Based on record review and staff interview, the facility failed to ensure staff was qualified to complete resident care. This had the potential to affect all 142 residents residing in the facility. The facility census was 142. Findings include: Review of the employee record for Nursing Assistant (NA) #540 revealed a hire date of 11/23/24 as a NA. Further review of NA #540's employee record revealed the staff member had not completed the state test to be a Certified Nursing Assistant (CNA). Review of the Detailed Hours Report with Training Category and Pay Category dated 08/14/25 revealed CNA #540 worked 11/28/25 through 04/18/25 as a CNA. Interview on 08/14/25 at 11:54 A.M. with Human Resource #434 confirmed NA #540 was hired on 01/23/24 as a NA for both assisted living and long-term care. …
F728 citations in Ohio
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F728 less often than its own record predicts
0.24 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio in 2025, this is the portion that was F728.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F728 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 review of the state State tested Nurse Aide (STNA) Registry, staff interview, and staff policy review, the facility failed to ensure staff working as a nurse aide for over four months had been State tested and was listed on the State Registry. This had the ability to affect all facility residents. The facility census was 74. Findings include: Review of the State of Ohio STNA Registry website revealed Nurse Aide (NA) #117 and NA #123 failed to be active on the registry. Interview with Human Resource Director on 02/23/23 at 9:58 A.M. verified NA #117 and NA #123 have not tested for the STNA registry. The Human Resource Director stated these staff had completed their first set of nursing school clinicals and it was her understanding the STNAs did not need to take the registry test. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.65× |
| 2024 | 0.03% | 0.43× |
| 2025 | 0.02% | 0.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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