Altercare of Cuyahoga Falls CTR for Rehab & Nursin

In the surveyor’s words

From the most serious findings on record at Altercare of Cuyahoga Falls CTR for Rehab & Nursin, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 27, 2021

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, review of the medical record, review of the facility investigation, the policy and procedure on elopement, and interviews, the facility failed to provide adequate supervision resulting in one resident, Resident #68, eloping from the facility. The resident was assessed as having alcohol induced dementia, was legally blind and had a history of a stroke with right-sided weakness. This resulted in Immediate Jeopardy on 07/03/21 at approximately 3:45 A.M. when Resident #68 exited the facility without staff knowledge and staff failed to respond to a door alarm. […]

• No harm, potential for more than minimal, widespreadF804Dec 2, 2022

  Based on observation, interview, and record review the facility failed to provide meals at an appropriate temperature. This affected three residents (Resident #36, #158, and #109) and had the potential to affect all 51 residents who consumed meals. The facility identified one (Resident #14) that received nothing by mouth. The facility census was 52. Findings include: 1. Record review for Resident #36 revealed an admitted [DATE]. Diagnosis included [CONDITION(S)], muscle weakness, and need for assistance with personal care. Record review of the annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #36 had a Brief Interview of Mental Status (BIMS) score of 15 out of 15 (cognitively intact). […]

• No harm, potential for more than minimal, patternF584Jun 12, 2025

  2. Review of the medical record for Resident #61 revealed a date of admission of 05/07/24 with diagnoses including chronic kidney disease, anxiety disorder, and unspecified abnormalities of gait and mobility. Review of the comprehensive Minimum Data Set (MDS) 3.0 assessment, dated 02/11/25, revealed the resident had intact cognition. The resident required supervision for activities of daily living. Observations on 06/02/25 at 9:35 A.M. noted Resident #61 lying in bed on a clearly visible fitted sheet that had multiple dry stains of various colors covering 50 percent of the sheet. Resident #61 stated staff don't change the sheets that often. A interview on 06/02/25 at 9:42 A.M. […]

• No harm, potential for more than minimal, patternF684Jun 12, 2025

  4.Review of the medical record for Resident #284 revealed an admission date of 08/06/23. Resident #284 was discharged on 05/22/25. Diagnoses included peripheral vascular disease, hypertension, type two diabetes, obstructive pulmonary disease, anxiety, and acute osteomyelitis. Review of the comprehensive MDS 3.0 assessment, dated 02/21/25, revealed the resident had intact cognition. The resident was dependent for activities of daily living. Review of the Medication Administration Records (MAR) for Resident #284 revealed Resident #284 was ordered fluticasone propion-salmeterol inhaler dated 08/06/23 twice a day. Further review noted the inhaler was not available on 04/18/25, 04/20/25, 04/21/25 and 04/22/25. […]

• No harm, potential for more than minimal, patternF725Jun 12, 2025

  Based on observations, interviews, record reviews, and review of facility policy, the facility failed to provide nursing staff in sufficient numbers to attain or maintain the highest practical physical, mental and psychosocial well-being of each resident. This affected eight residents (#4, #6, #12, #16, #20, #32, #70, and #241) out of 37 residents reviewed for staffing with potential to affect all residents in the facility. The facility census was 76. Findings include: 1. Review of Resident #20's medical record revealed Resident #20 was discharged from the facility on 05/15/25 and readmitted to the facility on [DATE]. […]