Based on observation, record review, review of a facility self-reported incident (SRI), review of a social media post, review of the facility's policies on personal cell phone use, social media, and abuse, and interview, the facility failed to effectively implement their abuse policy to prevent staff to resident abuse and to appropriately recognize the incident as abuse. This resulted in Immediate Jeopardy on 11/27/24 when Certified Nursing Assistant (CNA) #500 took a video of Resident #28 during personal care, in which the resident's bare body was from her breasts down to just above the ankles with a substantial amount of fecal matter on the floor around the resident, on her personal cell phone and posted the video to the social media platform Snapchat with a text overlay that read bruh… …
F607 citations in Ohio
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F607 less often than its own record predicts
0.73 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F607 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 interview, record review, and facility policy review, the facility failed to implement their policy for abuse prohibition for 1 (Resident #55) of 2 residents. Specifically, a dietary aide (DA) witnessed Resident #95 attempt to hit Resident #55 in the dining room on 05/26/2025. The staff member separated the residents and directed them to return to the unit where they resided; however, the incident was not reported to the Director of Nursing (DON), the nurse supervisor on duty, or Administrator as required per facility policy. Once Resident #55 returned to their room, the resident stated that Resident #95 struck them in their head with a cane. …
Based on review of the medical record, review of the self-reported incident (SRI), review of the facility investigation, interviews, and policy review, the facility failed to implement the abuse policy regarding misappropriation. This affected one (Resident #99) of one resident reviewed for misappropriation of medications. The facility census was 96.Findings include:1. Review of the medical record for Resident #99 revealed an admission date of 10/04/23. Diagnoses included congestive heart failure (CHF), anxiety disorder, and major depressive disorder.Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #99 had intact cognition as evidenced by a Brief Interview for Mental Status (BIMS) score of 15. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.79% | 1.05× |
| 2024 | 0.69% | 0.92× |
| 2025 | 0.48% | 0.73× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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