Ashtabula County Nursing Home

In the surveyor’s words

From the most serious findings on record at Ashtabula County Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 25, 2026

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on observation, medical record review, review of a facility investigation, hospital records, facility policy, manufacturer's instructions, and interview, the facility failed to identify and implement comprehensive, individualized and adequate fall interventions to prevent a fall with injury during resident care. This affected one resident (#77) of three residents reviewed for accidents/incidents who required use of a shower gurney. […]

• Actual harm, isolatedF689Dec 7, 2022

  Based on observation, closed record review, facility policy and procedure review and interview the facility failed to provide adequate interventions to prevent a fall with injury for Resident #114. Actual Harm occurred on 10/14/22 when Resident #114, who was severely cognitively impaired and at high risk for falls sustained an unwitnessed fall from an electronic lift recliner chair in his room. The resident was found face down on the ground with his electronic lift recliner chair in the forward position with a large amount of blood coming from a laceration to his left eyebrow and a loss of consciousness. Resident #114 was subsequently transferred to the hospital and then to another long-term acute care hospital after being diagnosed with a traumatic brain injury. […]

• No harm, potential for more than minimal, widespreadF804Aug 31, 2023

  Based on observation and interview the facility failed to ensure all meals were served at an appetizing temperature. This had the potential to affect 108 residents at the facility. The facility identified one resident (#30) as receiving no food from the kitchen. The facility census was 109. Findings include: On 08/30/23 at 11:34 A.M. observation of temperatures taken on the tray line revealed the roast turkey measured an internal temperature of 170 degrees Fahrenheit (F). The Brussel sprouts measured an internal temperature of 148 degrees F, and the scalloped corn measured an internal temperature of 160 degrees F. On 08/30/23 at 12:04 P.M. the food cart with the test tray left the kitchen. On 08/30/23 at 12:06 P.M. the cart was on the unit. On 08/30/23 at 12:07 P.M. […]

• No harm, potential for more than minimal, widespreadF607Oct 13, 2022

  Based on interview and review of staffing agency contracts, the facility failed to ensure all staff did not have a finding entered into the State of Ohio's Nurse Aide Registry prior to providing direct care. This had the potential to affect all 110 residents residing in the facility. Findings include: Interview with the Administrator on 10/12/22 at 7:00 A.M. indicated the facility had contracts with six staffing agencies. He indicated he assumed each agency did the required pre-screening of all of their staff. He also indicated Licensed Practical Nurse (LPN) #752 was the owner of Staffing agency #900. The facility provided documentation identifying the four agencies and the nursing staff sent to work in the facility in the last 30 days. […]

• No harm, potential for more than minimal, patternF699Jul 9, 2026

  Based on record review, interview and policy review, the facility failed to ensure triggers were addressed for residents with post-traumatic stress disorder (PTSD). This affected four (#3, #11, #76 and #81) of four residents reviewed for trauma informed care. The facility identified four residents (#3, #11, #76 and #81) as having a diagnosis of PTSD. The facility census was 104. Findings include: 1.Review of the medical record for Resident #11 revealed an admission date of 11/13/25 with pertinent diagnoses included post-traumatic stress disorder (PTSD), vascular dementia, psychotic disturbance and anxiety. […]