Deficiency Index

Genoa Retirement Village

Genoa, Ohio · CCN 365663

15 surveys since 2010, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
49
Surveys
15
Harm or worse
3
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
68
Ownership
For profit - Limited Liability company
Chain
TRILOGY HEALTH SERVICES
County
Ottawa
Medicare-certified since
1985

CMS ratings

Overall
5
Health inspection
4
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Jan 27, 2026

286 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.433.47
Registered-nurse hours per resident day1.08—
Annual nurse turnover23.1%49.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1066.7%E213.3%F320.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 15 of the 49 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6902×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5851×

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

In the surveyor’s words

From the most serious findings on record at Genoa Retirement Village, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF867Jan 27, 2026

    Based on observation, staff interview, medical record review, and review of the Centers for Medicare and Medicaid Services (CMS) Provider History Profile document, the facility failed to have an effective Quality Assurance and Performance Improvement (QAPI) program to address repeated infection control deficiencies identified during five consecutive comprehensive surveys. This had the potential to affect all residents in the facility. The facility census was 66.Findings include:Review of the CMS Provider History Profile document, with Certification and Survey Provider Enhanced Reporting (CASPER) system data, last updated 01/07/26, revealed the facility was issued a deficiency for infection prevention and control on the four previous comprehensive surveys in February 2018, March 2019, April… […]

  • No harm, potential for more than minimal, widespreadF812Jan 4, 2024

    Based on observation, staff interview, record review, and review of the policy, the facility failed to ensure dietary staff used appropriate hand hygiene during food service. This affected three (#16, #46, and #48) residents and had the potential to affect all residents in the facility. The facility confirmed all residents received food from the kitchen. The facility census was 56. Findings include: Observation during meal service on 01/03/24 beginning at 11:56 A.M., revealed Dining Services Assistant Director (DSAD) #589 serving the noon meal. DSAD #589 prepared alternative menu items, including a [NAME] sandwich with fries, a cheeseburger with fries, and over-easy eggs with buttered bread. […]

  • No harm, potential for more than minimal, widespreadF880Apr 22, 2021

    Based on observation, staff interview, review of facility's guidelines, review of facility policy, and review of the Centers for Disease Control and Prevention (CDC) Coronavirus Disease 2019 (COVID-19) Pandemic guidance, the facility failed to ensure healthcare personnel applied appropriate transmission based infection control precautions and personal protective equipment (PPE) to potentially prevent the spread of COVID-19. Additionally, the facility failed to ensure medications were administered to prevent cross contamination. This had the potential to affect all 39 residents residing in the facility. The facility census was 39. Findings include: Observation on 04/20/21 at 12:45 P.M. revealed Physical Therapy Director(PTD) #1 exited Resident #141's room. […]

  • No harm, potential for more than minimal, patternF880Jan 27, 2026

    Based on medical record review, observation, staff interview, review of the Centers for Disease Control and Prevention (CDC) guidelines and review of facility policy, the facility failed to ensure appropriate personal protective equipment (PPE) was utilized while providing care for residents on transmission-based precautions (TBP). This affected two (#8 and #1) of two residents reviewed for TBP. Additionally, the facility failed to ensure intravenous (IV) medication administration tubing was maintained in a sanitary manner. This affected one (#43) of one resident reviewed for IV medication administration. Lastly, the facility failed to ensure appropriate hand hygiene during wound dressing changes. This affected one (#48) of one resident reviewed for pressure ulcers. […]

  • No harm, potential for more than minimal, patternF880Jan 4, 2024

    Based on medical record review, observation, staff interview and policy review, the facility failed to ensure hand hygiene was completed prior to the administration of eye medication. Additionally the facility failed to ensure staff properly transported soiled linen. This affected one (#50) of three residents reviewed for medication administration. This had the potential to affect 19 additional residents (#24, #25, #21, #44, #10, #22, #4, #2, #40, #48, #36, #39, #32, #8, #30, #6, #57, #28, #53) residing on the 100-hall. Findings include Review of the medical record revealed Resident #50 had an admitted [DATE]. Diagnoses included Parkinson's disease, dementia, atrial fibrillation, and hypertension. […]

Read 23 findings in full →The most serious and the most recent: 23 of 49 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 27, 2026Standard5 findings
  • Aug 7, 2025Complaint1 finding
  • Jan 4, 2024Standard6 findings
  • Apr 22, 2021Standard3 findings
  • Jul 8, 2020Complaint1 finding
  • Mar 14, 2019Standard3 findings
  • Dec 16, 2018Complaint1 finding
  • Feb 8, 2018Standard8 findings
Show the 7 earlier surveys
  • Feb 2, 2018Complaint2 findings
  • Jun 21, 2017Complaint2 findings
  • Nov 17, 2016Standard4 findings
  • Sep 9, 2016Complaint2 findings
  • Sep 2, 2015Standard3 findings · 1 harm
  • May 29, 2014Standard1 finding
  • Sep 2, 2010—7 findings · 2 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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