Based on observations, resident and staff interview, review of the facility operational and emergency assessment, review of facility policies titled Facility Disaster Preparedness Assessment, Formalized Agreements and Contingencies, and Preparations for Severe Weather, and review of the daily weather conditions and outside temperatures on https://www.wunderground.com, the facility failed to ensure the implementation of a comprehensive and complete emergency preparedness plan for the safety of the residents during an unplanned electrical power outage that occurred during severe high wind weather conditions. This resulted in Immediate Jeopardy when the entire facility lost electrical power and heat for 48 hours beginning on 02/24/19. On 02/25/19 from 1:28 P.M. …
F838 citations in Ohio
Facility assessment · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F838 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio in 2025, this is the portion that was F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F838 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 Facility Assessment, medical record review, review of job descriptions, and staff interview, the facility failed to ensure the facility developed a comprehensive facility assessment to include active involvement from direct care staff, residents, resident representatives and family members within the facility assessment, and failed to address the education needs of staff caring for residents with tracheostomy tubes. This had the potential to affect all 39 residents residing in the facility. The facility census was 39. Findings include:1. …
Based on review of the Facility Assessment and staff interview, the facility failed to ensure a comprehensive Facility Assessment was developed to identify the staffing resources needed to provide care for the residents. This had the potential to affect all 64 residents in the facility. The facility census was 64.Findings include:Review of the Facility Assessment, updated 01/25/26, revealed the assessment addressed the staffing needs from 7:00 A.M. until 11:00 P.M. Further review revealed the Facility Assessment did not identify the staffing resources needed to provide care for the residents from 11:00 P.M. until 7:00 A.M. Interview on 05/07/26 at 2:40 P.M. with the Administrator verified the Facility Assessment identified the staffing resources needed from 7:00 A.M. until 11:00 P.M. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.07% | 0.44× |
| 2024 | 0.16% | 0.83× |
| 2025 | 0.25% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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