Carriage Inn of Steubenville

In the surveyor’s words

From the most serious findings on record at Carriage Inn of Steubenville, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 23, 2025

  Based on observation, record review, manufacturer guideline review, facility policy review and interview, the facility failed to ensure Resident #7 was comprehensively assessed and appropriate interventions were in place to prevent a burn from a hot liquid. In addition, the facility failed to ensure care planned/physician ordered fall interventions were in place to decrease the resident's risk of falls. This affected one resident (#7) of four residents reviewed for accidents. The census was 78. […]

• Actual harm, isolatedF760Sep 7, 2022

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed record review, facility policy and procedure review and interview, the facility failed to ensure medications were administered to Resident #50 without significant errors. Actual harm occurred to Resident #50 on 08/22/22 when the resident was administered medications ordered for another resident resulting in the resident becoming hypotensive and requiring hospitalization with treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF880Mar 13, 2024

  Based on medical record review, interview, observation, and policy review the facility failed to trend and identify infections/organism. The facility also failed to use proper hand hygiene and glove use during suprapubic catheter care. This had the potential to affect all 102 residents residing in the building for infections and one resident (#78) of one observed for catheter care. Findings include: 1. Review of the infection control logs, and facility floor plans dated 10/2023 to 03/2024 revealed no evidence the facility was trending and identifying all infections/organism. The facility was utilizing floor plans to trend the infection. […]

• No harm, potential for more than minimal, widespreadF725Jul 10, 2021

  Based on observation, record review and interview the facility failed to maintain sufficient levels of nursing staff to ensure all residents received timely and necessary care and services to maintain their highest level of well-being. This had the potential to affect all 84 residents residing in the facility. Findings include: 1. Review of the medical record for Resident #83 revealed an admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the 05/13/21 Impaired Activity of Daily Living (ADL) function plan of care revealed the resident required (staff) assist to perform and complete activities of daily living. […]

• No harm, potential for more than minimal, patternF921Apr 6, 2026

  Based on observation, maintenance ticket reviews, and staff interviews the facility failed to maintain safe flooring when it did not repair an area of flooring that was uneven and cracked on the transition care unit (TCU) utilized by residents. This affected nine mobile residents (#1, #9, #13, #25, #34, #42, #62, #95, and #105) of 20 residents residing on TCU. The facility census was 95.Findings include:Observation on 03/30/26 at 7:35 AM during the initial tour of the transition care unit (TCU) in front of the nurses' station door revealed a dip in the flooring and a piece of the flooring cracked with a hole starting. This was verified by certified nursing assistant (CNA) #481 who reported she would fill out a ticket to let the maintenance department know of concern. […]