O'Neill Healthcare North Ridgeville

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Feb 22, 2022

  Based on observation, interview, and record review, the facility failed to maintain a clean and sanitary kitchen. This had the potential to affect all residents except residents (#12, #15, #37, #104, and #105) who received nothing by mouth. The facility census was 116. Findings include: During the initial tour of the kitchen on 02/14/22 from 9:01 A.M. to 9:21 A.M. with Certified Dietary Manager (CDM) #700 revealed the hood above stove appeared dusty and greasy. The oven to the right of the stove appeared very old with buildup of burnt food and grease inside and along the side with the operating dials and surface that faced the stove. The top of the oven appeared crusted with a hardened blackish dust and grease. […]

• No harm, potential for more than minimal, isolatedF689Sep 16, 2025

  Based on record review, review of incident log, review of witness statements, and staff interviews, the facility failed to properly transfer a resident which caused an injury. This affected one (#69) of the three residents reviewed for transfers. The census was 128.Findings Include: Review of the medical record for Resident #69 revealed an admission date of 07/16/24. Diagnoses included Parkinson's Disease, dementia, muscle weakness and brain stem stroke syndrome.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #69 was cognitively impaired. […]

• No harm, potential for more than minimal, isolatedF756Sep 19, 2024

  Based on medical record review, pharmacy recommendation review, and staff interview, the facility failed to ensure pharmacy recommendations were addressed in a timely manner. This affected two (#73 and #117) of five residents reviewed for unnecessary medications. The facility census was 133. Findings include: 1. Review of the medical record for Resident #73 revealed an admitted [DATE]. Diagnoses included Alzheimer's disease, diabetes mellitus, and generalized anxiety disorder. Review of the pharmacy recommendation dated 04/29/24 revealed Resident #73 was receiving Lantus insulin five units twice daily with blood sugar fluctuating from normal to elevated. […]

• No harm, potential for more than minimal, isolatedF689Aug 1, 2022

  Based on record review, staff interview, and review of facility policy, the facility failed to ensure fall interventions were in place per the plan of care and physician order for Resident #2. This affected one ( Resident #2) of three residents reviewed for falls. The facility census was 125. Findings include: Review of the medical record for Resident #2 revealed an admitted [DATE]. Diagnoses included dementia, weakness, difficulty in walking, muscle weakness, dysphagia, anxiety, and cognitive communication deficit. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had impaired cognition. The resident required extensive assistance of two staff for bed mobility, transfers, and toileting. No behaviors were noted. […]

• No harm, potential for more than minimal, isolatedF689Feb 22, 2022

  Based on record review, staff and guardian interview, facility incident investigation documentation, and facility policy, the facility failed to ensure Resident #34 was transported correctly in a tilt-n-space chair and sustained a laceration to the forehead requiring sutures. This affected one (#34) of six residents reviewed for accidents. The facility census was 116. Findings include: Review of the medical record for the Resident #34 revealed an admitted [DATE]. Diagnoses included metabolic [CONDITION(S)], [CONDITION(S)] disease, chronic obstructive pulmonary disease, and type two diabetes mellitus. Review of the most recent Minimum Data Set (MDS) assessment, revealed the resident had impaired cognition. […]