Based on record review, observation, and staff and family interview, the facility failed to ensure resident and family preference was obtained prior to a drastic appearance change. This resulted in psychosocial harm for one resident (Resident #39) after State tested Nursing Assistant (STNA) #287 cut off the resident's long hair, which she had grown all her life, without consent. This affected one of 12 residents reviewed for resident's rights and choices. The facility census was 110. Findings included: Review of the medical record revealed Resident #39 was admitted to the facility on [DATE]. [DIAGNOSES REDACTED]. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed she had impaired cognition, was rarely understood and totally dependent on staff for all care. …
F558 citations in Ohio
Accommodation of needs · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F558 more often than its own record predicts
1.11 times the share F558 takes of citations nationally.
Of every deficiency written in Ohio in 2025, this is the portion that was F558.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F558 findings written in Ohio, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review, observations, interviews, and policy review, the facility failed to ensure beds were appropriate length for residents. This affected one resident (#22) of three residents reviewed for bed length. The facility census was 73. Findings include:Record review revealed Resident #22 was admitted to the facility on [DATE] with diagnoses including thrombosis and embolism of superficial veins in the left lower extremity. Review of a minimum data set (MDS) dated [DATE] revealed Resident #22's cognition remained intact and he did not have any behaviors. Interview on 08/20/26 at 11:18 A.M. with Resident #22 revealed his bed has been too short for him since he was admitted to the facility. Resident #22 stated he is six foot five inches tall. …
Based on observation, interview, resident record review, and review of resident council minutes, the facility failed to ensure a sufficient supply of washcloths and towels available for morning care and as needed. This affected one resident (Resident #26) with the potential to affect all residents residing at the facility.Findings include:Record review for Resident #26 revealed an admission date of 03/19/26 with diagnosis including myocardial infarction, muscle weakness, pressure ulcer of right buttocks stage three, and pressure ulcer left buttocks stage two. Review of the Modification of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #26 was cognitively intact and was occasionally incontinent of urine. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 1.57% | 1.44× |
| 2024 | 1.16% | 1.00× |
| 2025 | 1.23% | 1.11× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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