Ohio Department of Health · Facility Report

Plum Creek Assisted Living LLC

📍 891 Marks Road, Brunswick, OH 44212

Residential Care FacilityActive
15
Inspections on file
11
Deficiencies cited
9
Visits with none
0
Substandard care
0
Immediate jeopardy

The most recent inspection on file for Plum Creek Assisted Living LLC took place on May 20, 2026. Across the 15 inspections published by the Ohio Department of Health, surveyors cited 11 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 6; for the other 9 it publishes only the date, the type of visit and the number of deficiencies - 9 of which found none.

Facility Details

Ohio license number
#2509R
County
Medina
Administrator
Ryan Boulton
Director of nursing
Jenny Lawson
Phone
(330) 220-4900
Ownership
For Profit - Individual

Inspections

15 on file · 11 deficiencies
May 20, 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.
March 3, 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.
October 21, 2025Licensure survey3 deficiencies▼
R-0333Personal care services provided appropriatelyOhio citation▼
What the surveyor found

Based on medical record review, staff interview, and review of the facility policy, the facility failed to ensure a written agreement was obtained for providing skilled services greater than 120 days. This affected one (Resident #76) of five residents reviewed. The facility census was 77.

Findings include:

Review of the medical record for Resident #76 revealed an admission date of 10/22/23 with diagnoses including heart failure, Parkinson's Disease, hypertension, and major depressive disorder. The record noted Resident #76 had been receiving hospice services at the facility since 10/24/23.

Review of the medical record for Resident #76 revealed a coccyx wound with daily dressing changes dated 05/15/25 to cleanse with normal saline, pat dry, apply medihoney (a wound ointment used to aid and support autolytic debridement while maintaining a moist wound environment) to the wound bed, apply calcium alginate (wound dressing used to absorb drainage) on top of medihoney only to wound bed, cover with foam dressing, change every day and as needed.

Review of Resident #76's Treatment Administration Records between 05/15/25 and 10/20/25 revealed the resident received daily dressing changes which were recorded as administered by facility nursing staff.

Interview on 10/21/25 at 11:00 A.M. with the Director of Nursing (DON) verified Resident #76 received daily wound care completed by facility staff and has been receiving hospice services since admission to the facility. The DON confirmed no written agreement between the facility, Resident #76 and/or family, the physician, or skilled hospice provider had been obtained for Resident #76 who had received skilled services for greater than 120 days in facility.

Review of the facility undated policy titled The Community does not provide skilled nursing care services revealed the policy noted skilled nursing care included procedures that require technical skills and knowledge beyond those the untrained person posesses and included, but was not limited to, application of dressings. The policy further noted residents may only receive skilled nursing services from a home health agency or a hospice care program.

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

Based on record review and staff interview, the facility failed to evacuate residents as required in at least two fire drills a year on each shift. This had the potential to affect all residents residing in the facility. The facility census was 77 residents.

Findings include:

Review of the facility fire drill records revealed fire drills were completed on night shift on 10/31/24, 01/15/25, 04/17/25, 07/14/25 and 08/13/25. Further review of the night shift fire drill records revealed that only one evacuation of residents capable of self evacuation was completed during the 10/31/24 night shift fire drill.

Interview on 10/21/25 at 11:00 A.M. with the Executive Director confirmed that only one evacuation of residents was completed on the night shift fire drill over the last 12 months.

Rule
Ohio Administrative Code - residential care rules
R-0616Disaster drill requirementsOhio citation▼
What the surveyor found

Based on record review and staff interview, the facility failed to ensure two disaster preparedness drills, including one tornado drill, were conducted annually. This had the potential to affect all residents in the facility. The facility census was 77.

Findings include:

Review of the facility disaster drills for the previous 12 months revealed the facility had no documentation of any disaster drills or a tornado drill being completed as required.

Interview on 10/21/25 at 11:00 A.M. with the Executive Director confirmed the facility did not have documentation that disaster drills had been completed during the last 12 months.

Rule
Ohio Administrative Code - residential care rules
July 16, 2025Complaint survey1 deficiency▼
R-0344Prescribed meds kept in locked storageOhio citation · correction confirmed 10/21/2025▼
What the surveyor found

Based on observation, staff interview and facility policy, the facility to ensure a medication cart was securely locked when unattended. This had the potential to affect all residents residing of the B hall (Residents #23, #24, #25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, #37, #38, and #39). The census was 69.

Findings include:

Observation on 07/16/25 at 10:00 A.M., revealed a medication cart on B hall was left unlocked and unattended with no staff present.

Interview on 07/16/25 at 10:07 A.M. with Licensed Practical Nurse #325, who returned to the medication cart, confirmed the medication cart was left unlocked and unattended.

Review of the facility census dated 07/15/25 revealed Residents #23, #24, #25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, #37, #38, and #39 resided on the B hall. The facility identified one resident (#34) as independently mobile and cognitively impaired who resided on the B hall.

Review of the facility policy titled Medication Storage revealed All prescription medications, including those requiring refrigeration, must be kept in locked storage areas. When using a medication cart, it must be locked, and only authorized personnel should have access to the keys.

Rule
Ohio Administrative Code - residential care rules
October 8, 2024Complaint survey1 deficiency▼
R-0103Sufficient additional staffOhio citation · correction confirmed 10/21/2025▼
What the surveyor found

Based on observation and interview, the facility failed to ensure adequate staff coverage to assist residents to the dining room for meals. This finding had the potential to affect all residents in the building who eat in the main dining room for meals (except Residents #4, #5, #14, #18, #30, #52, #62 and #69). The facility census was 77.

Findings include:

Interview on 10/07/24 at 7:15 A.M. with Resident Care Associate (RCA) #803 revealed residents would be eating in their rooms because there were not enough staff members to transport the residents to the dining room for the breakfast meal due to staff call offs.

Interview on 10/07/24 at 8:02 A.M. with Dietary Manager (DM) #809 stated she was told there were not enough staff to bring the residents into the dining room for the breakfast meal and all residents would receive meals in their rooms.

Interview on 10/07/24 at 8:25 A.M. with the Director of Nursing (DON) indicated she was not aware of the call offs and staff were supposed to call her for call offs.

Observation on 10/07/24 at 8:40 A.M. revealed a caregiver was sitting in the small room off of the main dining room assisting eight residents who required extra assistance with the breakfast meal including Residents #4, #5, #14, #18, #30, #52, #62 and #69. All other residents were served the breakfast meal in their resident rooms.

A second interview on 10/07/24 at 10:16 A.M. with the DON confirmed all residents had breakfast meals in their resident rooms except Residents #4, #5, #14, #18, #30, #52, #62 and #69 who required staff assistance with meals.

Review of the Menus for 10/07/24 revealed breakfast included eggs cooked to order, bacon, toast, fresh fruit, choice of cereal, cream of wheat.

This violation represents non-compliance investigated under Complaint Number OH00157152.

Rule
Ohio Administrative Code - residential care rules
August 16, 2024Complaint survey1 deficiency▼
R-0333Personal care services provided appropriatelyOhio citation▼
What the surveyor found

Based on record reviews and interviews the facility failed to ensure Resident #1 was transferred properly during a mechanical lift transfer. This affected one resident (Residetn#1) of three residents reviewed for mechanical lifts. The census was 82.

Findings include:

Review of the medical record for Resident #1 revealed an admission date of 05/01/23 and readmission of 10/22/23. Diagnoses included Parkinson's Disease, osteoarthritis and hypertension. Resident #1 was under the care of hospice.

Review of the service plan initiated on 11/02/23 and revised on 07/29/24 revealed Resident #1 was bed bound. The service plan stated resident was only to be transferred in an emergency or evacuation.

Review of the progress noted dated 07/18/24 and timed for 10:25 A.M. revealed the nurse was called to the room by resident assistant (RA). The nurse noted a skin tear to the right neck fold. The RA described injury was from the oxygen tubing while repositioning. Resident was unable to say what happened. The intervention put in place was an in-service on proper bed positioning and mechanical lift use.

Interviews on 08/16/24 from 10:50 A.M. through 12:11 P.M. with Licensed Practical Nurse (LPN) #200, LPN #204, LPN #207, Physical Therapy Assistant (PTA) #206, Resident Assistant (RA) #201, RA #202, RA #203, RA #205, RA #208 and RA #209 revealed RA #300 no longer worked there related to using a mechanical lift on her own.

Interview on 08/16/24 at 3:30 P.M. with Executive Director revealed RA #300 changed her stories on what happened but verified her personnel file indicated she was terminated for using a mechanical lift on her own and not following policy. She also verified there was no official investigation form. Witness statements were attached to the counseling form.

Review of the personnel file for RA #300 revealed her statement saying the oxygen tubing must have been too tight and snagged Resident #1's skin. The statement had a note stating RA #300 refused to sign statement. A copy of a training on mechanical lifts held on 06/19/24 was in the file with RA #300's signature. A witness statement by nurse said she heard RA #300 yelling for help and described the resident as bleeding. She stated RA #300 said she used the mechanical lift to change the bedding but later stated RA #300 said she did not know what happened. The Employee Counseling Form dated 07/18/24 revealed RA #300 was written up for willful failure to perform job as evidence by statement Used hoyer lift without assistance causing injury to resident. Willfully did not follow policy which was reviewed and signed on 06/19/24.

Review of the facility policy Mechanical Lift Policy

Rule
Ohio Administrative Code - residential care rules
July 30, 2024Licensure survey3 deficiencies▼
R-0616Disaster drill requirementsOhio citation▼
What the surveyor found

Based on facility record review and staff interview the facility failed to complete two annual disaster drills as required. This had the potential to affect all 81 residents residing at the facility.

Findings include:

Review of the facility fire and disaster drills from June 2023 to July 2024 revealed a tornado drill was completed on 04/02/24 but no evidence was provided of a second disaster drill in the past twelve months.

Interview on 07/30/24 at 2:47 P.M. with the facility owner confirmed he was unable to provide evidence of a second disaster drill in the past twelve months.

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 inspections as required. This had the potential to affect all 81 residents residing at the facility.

Findings include:

Review of the facility fire safety-self inspection form for nursing home and residential care facilities for the past 12 months revealed no evidence of monthly fire safety inspections for May 2024, June 2024, and July 2024.

Interview on 07/30/24 at 2:47 P.M. with the facility owner confirmed they were unable to provide evidence of monthly fire safety self-inspection for May 2024, June 2024, and July 2024.

Rule
Ohio Administrative Code - residential care rules
R-0657Hot water tempsOhio citation▼
What the surveyor found

Based on observation, interview and facility policy and procedure review the facility failed to ensure water temperatures were maintained between 105 degrees Fahrenheit (F) and 120 degrees F as required. This affected two residents (#244 and #282) of five rooms tested. Facility census was 81.

Findings include:

Observation on 07/30/24 at 9:35 A.M. with Maintenance Assistant #2 revealed the following water temperatures:

-Room A-16 which was currently vacant was 124.5 degrees Fahrenheit (F) at the faucet in the kitchen and 117 degrees F at the bathroom faucet.

-Room A-37 which was currently vacant was 124.5 degrees F at the kitchen faucet and 124.8 degrees F at the bathroom faucet.

-Resident #244's room had a water temperature of 120.1 degrees F at the kitchen faucet and 116.4 F at the bathroom faucet.

-Resident #282's room had a water temperature of 121.5 degrees F at the kitchen faucet and 116.6 degrees F at the bathroom faucet.

Interview on 07/30/24 at 10:05 A.M. with Maintenance Assistant #2 confirmed the above water temperatures and confirmed the vacant rooms were ready for use if needed.

Review of the undated facility policy called General Building and Sanitation Requirements: Water Temperatures revealed the hot water temperatures in areas used by residents would be a minimum of 105 degrees Fahrenheit (F) and not exceed 120 degrees F.

Rule
Ohio Administrative Code - residential care rules
June 21, 2024Complaint survey2 deficiencies▼
R-0344Prescribed meds kept in locked storageOhio citation▼
What the surveyor found

Based on observation, staff interview, and review of the facility policy, the facility failed to ensure medications were stored appropriately. This affected one resident (#11) out of three residents reviewed for medications. The facility census was 85.

Findings include:

Observation on 06/21/24 at 9:15 A.M. during entrance conference with the Executive Director (ED) revealed Family Member (FM) #104 entered conference room holding a peach oval pill with H marked on it, a larger circular pill with R-196 marked on it and a small white circular pill that was fuzzy in appearance. FM #104 indicated they found two of the pills in Resident #11's room and the other pill was found outside Resident #6's room. FM #104 told the ED this was the third time they had found unsecured medications in or near Resident #11's room.

Interview on 06/21/24 at 9:34 A.M. with FM #104 confirmed the peach oval pill and the smaller, circular pill looked like medications that Resident #11 took.

Observation on 06/21/24 at 9:53 A.M. with Licensed Practical Nurse (LPN) #100 of medication cards for Resident #11's medication cards revealed the peach oval pill found by FM #104 corresponded to rosuvastatin calcium 40 milligrams (mg) and the fuzzy, small white circular pill was either amlodipine besylate 10 mg or vitamin D3 25 micrograms (mcg). LPN #100 pulled Resident #6's medication cards and none of the medications matched the larger circular pill found outside of the resident's room.

Interview on 06/21/24 at 12:02 P.M. with the Director of Nursing (DON) confirmed medications were not stored appropriately for Resident #11 and an unknown resident. The DON identified the fuzzy, small white circular pill observed as Resident #11's amlodipine besylate 10 mg and identified the larger circular pill with R-196 as Plavix 75 mg but was unsure of the source. The DON confirmed medications should not be left unsecured and nurses should ensure medications were consumed by the resident.

Review of the facility policy titled Medication Policy undated revealed if a resident was not responsible for self-medication, then all of the resident medications would be kept locked in the nurses' locked medication cart and ordered and received by the nurse.

Rule
Ohio Administrative Code - residential care rules
R-0614Notify director when normal business interruption due to emergency/disasterOhio citation▼
What the surveyor found

Based on record review and staff interview, the facility failed to conduct fire drills on varied shifts and times. This had the potential to affect all residents residing in the facility. The facility census was 85 residents.

Findings include:

Review of fire drill documentation for 2024 revealed no drills were conducted in January, April, May, or June 2024.

Interview on 06/21/24 at 8:49 A.M. with Housekeeping Coordinator (HC) #101 confirmed fire drills had not been done for a few months.

Interview on 06/21/24 at 10:00 A.M. with Housekeeper #103 confirmed it had been a few months since a fire drill had been done.

Interview on 06/21/24 at 10:17 A.M. with Resident Assistant (RA) #105 confirmed it had been one or two months since a fire drill had been done.

Interview on 06/21/24 at 11:38 A.M. with RA #108 confirmed they used to do fire drills a lot at the facility, but it had been a while.

Interview on 06/21/24 at 11:50 A.M. with the Executive Director (ED) confirmed there was no record of fire drills for January, April, May or June 2024 or May 2024.

This violation represents noncompliance investigated under Complaint OH00153959.

Rule
Ohio Administrative Code - residential care rules
August 8, 2023Complaint 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.
June 14, 2023Licensure 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.
January 18, 2023Complaint 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 6, 2022Complaint 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.
September 27, 2022Complaint 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.
September 9, 2022Complaint 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 29, 2022Complaint 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.