Based on record review, observation, resident interview, staff interview, review of the supply order form, review of Resident Council meeting minutes, and review of facility policy, the facility failed to ensure a resident with incontinence had their choice of incontinent brief type and supplies respected. This resulted in actual psychosocial harm when Resident #30 confined herself to her room for fear of leaking through the facility issued brief which she felt did not fit correctly, which was not what she was comfortable in, and which made her feel like an infant. This affected one (#30) of five residents reviewed for incontinence. The facility identified 45 residents who were incontinent. …
F561 citations in Ohio
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F561 less often than its own record predicts
0.97 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F561 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 medical record review, resident interview, staff interview, and facility policy review, the facility failed to honor a resident request to be transferred using a slide board. This affected one (Resident #100) of three residents reviewed for choices. Based on medical record review and staff interview, the facility also failed to honor resident choice in conjunction with completion of Advanced Beneficiary Notifications (ABNs.) This affected four (Residents #65, #94, #113, #115) of four residents reviewed for ABNs. The facility census was 104 residents. …
Based on record review and interview the facility failed to ensure resident preference for the type of eggs served were honored. This affected eight residents (Resident #65, #29, #42, #57, #85, #95, #98, and #102) including one resident who was interviewed and seven additional residents identified to routinely attend resident council meetings and had the potential to affect 136 of 136 residents who received meal trays. The facility identified three residents (Resident #34, #93, and #136) who received nothing by mouth. The facility census was 139. Findings include: On 06/05/18 at 1:45 P.M. interview with Resident #95 revealed she really liked fried eggs but they did not serve them routinely at the facility. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.66% | 1.27× |
| 2024 | 0.50% | 1.21× |
| 2025 | 0.37% | 0.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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