Kimes Nursing and Rehab LLC

In the surveyor’s words

From the most serious findings on record at Kimes Nursing and Rehab LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jul 14, 2026

  Based on closed medical record review, hospital documentation review, facility policy review, and interview, the facility failed to timely identify and obtain necessary medical intervention for Resident #160 following a fall. This resulted in Immediate Jeopardy and Actual Harm on 06/24/26 beginning at 4:00 P.M. when Resident #160 sustained an unwitnessed fall from bed. On 06/24/26 at approximately 6:00 P.M., Certified Nursing Assistant (CNA) #56 reported to Licensed Practical Nurse (LPN) #120 the resident appeared tired. No assessment was conducted, and Resident #160 was left to rest. On 06/24/26 at approximately 9:00 P.M., CNA #56 returned to the resident's room and notified LPN #120 Resident #160 appeared pale. […]

• Immediate jeopardy, isolatedF760Mar 9, 2026

  Based on record review, review of an Emergency Medical Service (EMS) run report, review of the facility's incident and accident log for the past six months, review of a facility investigation, interview, and policy review, the facility failed to ensure Agency Licensed Practical Nurse (LPN) #100 followed proper medication administration procedures when preparing and administering medications to Resident #42 resulting in a significant medication error. This resulted in Immediate Jeopardy and Actual Harm on [DATE] at 8:23 P.M., when Resident #42 was erroneously given medications that included Xanax 2 milligrams (mg) by mouth (po), Oxycodone 10- 325 mg po, and Gabapentin 800 mg po during an evening medication administration pass that were physician ordered and intended for his roommate… […]

• Actual harm, isolatedF684Jun 2, 2026

  Based on record review, interview, observation, review of hospital records, and review of information from the National Library for Medicine, the facility failed to ensure residents with acute respiratory changes and decline in condition received comprehensive assessment and treatment in a timely manner. This affected two residents (#1,#21) of two residents reviewed for change in condition. The facility census was 56.Actual Harm occurred to Resident #21 on 05/04/26 when the resident was experiencing shortness of breath, had labored breathing, with oxygen levels desaturating into the 70's and 80's around 1:00 A.M. and Licensed Practical Nurse (LPN) #181 failed to complete a comprehensive assessment including checking vitals and lung sounds and failed to provide treatment to the resident. […]

• No harm, potential for more than minimal, widespreadF837Jul 14, 2026

  Based on observation, record review, and interview, the governing body failed to ensure measures were in place to prevent the facility from being without a licensed nursing home administrator who had an active license to practice in the State of Ohio following the resignation of the previous administrator to maintain uninterrupted administrative oversight. This had the potential to affect all 60 residents residing at this facility. Findings include:Observation at the time entrance to the facility on [DATE] at 11:20 A.M. revealed there was no licensed nursing home administrator present in the facility. At the time of entrance, Corporate Staff #89 (who was licensed as an Administrator in another state but not licensed in Ohio) was available to assist the surveyor. On 06/26/26 at 11:20 A.M. […]

• No harm, potential for more than minimal, widespreadF606Jun 2, 2026

  Based on review of employee personnel files, staff interview, and policy review, the facility failed to conduct thorough background checks of employees upon hire to ensure there were no findings of abuse, neglect, exploitation, or misappropriation of property. The facility failed to check the State nurse aide registry for findings of abuse for 30 employees hired since November 2025, failed to conduct an FBI background check for one nurse who had not lived in the the state for the past five years, and failed to check information from previous and/or current employers (reference checks) for 90 of 90 employees hired since November 2025. This affected 56 of 56 residents residing in the facility. […]