Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F584 in Ohio. Pick another state for the same tag.
Against expectation — 2025
Ohio cites F584 more often than its own record predicts
Versus expected share1.20×
1.20 times the share F584 takes of citations nationally.
Share of Ohio citations2.51%
Of every deficiency written in Ohio in 2025, this is the portion that was F584.
Ohio2.51%
National2.10%
Share of all citations that were F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F584 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.
L · Immediate jeopardy, widespreadMarch 6, 2019
Based on observations, resident and staff interview, review of the facility operational and emergency assessment, review of facility policies titled Facility Disaster Preparedness Assessment, Formalized Agreements and Contingencies, and Preparations for Severe Weather, and review of the daily weather conditions and outside temperatures on https://www.wunderground.com, the facility failed to ensure comfortable and safe temperatures were maintained throughout the resident areas of the facility when temperatures fell below 71 degrees Fahrenheit (F) in resident rooms and common areas during an electrical power outage. …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on observation, interviews and review of facility policy, the facility failed to maintain a clean and homelike environment regarding sanitation and condition of residents rooms. This affected one resident (Resident #21) of 67 reviewed for environment. The facility census was 67. Record review for Resident #21 revealed an admission date of 08/19/26 with diagnoses including nondisplaced fracture of fifth metatarsal bone, left foot, type 2 diabetes mellitus without complications, difficulty in walking, muscle weakness, and repeated falls.Review of the care plan for Resident #21 dated 08/25/26 revealed he was incontinent of bowel and interventions included but limited to assist resident with toileting as needed and requested.Observation on 08/25/26 at 11:24 A.M. …
C · No harm, potential for minimal, widespreadNovember 18, 2024
Based on observation, staff interview, and review of facility policy, the facility failed to ensure over head paging was used only in case of emergency. This had the potential to to affect all residents in the facility. The facility census was 57.
Findings include:
Observation on 11/12/24 at approximately 11:00 A.M. found an overhead paging system being utilized requesting maintenance staff to go to the second floor.
Observation on 11/18/24 at 9:44 A.M. found the overhead paging system loudly playing what sounded like a phone being on hold. The sound grew increasingly louder.
Interview on 11/18/24 at 9:47 A.M. with Administration Staff (AS) #436 verified the overhead paging system was loudly projecting a telephone on hold. …
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