F604 in Ohio. Pick another state for the same tag.
Against expectation — 2025
Ohio cites F604 less often than its own record predicts
Versus expected share0.82×
0.82 times the national share — cited less often here than elsewhere.
Share of Ohio citations0.31%
Of every deficiency written in Ohio in 2025, this is the portion that was F604.
Ohio0.31%
National0.38%
Share of all citations that were F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F604 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.
J · Immediate jeopardy, isolatedMarch 3, 2021
Based on medical record review, observations, staff interviews, review of witness statements, review of the facility restraint use policy, and review of facility abuse policies, the facility failed to ensure residents were free from any physical restraint imposed for staff convenience, to restrict movement, and not required to treat the resident's medical symptoms. This resulted in Immediate Jeopardy and the potential for physical harm, psychosocial harm, and mental anguish for one resident (#37) who, as any reasonable person would be, was dehumanized by being tied to the bed like an inanimate object with the use of bed sheets and was not being treated in a dignified manner in full recognition of their individuality. …
Based on closed medical record review, review of a facility self-reported incident (SRI), review of facility policy, and interview the facility failed to ensure Resident #52 was free from physical restraints.
Actual Harm occurred on 03/08/25 at approximately 7:00 A.M. when Resident #52 was physically restrained and tied to his wheelchair with a bed sheet by Licensed Practical Nurse (LPN) #526 in an attempt to address Resident #52's behaviors and to prevent Resident #52 from standing from the chair. Resident #52 was found by visiting Hospice LPN #603 tied to his wheelchair with a bed sheet knotted behind him. The resident was unattended, seated in his wheelchair, agitated, and reported a pain rating of a 10 on a one-to-ten scale (with ten indicating the worst possible pain). …
D · No harm, potential for more than minimal, isolatedAugust 12, 2026
Based on record review and interview the facility failed to ensure residents were not physically restrained to the memory care unit. This affected one resident, (Resident #4) of three residents reviewed for phyical restraints. The facility census was 61.Findings Include:Record Review of Resident #4 revealed an admission date of 04/30/26 with diagnoses of type II diabetes mellitus with diabetic neuropathy, fracture of the lower end of right femur, major depressive disorder, hypertensive chronic kidney disease with stage IV kidney disease. …
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