O'Neill Healthcare North Olmsted

In the surveyor’s words

From the most serious findings on record at O'Neill Healthcare North Olmsted, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 9, 2025

  Based on medical record review, staff interview and facility policy review, the facility failed to ensure individualized care plan interventions were developed, updated, and initiated following falls for Resident #33 and Resident #36. The facility also failed to conduct thorough post-fall investigations with root cause analysis to ensure a comprehensive fall management program was in place for Resident #8, Resident #33 and Resident #36. This affected three residents (#8, #33, and #36) of three residents reviewed for accidents. The facility census was 57. […]

• No harm, potential for more than minimal, widespreadF880Jul 13, 2021

  Based on observation and staff interview the facility failed to ensure proper infection control practices were maintained for residents in isolation. This affected one resident (Resident #39)of one resident reviewed for transmission based precautions. The facility census was 60. Findings include: Review of the medical record revealed Resident #39 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had mild cognitive impairment and required two staff assistance for activities of daily living. Interview with the Director of Nursing on 07/08/21 at 10:55 A.M. […]

• No harm, potential for more than minimal, patternF847Apr 9, 2025

  Based on review of the Arbitration Agreement and interviews the facility failed to ensure the resident or representative had the right to rescind the agreement within 30 calendar days after signing it. This affected four residents (#41, #46, #315, and #318) of five residents reviewed for arbitration agreements. The facility identified 33 residents who agreed to the facility's binding arbitration agreement upon admission. The facility census was 57. Findings include: 1. Review of the medical record for Resident #41 revealed an admitted [DATE]. Review of the Arbitration Agreement revealed Resident #41 and the facility entered into an agreement that if a dispute arises between them, they desire to avoid costly and time-consuming litigation. […]

• No harm, potential for more than minimal, patternF583Oct 5, 2023

  Based on observation and interview the facility failed to maintain confidentiality of resident medical information and provide privacy during the delivery of wound care. This affected one resident (Resident #38) and had the potential to affect 20 residents who resided on the long term care hallway. The facility census was 48. Findings include: Tour of the long term care hallway on 10/02/23 at 9:28 A.M. revealed a desk top computer monitor at the nurse station was visible from the public hallway and left open to a resident electronic medical Record (EMR). The nurses station and monitor was unattended by staff. Interview on 10/02/23 at 9:32 A.M. […]

• No harm, potential for more than minimal, patternF726Oct 12, 2022

  Based on observation, interview, record review, and review of facility protocol, the facility failed to ensure agency nurses were properly oriented to the facility to provide appropriate care and services for the residents. This affected two residents (Resident's #1 and #53) out of four residents reviewed who resided in shared rooms and had the potential to affect all 30 residents (Resident's #1, #4, #5, #6, #9, #10, #14, #16, #20, #22, #23, #24, #27, #28, #29, #30, #33, #34, #35, #39, #40, #41 #44, #46, #49, #50, #51, #52, #53, #54) residing in a shared room. The facility census was 54. Findings include: Review of Resident #1's medical record revealed an initial admitted [DATE] and a re-entry date of 03/05/21. […]