored by COO #30, revealed a follow-up call was completed with the Fire Department in regard to the status of Resident #90. CPR was performed on Resident #90 during the transfer to the hospital and the hospital staff took over care but were unsuccessful. Resident #90 passed away at the hospital. Review of a progress note dated 02/06/25 at 3:26 P.M., authored by COO #30, revealed Resident #90 complained of shortness of breath (SOB) prior to the incident. HA #10 advised Resident #90 to wait in his room until LPN #20 could assess him. Resident #90 did not listen and went outside to smoke. Resident #90 was found outside face down, not breathing, without a pulse and EMS was notified. EMS arrived and initiated CPR then transferred Resident #90 to the hospital. Interview on 05/27/25 at 10:29 A.M. with LPN #20, revealed she was notified Resident #90 was having SOB by HA #10. LPN #20 reported another resident told her Resident #90 was outside faced down. LPN #20 stated the resident had a t-shirt and pants on with no jacket. LPN #20 immediately called 911. LPN #20 stated he was unresponsive, but he was a larger man and weighed 300 pounds, and she didn't attempt to move him. LPN #20 voiced she did not initiate CPR, assess his vital signs or complete an assessment. LPN #20 reported EMS arrived and initiated CPR. Interview on 05/27/25 at 11:58 A.M. with HA #10, revealed Resident #90 reported he was SOB, and she advised him to wait on the nurse and not go outside. HA #10 explained when she was passing out water, she saw Resident #90 heading towards the back door. HA #10 stated she gave another resident water and saw Resident #90 on the ground in the doorway. HA #10 yelled for the nurse, who responded and then HA #10 continued helping other residents. Interview on 05/28/25 at 2:49 P.M. with NP #100, revealed she was notified of the incident that occurred on 02/05/25 with Resident #90. NP #100 was also made aware on 05/28/25 of the Real and Present Danger. Review of the personnel file for LPN #20, revealed on 05/28/25, LPN #20 received a written reprimand for neglecting to provide Resident #20 with CPR measures. LPN #20 had an active CPR certification. Review of the undated facility policy titled, Cardiopulmonary Resuscitation (CPR)Based on closed medical record review, staff interviews, Nurse Practitioner (NP) interview, review of the emergency medical services (EMS) report, review of a death certificate, review of the facility investigation, review of the facility's policy for cardiopulmonary resuscitation (CPR) [an emergency life-saving procedure performed when someone's breathing or heartbeat has stopped] and review of the American Heart Association Journal, the facility failed to timely implement life-saving measures for one resident (Resident #90) found outside, unresponsive, without a pulse or respirations, and was identified as a Full Code Status (medical term that indicates a patient/resident's wish to receive all possible life-saving measures in the event of a cardiac or respiratory arrest). This resulted in Real and Present Danger and serious life-threatening harm and ultimate death, when Resident #90 did not receive CPR by staff after he was discovered facedown, outside the facility, unresponsive, with no pulse or respirations on 02/05/25 at 9:49 P.M. and EMS was contacted. This affected one (#90) of one resident who expired unexpectedly at the facility with a Full Code Status. The facility identified a total of 50 residents with a Full Code Status. The facility census was 88.

On 05/28/25 at 12:03 P.M., the Chief Executive Officer/Executive Director (CEO/ED), Clinical Operations Officer (COO) #30, and Corporate Nurse (CN) #80 were notified Real and Present Danger began on 02/05/25 at approximately 9:49 P.M., when Resident #90, who was a Full Code resuscitation status, was outside the facility, found face down and unresponsive by Hospitality Aide (HA) #10. HA #10 notified Licensed Practical Nurse (LPN) #20 of Resident #90 being found outside and unresponsive. LPN #20 did not initiate CPR upon discovering Resident #90 had no respirations or pulse and called nine-one-one (911). When EMS arrived, CPR was initiated for Resident #90, and the resident was transported to the local hospital where he subsequently expired in the Emergency Room (ER).

The Real and Present Danger was abated on 05/29/25, when the facility implemented the following corrective actions:

On 02/05/25, LPN #20 was notified by HA #10 that Resident #90 was lying in the outside doorway. LPN #20 responded and attempted to arouse the resident. When LPN #20 found him to be unresponsive, she dialed 911. LPN #20 stated the resident was lying face down and she was unable to move him to his back for CPR. EMS arrived, assessed Resident #90 and began CPR. LPN #20 failed to initiate CPR in accordance with the Resident #90's full code status. Resident #90 is now deceased.

On 02/05/25, NP #100 was notified of the event by COO #30.

On 02/06/25, notification was made to Area on Aging Representative #70 by the CEO/ED.

On 02/06/25, the CEO/ED and COO #30 conducted interviews with LPN #20 and HA #10 who discovered Resident #90 unresponsive.

On 05/27/25 to 05/28/25, COO #30 audited all residents' Code Status to validate those residents with advance directives in place, and matching the advance directive orders in the medical record. There were no identified concerns.

On 05/28/25, LPN #20 who failed to initiate CPR, was provided with a Performance Correction by COO #30.

On 05/28/25, COO #30 audited former resident stays that ended in death from 01/01/25 to present, to identify others who may have requested full code status but were not provided CPR. None were identified.

On 05/28/25, the CPR policy was revised to clearly state that any resident who is found unresponsive, will be assessed, and if found to be without a pulse, and if the resident does not have a Do Not Resuscitate order, CPR will be initiated. The policy was revised by the CEO/ED and CN #80.

On 05/28/25, education was initiated with the direct care staff and will be provided to oncoming staff, prior to working their next shift, regarding unresponsive residents with Full Code Status and the need to initiate CPR. This education was provided by the CEO/ED, COO #30, Assistant Clinical Operations Officer (ACOO) #31, and CN #80. No employee will be permitted to work without receiving this education. Post-tests were administered following the education regarding the process for finding an unresponsive resident to validate comprehension of the education with all clinical staff by CEO/ED, COO #30, ACOO #31, and CN #80. Re-education regarding the process for finding an unresponsive resident, followed by a comprehensive post-test, will be completed in one month, six months and with the annual training thereafter.

On 05/28/25, the CEO/ED added new education regarding the process for finding an unresponsive resident to the orientation materials for the facility staff including a post-test to be administered by the CEO/ED, COO #30, ACOO #31, or Human Resource Director (HRD) #90 upon hire, and prior to the employee performing direct resident care.

On 05/28/25, a Quality Assurance (QA) meeting was held with the Interdisciplinary Team (IDT) to review the abatement plan. Additionally, QA meetings will be held weekly for four weeks to monitor compliance and effectiveness of the plan. The IDT includes the following: CEO/ED, COO #30, ACOO #31, Plant Director (PD) #125, Activity Director (AD) #40, Business Office Manager (BOM) #115, HRD #90, and Dietary Manager (DM) #120.

Beginning on 05/28/25, to monitor ongoing compliance, the CEO/ED and/or COO #30 will audit admissions and readmissions daily Monday through Friday to ensure proper code status is recorded in the medical records with the appropriate validation for four weeks then monthly for three months, then ongoing as needed. All findings will be reviewed in QA meetings presented by CEO/ED.

Beginning on 05/28/25, to monitor ongoing compliance, the CEO/ED and/or COO #30 will audit in-house resident deaths or discharges to ensure resident deaths were not a direct result of non- compliance with the CPR policy. This audit will be performed daily Monday through Friday for four weeks, then monthly for three months, then ongoing as needed. All findings will be reviewed in QA meetings presented by the CEO/ED.

Although the Real and Present Danger was abated on 05/29/25, the facility remained out of compliance, as the facility is still in the process of implementing their corrective action plan and monitoring to ensure ongoing compliance.

Findings include:

Review of the closed medical record for Resident # 90 revealed an admission date of 08/31/21 and discharged on 02/05/25. Diagnoses included Type II Diabetes Mellitus (DM II), chronic obstructive pulmonary disease (COPD), and major depressive disorder.

Review of the physician order dated 08/31/21, revealed Resident #90 was a full code.

Review of the Service Plan dated 09/13/21, revealed Resident #90 chose to be a full code status. Interventions included CPR would be initiated in the event of cardiac arrest.

Review of the EMS report dated 02/05/25, revealed 911 was called at 9:49 P.M. and EMS arrived at the facility at 9:58 P.M. Staff relayed that Resident #90 went outside to smoke and was found ten minutes later face down and unresponsive. Resident #90 was covered with a sheet by staff, and EMS moved the resident into the dining room and initiated CPR. Resident #90 had an abrasion to the left forehead/eye area, and his skin was cold, dry, and pale. The Lucas Device (a mechanical chest compression system designed to deliver consistent and continuous chest compressions during cardiac arrest) was put into place, and the resident was intubated (a process where a breathing tube is inserted through a person's mouth or nose, then down into their trachea [airway]. Resident #90 remained in asystole (a medical term referring to the absence of electrical activity and mechanical contractions in the heart) and was transferred to the hospital.

Review of the Facility Incident Report dated 02/05/25 at 11:00 P.M., revealed HA #10 exited out the back of the cottage and found Resident #90 face down on the ground. HA #10 notified LPN #20. Resident #90 was found unresponsive to verbal stimuli with no pulse. Nine-one-one (911) was called to initiate CPR and further evaluation. The CEO/ED and NP #100 were notified of the incident.

Review of the Death Certificate revealed Resident #90 was pronounced dead on 02/05/25 at 11:04 P.M. related to acute cardiopulmonary arrest.

Review of a progress note dated 02/05/25 at 11:43 P.M., authored by LPN #20, revealed Resident #90 was on the ground out back. Resident #90 was found face down, unresponsive and EMS was notified. EMS arrived and transported Resident #90 to the hospital.

Review of a progress note dated 02/06/25 at 10:44 A.M., authored by COO #30, revealed a follow-up call was completed with the Fire Department in regard to the status of Resident #90. CPR was performed on Resident #90 during the transfer to the hospital and the hospital staff took over care but were unsuccessful. Resident #90 passed away at the hospital.

Review of a progress note dated 02/06/25 at 3:26 P.M., authored by COO #30, revealed Resident #90 complained of shortness of breath (SOB) prior to the incident. HA #10 advised Resident #90 to wait in his room until LPN #20 could assess him. Resident #90 did not listen and went outside to smoke. Resident #90 was found outside face down, not breathing, without a pulse and EMS was notified. EMS arrived and initiated CPR then transferred Resident #90 to the hospital.

Interview on 05/27/25 at 10:29 A.M. with LPN #20, revealed she was notified Resident #90 was having SOB by HA #10. LPN #20 reported another resident told her Resident #90 was outside faced down. LPN #20 stated the resident had a t-shirt and pants on with no jacket. LPN #20 immediately called 911. LPN #20 stated he was unresponsive, but he was a larger man and weighed 300 pounds, and she didn't attempt to move him. LPN #20 voiced she did not initiate CPR, assess his vital signs or complete an assessment. LPN #20 reported EMS arrived and initiated CPR.

Interview on 05/27/25 at 11:58 A.M. with HA #10, revealed Resident #90 reported he was SOB, and she advised him to wait on the nurse and not go outside. HA #10 explained when she was passing out water, she saw Resident #90 heading towards the back door. HA #10 stated she gave another resident water and saw Resident #90 on the ground in the doorway. HA #10 yelled for the nurse, who responded and then HA #10 continued helping other residents.

Interview on 05/28/25 at 2:49 P.M. with NP #100, revealed she was notified of the incident that occurred on 02/05/25 with Resident #90. NP #100 was also made aware on 05/28/25 of the Real and Present Danger.

Review of the personnel file for LPN #20, revealed on 05/28/25, LPN #20 received a written reprimand for neglecting to provide Resident #20 with CPR measures. LPN #20 had an active CPR certification.

Review of the undated facility policy titled, Cardiopulmonary Resuscitation (CPR)

Rule
Ohio Administrative Code - residential care rules
May 7, 2025Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies
No deficiencies cited
Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.
December 31, 2024Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies
No deficiencies cited
Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.
August 27, 2024Licensure survey1 deficiency
R-0614Notify director when normal business interruption due to emergency/disasterOhio citation · correction confirmed 12/31/2024
What the surveyor found

Based on record review and staff interview, the facility failed to ensure fire safety training was provided for residents. This affected five (Residents #45, #49, #51, #53 and #57) of five residents reviewed. The facility census was 85 residents.

Findings include:

Review of the medical records for Residents #45, #49,#51, #53 and #57 revealed they did not include documentation of fire safety training for the residents at admission or annually.

Interview on 08/27/24 at 5:30 P.M. with the Executive Director confirmed the facility had not conducted fire safety training for Residents #45, #49,#51, #53 and #57.

Rule
Ohio Administrative Code - residential care rules
March 25, 2024Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies
No deficiencies cited
Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

Resident Satisfaction

2025-2026 survey

Ohio interviews residents directly and publishes the results by area. Scores run from 0 to 100.

89.6Overall satisfaction score
85.5Ohio average
Above Ohio average
AreaThis facility 
Care and services86.1
Caregivers90.6
Environment96.8
Facility culture89.9
Meals and dining83.5
Moving in88.1
Spending time87.0