Based on record review, interview, observation, and review of the Certified Nursing Assistant job and nursing job descriptions, the facility failed to ensure qualified staff administered enteral feedings in accordance with Resident #10's care plan. This affected one (Resident #10) out of two residents reviewed for tube feeding. The facility census was 149. Findings include:Review of the medical record for Resident #10 revealed an admission date of 08/15/22. Diagnoses included chronic obstructive pulmonary disease, type II diabetes, dysphagia, hypertension, bilateral hypertensive retinopathy, peripheral vascular disease, anxiety, major depressive disorder, and paranoid schizophrenia. …
F659 citations in Ohio
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Ohio cites F659 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio in 2023, this is the portion that was F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F659 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.
What else Ohio surveyors cite →
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