Saybrook Landing
Ashtabula, Ohio · CCN 366382
13 surveys since 2011, 3 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 25
- Surveys
- 13
- Harm or worse
- 3
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 95
- Ownership
- For profit - Corporation
- Chain
- FOUNDATIONS HEALTH SOLUTIONS
- County
- Ashtabula
- Medicare-certified since
- 2009
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=4, floor 20).
Last survey on record
Jul 25, 2024
837 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.69 | 3.47 |
| Registered-nurse hours per resident day | 0.50 | — |
| Annual nurse turnover | 31.3% | 49.2% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D250.0% | E— | F250.0% |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
From the most serious findings on record at Saybrook Landing, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF851Jul 25, 2024
Based on review of the Payroll-Based Journal (PBJ) report, review of the daily assignment sheets, review of the staffing tool, review of staff timecards, review of the facility Centers for Medicare and Medicaid Services (CMS) submission report and staff interview, the facility failed to submit complete and accurate staffing information to CMS. Additionally, the facility failed to maintain records of staffing hours for audit. This had the potential to affect all 95 residents in the facility. The facility census was 95. Findings Include: Review of the PBJ report for Fiscal Year (FY) Quarter Two 2024 (01/01/24 through 03/31/24) revealed the facility triggered an area of concern for excessively low weekend staffing. […]
- No harm, potential for more than minimal, widespreadF868Jul 25, 2024
Based on review of Quality Assessment and Assurance (QAA) sign in sheets and staff interview, the facility failed to ensure the required members attended QAA committee meetings at least quarterly. This had the potential to affect all residents. The census was 95. Findings include: Review of the facility QAA committee agenda/minutes sign in sheets for the second quarter 2023 (April, May, June), third quarter 2023 (July, August, September), fourth quarter 2023 (October, November, December) and first quarter 2024 (January, February, March) revealed the Director of Nursing (DON), who was also the Infection Control Preventionist (ICP), was not in attendance for the third quarter 2023 and first quarter 2024 QAA committee meetings. Interview on 07/25/24 at 1:48 P.M. […]
- No harm, potential for more than minimal, isolatedF756Jul 25, 2024
Based on medical record review, review of pharmacy recommendations and staff interview, the facility failed to ensure a physician approved pharmacy recommendation was implemented. This affected one (#34) of five residents reviewed for unnecessary medications. The facility census was 95. Findings include: Review of the medical record for resident #34 revealed an admitted [DATE]. Diagnoses included bipolar disorder, cirrhosis of the liver, protein calorie malnutrition, anorexia, repeated falls and kidney disease. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #34 was moderately cognitively impaired. […]
- No harm, potential for more than minimal, isolatedF689Nov 13, 2023
Based on record review, interview, and facility policy review the facility failed to ensure falls were thoroughly investigated and post fall assessments were thorough and timely. This affected two residents (#79 and #92) of three residents reviewed for falls. The facility census was 91. Findings include: 1.Review of the medical record for Resident #79 revealed an admitted [DATE]. Diagnoses included difficulty walking, acute respiratory failure, scoliosis, and myocardial infarction (heart attack). Review of the physician's orders for September 2023 revealed orders for a night light, Dycem (non-skid mat) above and below her wheelchair cushion and a toilet riser. […]
Read 22 findings in full →The most serious and the most recent: 22 of 25 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 25, 2024Standard3 findings
- Nov 13, 2023Complaint1 finding
- Mar 14, 2019Complaint1 finding
- May 23, 2018Standard1 finding
- Jan 28, 2016Standard1 finding
- Mar 23, 2015Complaint2 findings
- Nov 18, 2014Complaint2 findings · 1 harm
- Apr 16, 2014Complaint1 finding
Show the 5 earlier surveys
- Jul 12, 2013—1 finding
- Nov 30, 2012—2 findings
- Apr 13, 2012—6 findings
- Feb 8, 2012—3 findings · 1 harm
- Feb 24, 2011—1 finding · 1 harm
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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