Based on interview, record review, and policy review, the facility failed to ensure licensed nurses administered only the medications they personally prepared. This affecting one resident (Resident #60) out of three residents reviewed for medication administration.Review of the medical record for Resident #60 revealed an admission date of 03/31/26. Diagnoses included but not limited to chronic kidney disease stage 4, heart failure, type 2 diabetes mellitus.Review of quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #60 had intact cognition.Review of the Medication Administration Record (MAR) for 08/20/26 revealed Registered Nurse (RN) #236 initialed medication administration for Resident #60.Interview on 08/24/26 at 9:58 A.M. …
F658 citations in Ohio
Professional standards of care · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F658 less often than its own record predicts
0.05 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio in 2025, this is the portion that was F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F658 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.
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.10% | 0.06× |
| 2024 | 0.10% | 0.06× |
| 2025 | 0.09% | 0.05× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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