Mahoning Operating LLC

In the surveyor’s words

From the most serious findings on record at Mahoning Operating LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jul 21, 2026

  Based on a review of the facility's infection prevention and control policies, infection surveillance documentation, clinical records, and staff interviews, it was determined the facility failed to establish, maintain, and implement an effective infection prevention and control program designed to identify, monitor, investigate, and prevent the transmission of communicable disease. The facility failed to implement an effective infection surveillance system and infection control practices after multiple residents developed signs and symptoms consistent with scabies, resulting in delayed recognition, investigation, and implementation of measures to prevent potential transmission for 5 of 5 residents reviewed. (Residents 1, 2, 3, 4 and 5). […]

• No harm, potential for more than minimal, patternF578Dec 12, 2025

  Based on a review of clinical records and select facility policy and staff interviews, it was determined that the facility failed to ensure residents are informed and provided written information regarding the right to formulate advance directives and failed to determine whether residents had advance directives upon admission for four out of 27 residents sampled (Residents 15, 26, 54, and 111).Findings include:A review of the facility's policy titled Advance Directives, last reviewed [DATE], indicated that it is the policy of the facility to encourage residents to make their own decisions for all aspects of their care. […]

• No harm, potential for more than minimal, patternF688Dec 12, 2025

  Based on clinical record review, select facility policy, and resident and staff interviews, it was determined the facility failed to consistently provide restorative nursing services as planned to maintain mobility to the extent possible for one resident out of 27 residents sampled (Resident 57).Findings include: A review of the facility policy titled Restorative Nursing, last reviewed by the facility on September 1, 2025, revealed it is the facility's policy to provide maintenance and restorative services designed to maintain or improve a resident's ability to the highest practicable level. […]

• No harm, potential for more than minimal, patternF695Dec 12, 2025

  Based on a review of clinical records, select facility policy, observation, and staff interviews, it was determined the facility failed to ensure oxygen therapy was administered per physician's orders for three residents out of 27 sampled (Residents 1, 26, and 38). Findings include: A review of the facility's policy titled Oxygen Administration, last reviewed September 1, 2025, revealed it is the facility policy that oxygen is administered to residents who need it is consistent with professional standards of practice, the comprehensive person-centered care plans, and the residents' goals and preferences. The policy indicates oxygen is administered under orders of a physician, except in the case of an emergency. […]

• No harm, potential for more than minimal, patternF695Feb 21, 2025

  Based on review of select facility policies and procedures and clinical records, observations, and staff interviews, it was determined the facility failed to provide supplemental oxygen administration care consistent with professional standards of practice for three out of 19 residents sampled (Resident 2, 16, and 82). Findings include: Review of facility policy entitled Oxygen Administration, last reviewed November 13, 2024, revealed that oxygen is administered under orders of a physician, except in the case of an emergency. Infection control measures performed during the administration of oxygen include change and date oxygen tubing and mask/cannula every two weeks and as needed. […]