Based on medical record review, review of email communication, fall investigation review, resident and staff interview, and facility policy review, the facility failed to ensure Resident #334 was free from an incident of involuntary seclusion. This affected one resident (#334) of two residents reviewed for quality of care and services. The facility census was 119.Actual physical and psychosocial harm occurred on 06/20/26 when Resident #334, who had quadriplegia (partial or total loss of function in all four limbs) and was dependent on staff for toileting, was left alone without supervision on a toilet in a locked common bathroom requiring a code to open without evidence of a functional call signal system. …
F603 citations in Ohio
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F603 more often than its own record predicts
1.03 times the share F603 takes of citations nationally.
Of every deficiency written in Ohio in 2025, this is the portion that was F603.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F603 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, interview, and review of the facility policy, the facility failed to ensure proper assessment and notification to the physician after moving a resident to the secured memory care unit. This affected one (#59) of three residents reviewed for dementia care. The facility census was 55.Findings include:Review of the medical record for Resident #59 revealed an admission on [DATE]. Diagnoses included depression, anxiety, and epilepsy.Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #59 had cognitive impairment. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.02% | 1.25× |
| 2024 | 0.05% | 0.95× |
| 2025 | 0.05% | 1.03× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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