Deficiency Index

Meadows of Leipsic

Leipsic, Ohio · CCN 366252

13 surveys since 2011. The first finding at harm level was recorded in 2020.

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

Citations on record
41
Surveys
13
Harm or worse
1
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file10/13

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

The facility

Certified beds
52
Ownership
For profit - Corporation
Chain
TRILOGY HEALTH SERVICES
County
Putnam · rural
Medicare-certified since
2002

CMS ratings

Overall
5
Health inspection
4
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=16, floor 20).

Last survey on record

Jan 22, 2026

291 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 day3.353.57
Registered-nurse hours per resident day0.82—
Annual nurse turnover54.8%46.9%

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 minimalD1178.6%E—F321.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 14 of the 41 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6843×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

From the most serious findings on record at Meadows of Leipsic, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF880Jan 22, 2026

    Based on review of facility's Legionella plan and documentation, staff interviews, and review of Centers for Disease Control and Prevention (CDC) guidance, the facility failed to develop and implement a comprehensive and effective infection control/water management plan to prevent the risk of Legionella. This had the possible affect all residents in the facility. The facility census was 44.Findings include:Review of the facility's Legionella Water Management Plan, updated 08/04/25, revealed Legionella could grow and spread in common areas including sinks, showers, water fountains, standing water on washing tables, spa tub and ice machines. There were no records of flushing of low-flow or dead-leg pipes by the facility. […]

  • No harm, potential for more than minimal, widespreadF812Jun 1, 2023

    Based on observation, staff interview, and policy review, the facility failed to ensure dietary staff were provided beard protectors while working in the kitchen. This affected all 39 residents who resided in the facility and received food from the kitchen. The facility census was 39. Findings include: Observation on 05/30/23 at 8:27 A.M. revealed Cook #205 had a full beard and mustache approximately one inch long and was working in the kitchen. The Cook was not wearing a beard protector. Interview with Cook #205 on 05/30/23 at 8:32 A.M. verified that he did not wear a beard protector while working as they were not provided for staff. Interview with the Director of Food Services on 05/30/23 at 8:35 A.M. […]

  • No harm, potential for more than minimal, widespreadF880May 3, 2021

    Based on medical record review, observation, staff interviews, and facility policy review, the facility failed to ensure appropriate signage was placed on the door of one Resident (#20) in quarantine status, and failed to ensure one Resident (#13) remained in quarantine status. This had the potential to affect all 43 residents of the facility. Findings include: 1. Review of Resident #20's medical record revealed an admitted [DATE]. The resident had a hospital stay from 04/17/21 through 04/24/21. Observation on 04/26/21 at 11:59 A.M. revealed there was no sign on the resident's door to indicate transmission-based precautions. Interview on 04/26/21 at 12:05 P.M. […]

  • No harm, potential for more than minimal, isolatedF558Jan 22, 2026

    Based on record review, observation, resident interview, and staff interview, the facility failed to ensure resident requests for bed accommodations were honored. This affected one (Resident #4) of two residents reviewed for accommodation of needs. The facility census was 44. Findings Include:Review of Resident #4's medical record revealed an admission date of 10/22/24. Diagnoses included fracture of right femur (subsequent encounter) with orthopedic surgery, type I diabetes mellitus, osteoporosis, anxiety disorder, chronic pain, and muscle weakness.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #4 was cognitively intact. Resident #4 was independent with toilet use, bed mobility, transfer, and required set up assistance with bathing. […]

  • No harm, potential for more than minimal, isolatedF584Jan 22, 2026

    Based on medical review, observation, and staff interviews, the facility failed to ensure the resident's bed sheets were clean and sanitary. This affected one (Resident #50) of 21 residents reviewed for clean and homelike environment. The facility census was 44.Findings include:Medical record review revealed Resident #50 was admitted on [DATE] with diagnoses including acute kidney failure with tubular necrosis, dementia, and obstructive and reflux uropathy,The Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #50 had impaired cognition. Resident #50 was dependent with toileting. Observation on 01/22/26 at 10:07 A.M. of catheter care revealed Resident #50 had a bowel movement at the start of catheter care. […]

Read 20 findings in full →The most serious and the most recent: 20 of 41 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 22, 2026Standard4 findings
  • Jun 1, 2023Standard4 findings
  • Feb 3, 2023Complaint2 findings
  • May 3, 2021Standard6 findings
  • Nov 22, 2020Infection control1 finding
  • Feb 27, 2020Complaint1 finding · 1 harm
  • Feb 28, 2019Standard5 findings
  • Jun 5, 2018Complaint2 findings
Show the 5 earlier surveys
  • Jan 11, 2018Standard3 findings
  • Aug 27, 2015Standard4 findings
  • Jul 13, 2015Complaint2 findings
  • May 29, 2014Standard1 finding
  • Nov 30, 2011—6 findings

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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