Altercare of Mayfield Village, Inc

In the surveyor’s words

From the most serious findings on record at Altercare of Mayfield Village, Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678May 14, 2026

  Based on closed medical record review, review of 911 communications, review of the American Heart Association (AHA) guidance for adult Cardiopulmonary Resuscitation (CPR), review of Ohio Revised Code related to pronouncement of death, facility policy review, and interview, the facility failed to ensure Resident #46, who had a Full Code status, received appropriate and timely emergency response (including CPR) consistent with the resident's advance directives, facility policy, professional standards of practice, and physician expectations. This resulted in Immediate Jeopardy and Actual Harm with subsequent death on [DATE] at 7:20 A.M. […]

• Actual harm, isolatedF760Nov 8, 2021

  Based on observation, record review, review of the facility policy and procedure related to medication administration and medication error and interviews with residents, family, and facility staff including Licensed Practical Nurse (LPN) #609, and Primary Care Physician #608 revealed the facility failed to administer Resident's #27, #19, #21, #24, and #10 their medications per physician orders when the facility failed to have sufficient nursing staff to administer medications on the 100 or 200 hall on 10/24/21 resulting in significant medication errors. […]

• No harm, potential for more than minimal, widespreadF730Nov 2, 2023

  Based on interview, record review and review of facility policy the facility did not ensure State tested Nursing Assistant (STNA) #602 received 12 hours of formal in service education within the last year. This affected one STNA out of three STNAs (#602, #604, and #605) whose personnel files were reviewed for formal education/training. This had the potential to affect 36 residents. Findings include: Review of the personnel file for STNA #602 revealed a hire date of 07/15/03. Review of STNA #602's education transcript revealed in the last 12 months STNA #604 had 0.75 total hours of training. Interview on 11/02/23 at 12:20 P.M. with Regional Staff Coordinator #603 verified STNA #602 had only completed 0.75 hours of training in the last 12 months. […]

• No harm, potential for more than minimal, widespreadF851Nov 2, 2023

  Based on record review and interview, the facility failed to ensure staffing data was submitted appropriately to the Centers for Medicare and Medicaid Services (CMS). This had the potential to affect all residents in the facility. The census was 36. Findings include: Review of the CMS staffing data report for quarter three of the 2023 fiscal year (from April 1 to June 30 2023) revealed the facility did not submit staffing data for the affected quarter. Interview with the Administrator on 10/31/23 at 8:37 A.M. confirmed the above findings.

• No harm, potential for more than minimal, widespreadF725Aug 30, 2021

  Based on interview, record review, and policy review, the facility failed to ensure sufficient staff to meet the residents needs. This had the potential to affect all 39 residents that resided in the facility. Findings include: 1. Review of the medical record for Resident #15 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set (MDS) quarterly assessment, dated 05/26/21, revealed Resident #15 had moderately impaired cognition, required extensive assistance with one-person physical assist for bed mobility, extensive assistance with two-person physical assist for transfers, and supervision with one-person physical assist for personal hygiene and toilet use. Resident #15 was occasionally incontinent of bowel and urine. […]