Based on review of the medical record, self-reported incidents (SRI) review, witness statement review, text messages review, staff schedules review, police report review, employee personnel file review, staff and resident interviews, observations, and policy review, the facility failed to ensure a resident was free from resident-to-staff sexual abuse. This resulted in Immediate Jeopardy and the potential for serious physical, mental, and/or psychosocial harm, when on 08/03/26 during the early morning hours, Resident #56 asked for a shower and Certified Nursing Assistant (CNA) #10 volunteered to give Resident #56 a shower. While in the shower, CNA #10 and Resident #56 engaged in sexual activity. This affected one (Resident #56) of the three reviewed for abuse. The facility census was 72. …
F600 citations in Ohio
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F600 less often than its own record predicts
0.56 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio in 2025, this is the portion that was F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F600 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 medical record review, review of hospital records, review of photo and video records, review of facility witness statements, review of facility staffing and payroll documents, policy review and interview, the facility failed to protect Resident #419's right to be free from neglect. This affected one resident (#419) of two residents reviewed for neglect. The facility census was 119.Actual Harm occurred on 07/01/26 when Resident #419 was transferred to the hospital for a scheduled procedure and hospital staff identified the resident with caked feces, a maggot infestation, and multiple superficial wounds to both feet with cellulitis of the lower extremities which required medical intervention and subsequent admission to the hospital. …
Based on medical record review, review of video footage, staff interview, resident representative interview, and policy review the facility failed to ensure residents were free from abuse by staff. This affected one (#1) of three residents reviewed for abuse. The facility census was 94.Findings include:Review of the medical record for Resident #1 revealed an admission date of 01/23/25 with diagnoses that included Parkinson's disease, dementia, and cognitive communication deficit. Review of the most recent quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 was severely cognitively impaired and required hands on assistance of two staff persons for completing her activities of daily living (ADLs) including dressing, bathing, and toileting. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 1.38% | 0.78× |
| 2024 | 1.74% | 0.74× |
| 2025 | 1.46% | 0.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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