THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of a hospital record, staff interview, review of the facility investigation, and policy review, the facility failed to ensure the physician or nurse practitioner was notified timely of a significant change in condition for a resident (#70). This resulted in Immediate Jeopardy and serious life-threatening harm, injuries, and/or death when on [DATE] at 7:46 P.M., Resident #70 was found to have elevated blood glucose levels by a nurse and after notification to the nurse practitioner, additional insulin was ordered, which the resident refused. …
F580 citations in Ohio
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F580 more often than its own record predicts
1.39 times the share F580 takes of citations nationally.
Of every deficiency written in Ohio in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F580 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 closed record review, interview, police report review, emergency room record review, interview and policy review the facility failed to ensure timely physician notification related to a resident's condition change. This affected one resident (#42) of three residents reviewed for transfer/discharge. Actual harm occurred on 04/03/21 when the facility failed to timely notify Resident #42's physician regarding increased pain and the resident/resident representative's request to be evaluated in the emergency room resulting in the resident being required to sign out against medical advice in order to receive medical care. …
Based on record review, interview, and policy review, the facility failed to notify the family of a significant change in condition for Resident #117. This affected one (Resident #117) of three residents reviewed for change in condition. The facility census was 104.Findings include:A review of the medical record revealed Resident #117 was admitted to the facility on [DATE] with diagnoses including acute respiratory failure with hypoxia, dependence on a ventilator, encounter for surgical aftercare following surgery on the nervous system, encounter for surgical aftercare following surgery on the digestive system, respiratory arrest, tracheostomy status, gastrostomy status, in contusion of unspecified part of the neck, and dependence on supplemental oxygen. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 2.11% | 1.48× |
| 2024 | 2.19% | 1.44× |
| 2025 | 2.06% | 1.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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