Deficiency Index

Woods on French Creek Nursing & Rehab Center the

Avon, Ohio · CCN 366426

11 surveys since 2017, 4 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
50
Surveys
11
Harm or worse
4
Immediate jeopardy
0
The record, 2017–2026
’17’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file5/11

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

The facility

Certified beds
74
Ownership
For profit - Corporation
Chain
FOUNDATIONS HEALTH SOLUTIONS
County
Lorain
Medicare-certified since
2015

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=15, floor 20).

Last survey on record

Jun 16, 2026

146 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 day3.073.47
Registered-nurse hours per resident day0.60—
Annual nurse turnover50.0%49.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$26,685 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG26.9%H—I—
No harm, potential for more than minimalD2482.8%E13.4%F—
No harm, potential for minimalA—B—C26.9%
CMS’s current file: 29 of the 50 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F7572×

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • F8102×

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

  • F5531×

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

In the surveyor’s words

From the most serious findings on record at Woods on French Creek Nursing & Rehab Center the, in the surveyor’s own words.

  • Actual harm, isolatedF600Nov 6, 2025

    THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRCTED PRIOR TO THIS SURVEY Based on record review, staff interview, resident interview, review of the Emergency Medical Services (EMS) run report, review of the hospital documentation, and facility policy review, the facility failed to timely report a fall, failed to complete a timely and thorough resident assessment, and failed to ensure timely care and treatment after a fall. This resulted in Actual harm on 10/12/25 at 12:00 A.M. when Resident #52 fell out of bed and was assisted back into bed by staff without a thorough assessment. […]

  • Actual harm, isolatedF684Nov 6, 2025

    THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRCTED PRIOR TO THIS SURVEY Based on record review, staff interview, resident interview, review of the Emergency Medical Services (EMS) run report, review of the hospital documentation, and facility policy review, the facility failed to timely report a fall, failed to complete a timely and thorough resident assessment, and failed to ensure timely care and treatment after a fall. This resulted in Actual harm on 10/12/25 at 12:00 A.M. when Resident #52 fell out of bed and was assisted back into bed by staff without a thorough assessment. […]

  • Actual harm, isolatedF689Mar 27, 2025

    THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, resident and staff interview, review of x-ray images, review of orthopedic records, review of therapy notes, review of physician notes, and review of facility corrective action, the facility failed to ensure residents who required assistance with transfers were safely transported in their wheelchair to prevent injury. Actual harm occurred to Resident #10 when a dental provider staff member was transporting the resident in his wheelchair and pushed the resident's right foot into a door frame which resulted in excruciating pain and a subsequent distal posterior tibial fracture to the right foot. […]

  • No harm, potential for more than minimal, isolatedF656Jun 16, 2026

    Based on record review, interviews and facility policy review, the facility failed to ensure care plans were developed and updated specifically to the individualized needs of the resident. This affected two residents (Resident #9 and #79) out of 18 residents reviewed for care plans. The facility census was 67.Findings include: 1. Review of the medical record revealed Resident #79 was admitted to the facility on [DATE] and discharged on 01/27/26. Review of the admission pressure injury condition report dated 12/16/25 revealed an unstageable dark purple/red area on Resident #79's sacrum. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #79 was admitted with an unstageable pressure ulcer. […]

  • No harm, potential for more than minimal, isolatedF693Jun 16, 2026

    Based on observation, interview, and record review, the facility failed to provide adequate care and treatment for Resident #9's gastrostomy tube. This affected one resident (Resident #9) out of two residents reviewed for enteral feeding. The census was 67.Findings include:Review of the medical record for Resident #9 revealed he was admitted to facility on 02/27/26 with diagnoses of encephalopathy, dysphagia, gastrostomy status, and severe protein-calorie malnutrition.Review of the most recent MDS assessment dated [DATE] revealed Resident #9 had a Brief Interview for Mental Status (BIMS) of six which indicated severe cognitive impairment and required substantial assistance for all activities of daily living. […]

Read 21 findings in full →The most serious and the most recent: 21 of 50 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 16, 2026Standard and complaint5 findings
  • Nov 6, 2025Complaint2 findings · 2 harm
  • Mar 27, 2025Complaint1 finding · 1 harm
  • Aug 17, 2023Standard4 findings
  • Jul 24, 2021Complaint3 findings
  • Feb 20, 2020Standard8 findings
  • Dec 19, 2018Standard18 findings
  • Dec 12, 2017Complaint2 findings
Show the 3 earlier surveys
  • Nov 4, 2017Standard1 finding
  • Jul 6, 2017Complaint1 finding · 1 harm
  • Mar 7, 2017Complaint5 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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