Strongsville Healthcare and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Strongsville Healthcare and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 10, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, medical record review, review of local police report, resident, family, and staff interviews, local police detective interview, review of the National Weather Service forecast, review of the facility Elopement Policy and Procedure, review of camera footage, the facility failed to provide adequate supervision to prevent Resident #37, who had a diagnosis of dementia, post- traumatic stress disorder (PTSD) and severe cognitive impairment, from leaving the facility without staff knowledge. This resulted in Immediate Jeopardy and the potential for serious harm, injury, or death when Resident #37 was seen (by camera footage) on 11/23/24 at 11:07 P.M. […]

• Immediate jeopardy, isolatedF600Nov 14, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, record review, review of an employee personnel file, review of video surveillance, review of a policy report, review of facility policy and interview, the facility failed to ensure Resident #1, a resident with cognitive impairment, was free from staff to resident abuse when Certified Nursing Assistant (CNA) #813 physically abused the resident while providing care. This resulted in Immediate Jeopardy and actual physical and psychosocial harm as a result of the physical abuse incident which occurred on 10/29/24 at approximately 9:30 P.M. […]

• No harm, potential for more than minimal, widespreadF880Jun 16, 2026

  Based on record reviews, observations, interviews, and review of facility policies, the facility failed to ensure proper implementation of required infection control practices. Specifically, the facility did not ensure staff consistently followed Enhanced Barrier Precautions (EBP) for residents with indwelling devices, did not properly don and doff required Personal Protective Equipment (PPE) when caring for a resident on droplet isolation for COVID 19, did not use appropriate protective clothing during laundry handling, and did not maintain required procedures to prevent the growth of Legionella bacteria within the facility's water system. These deficient practices affected two residents (Residents #24 and #53) and had the potential to affect all residents in the facility. […]

• No harm, potential for more than minimal, widespreadF887Jun 16, 2026

  Based on staff interview, review of staff education, review of Centers for Medicare and Medicaid (CMS) Regulatory Update dated 05/31/23 titled Educate and Offer and review of the facility policy, the facility failed to educate/offer all eligible staff the COVID 19 vaccination. This had the potential to affect all 95 residents residing at the facility.Findings include:During an interview on 06/15/26 at 9:04 A.M., Certified Nursing Assistant (CNA) #494 stated the fall of 2024 was the last time the facility educated/offered the staff the COVID-19 vaccine.During an interview on 06/15/26 at 10:10 A.M., Infection Preventionist (IP) Registered Nurse (RN) #604 confirmed facility staff were not educated/offered the COVID-19 vaccine in 2025 or 2026 and revealed she did not know she was supposed to. […]

• No harm, potential for more than minimal, patternF636Jun 16, 2026

  Based on record review and interview, the facility failed to ensure accurate comprehensive assessments were completed as required. This finding affected three residents (Residents #107, #109 and #111) and had the potential to affect all six residents (Residents #103, #105, #107, #108, #109 and #111) who were transferred to the facility from a sister facility following a fire. The facility census was 95. Findings include: 1. Review of Resident #111's medical record revealed the resident was admitted to the facility 03/13/26 as a transfer from a sister facility with diagnoses including paraplegia, essential hypertension and legal blindness. […]