Continuing Healthcare of Cuyahoga Falls

In the surveyor’s words

From the most serious findings on record at Continuing Healthcare of Cuyahoga Falls, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600Mar 1, 2023

  Based on observation, record review, facility policy and procedure review, and interview the facility failed to ensure residents were provided adequate and timely personal care to prevent incidents of neglect. This resulted in Immediate Jeopardy and actual harm on 02/06/23 when Resident #55, who required extensive assist of two staff for activities of daily living care and was assessed to be always incontinent of bowel and bladder, went from 02/06/23 at 2:00 A.M. to 1:25 P.M. before being provided incontinence care after repeated requests. […]

• Immediate jeopardy, widespreadF725Mar 1, 2023

  Based on observation, record review, review of staffing (schedules, daily staffing assignment sheets, and employee punch detail), review of a facility concern log, review of resident council minutes, review of the facility Staffing policy and procedure, review of the Facility Assessment, and interviews the facility failed to maintain sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This resulted in Immediate Jeopardy and actual harm on 02/06/23 when there was insufficient staff to ensure Resident #55 who was dependent on staff for care went from 2:00 A.M. to 1:25 P.M. […]

• Immediate jeopardy, patternF677Mar 1, 2023

  Based on observation, record review, facility policy and procedure review, and interview the facility failed to ensure Resident #52 and Resident #55, who required staff assistance for activities of daily living care, received adequate and timely incontinence care. This resulted in Immediate Jeopardy and actual harm on 02/06/23 when Resident #55, who required extensive assist of two staff for activities of daily living care and was assessed to be always incontinent of bowel and bladder, went from 02/06/23 at 2:00 A.M. to 1:25 P.M. before being provided incontinence care after repeated requests. […]

• Immediate jeopardy, isolatedF695Jul 13, 2021

  Based on closed record review, review of the physician progress notes [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in Immediate Jeopardy and serious life-threatening harm for Resident #73 on 06/10/21 when Resident #73 arrived at an outside orthopedic follow-up appointment. Resident #73, who was alert and oriented with oxygen therapy, presented disoriented, cool to touch and had a dangerously low oxygen level. It was determined there was no oxygen in the portable liquid oxygen tank. This affected one of one resident requiring oxygen therapy who had a leave of absence (LOA) from the facility. The facility identified six residents (Residents #4, #19, #23, #31, #45, and #65) who had orders for oxygen therapy. The facility census was 72. […]

• Actual harm, isolatedF697Aug 20, 2025

  Based on medical record review, staff interview, review of imaging reports, review of hospital records, and facility policy review, the facility failed to ensure complaints and origins of pain were comprehensively evaluated and timely reported to a physician. This resulted in Actual Harm on 07/11/25 when Resident #150, who had severely impaired cognition and who was dependent on staff for all activities of daily living (ADLs), was identified to have bruising and pain in her right hip and was observed by staff grabbing her right thigh. Resident #150's pain medication was changed from as needed to routine, and Resident #150 continued to have pain with no evidence of a thorough pain assessment or assessment of range of motion to the affected extremity. […]