Based on observation, record review, interview with staff and representatives from the local health department (LHD), and review of the facility water management plan, the facility failed to develop and implement an effective water management program to monitor control measures and to prevent the growth of Legionella in the water system. This resulted in Immediate Jeopardy and Actual Harm beginning on 07/27/26 when Resident #9, who demonstrated respiratory complications (i.e. shortness of breath and decreased oxygen saturation) tested positive for Legionella during a hospitalization. …
F880 citations in Ohio
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F880 more often than its own record predicts
1.07 times the share F880 takes of citations nationally.
Of every deficiency written in Ohio in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F880 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 observation, interview, and record review, the facility failed to treat potentially contagious/communicable rashes per physician orders, failed to timely implement transmission-based precautions to prevent spreading the rash to other residents, failed to implement exposure control measures, failed to educate and in service staff on infection control relative to preventing the spread of potentially contagious/communicable rashes, failed to report the outbreak to the local health department, and failed to prohibit State tested Nursing Assistant (STNA) #373, who exhibited signs of a potentially communicable/contagious rash, from direct resident contact. …
Based on observation, staff interview, and policy review the facility failed to ensure personal protective equipment was available for staff in the laundry area. This had the potential to affect all of the residents residing in the facility. The facility census was 85 residents. Findings include: Observation on 08/26/26 at 2:20 P.M. revealed there was no PPE in the laundry area. Interview on 08/26/26 at 2:25 P.M. with Housekeeping Director (HD) #423 verified there was no PPE in the laundry room. HD #423 stated she was not aware there needed to be PPE in the laundry area. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 4.72% | 0.91× |
| 2024 | 5.95% | 1.06× |
| 2025 | 6.63% | 1.07× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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