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A look at inspection reports for nursing homes in Mahoning County

We reviewed hundreds of pages of inspection reports for the 28 Medicare- and Medicaid-certified nursing homes in Mahoning County. Here's what we found.
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[EDITOR'S NOTE: We have been getting intermittent reports about these links working and then suddenly not working. We tested them before we posted them — and periodically since the stories went live — but we have no control over the goings-on at a government website. If you experience a problem, go to www.Medicare.gov to search for individual facilities. We'll keep working to find the cause of the interrupted links.]

Below are overviews of cited deficiencies and summaries of some individual inspection reports for each of the 28 Medicare- and Medicaid-certified nursing homes in Mahoning County, as reported on Medicare.gov.

To view more inspection reports or find more information on any of these nursing homes, click on the name of the nursing home to visit the facility’s Medicare.gov page.

All reported deficiencies have been corrected, unless otherwise noted.

The Assumption Village
9800 Market St., North Lima
Nonprofit corporation: Assumption Village

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been cited for three deficiencies since February 2017.

According to its most recent May 2019 inspection, the facility failed to provide appropriate care to maintain or improve a resident’s range of motion conditions and failed to comply with another resident’s fluid and dietary supplement needs.

According to a January 2018 inspection conducted after a complaint, an employee treated a resident in a “disrespectful, intimidating manner” in response to her care needs.

Austintown Healthcare Center
(formerly Meridian Arms Living Center)
650 S. Meridian Road, Youngstown
For-profit corporation: S. Meridian Leasing Co. LLC

This facility has an overall “above average” rating of four stars on Medicare.gov. It has been cited for nine deficiencies since February 2017.

According to its most recent July 2019 inspection, conducted after a complaint, the facility failed to comply with a resident’s medication orders.

According to its most recent standard inspection in May 2019, a specific employee failed to prevent infection by not following proper hand-washing procedures when administering treatments.

The facility also failed to inform a resident about her rights to a personal funds account and failed to properly protect or supervise a resident who was at-risk of a fall injury.

Austinwoods Rehab Health Care
4780 Kirk Road, Austintown
For-profit corporation: S. Meridian Leasing Co. LLC

This facility has an overall “above average” rating of four stars on Medicare.gov. It has been fined $6,500 and cited for 12 deficiencies since April 2017.

The facility’s most recent August 2019 inspection noted no deficiencies.

During an August 2017 inspection, conducted following a complaint, the facility was cited for failing to follow a procedure to move a resident who was at high-risk for falls. The resident fell, suffering an arm fracture. The facility was fined $6,500 following this inspection.

Beeghly Oaks Center For Rehabilitation & Healing
6505 Market St., Youngstown
For-profit corporation: Beeghley Nursing LLC

This facility has an overall “much below average” rating of one star on Medicare.gov. It has been fined $6,175 and cited for 47 deficiencies since July 2016.

According to the facility’s most recent April 2019 inspection, conducted following a complaint, the facility was cited for failing to ensure fall protections were in place and in good repair. A motion detector didn’t recognize a resident was moving and they fell, requiring hospitalization and surgery. Neither the resident’s family nor physicians were notified within the proper time frame. That resident had fallen before, but the fall wasn’t properly recorded, the inspector noted.

During the facility’s most recent standard inspection in December 2018, it was cited for failing to provide enough food for one tube-fed resident, who had been refusing feedings and lost about 20 pounds in nine months.

According to a February 2017 inspection, conducted following a complaint, the facility failed to keep an adequate number of employees on staff. Thirteen total residents reported long waits for responses to their call lights. 

Briarfield at Ashley Circle
5291 Ashley Circle, Youngstown
For-profit corporation: Ashley Enterprises LLC

This facility has an overall “average” rating of three stars on Medicare.gov. It has been cited for 21 deficiencies since September 2016.

According to the facility’s most recent January 2019 inspection, it was cited for failing to provide programs that helped maintain or restore residents’ range of motion or mobility. The facility was cited separately for failing to keep enough employees on each shift to provide those programs for all residents.

During a September 2016 inspection, the inspector reported a resident accused an employee of threatening to “send her to a psychiatric hospital” due to her behavior and of hiding her bed controller out of her reach. The employee said she did it “for the resident’s safety.” The allegation was unsubstantiated by facility administration. The employee was ultimately terminated.

Briarfield Manor
461 South Canfield Niles Road, Youngstown
For-profit corporation: Ashley Enterprises LLC

This facility has an overall “much below average” rating of one star on Medicare.gov. It has been cited for 31 deficiencies since April 2017.

According to the facility’s most recent July 2019 inspection, it didn’t properly notify six residents’ relatives or the ombudsman’s office as to why those residents were discharged to hospitals.

Unlabeled, loose or expired medications were found during this inspection.

During an April 2019 inspection, conducted following a complaint, the facility was cited for failing to prevent pressure injuries. One resident’s pressure ulcer worsened to the point where bone was exposed. Interviews with employees suggested one understaffed employees’ shift was unable to regularly turn that resident and apply skin care.

The facility received individual citations for the lack of proper wound care and lack of staffing.

Four residents and a relative of one resident interviewed during a November 2018 inspection said they felt the facility didn’t have enough staff. Another relative told the inspector they “spent the majority of all of their loved one’s waking hours at the facility to ensure their loved one ate and received incontinence care, which the family provided.”

Canfield Healthcare Center
(formerly Camelot Arms Care Center)
2958 Canfield Road, Youngstown
For-profit corporation: Canfield Leasing Co. LLC

This facility has an overall “below average” rating of two stars on Medicare.gov. It has been cited for 22 deficiencies since April 2016.

According to the facility’s most recent August 2019 inspection, an employee was caught diverting pain medications prescribed to at least five residents to herself by defrauding the facility’s prescription reporting system. No residents reported being unable to receive medications as needed, however.

Seven residents reported they had difficulty finding aides when they needed them, noting some “were leaving for long periods of time at night.” The concerns weren’t addressed until more than a month later.

Though facilities are required to have at least one registered nurse other than the director of nursing on-shift daily, the director of nursing told an inspector she periodically filled the role due to lack of nurse availability. 

In a September 2018 inspection, the facility was cited for failing to properly report or investigate an instance of reported verbal abuse.

The facility was also cited for failing to have a registered nurse on duty for eight consecutive hours, seven days a week, as required.

Caprice Health Care Center
9184 Market St., North Lima
For-profit corporation: BLCC Inc.

This facility has an overall “average” rating of three stars on Medicare.gov. It has been cited for 16 deficiencies since May 2016.

According to the facility’s most recent September 2018 inspection, staff failed to reposition five residents who were at risk of developing pressure ulcers, one of whom developed a pressure ulcer while at the facility. An investigation indicated employees were either unaware of the time intervals required for residents’ repositioning, or they were not performed due to understaffing.

The facility was separately cited for failing to keep enough staff to meet every resident’s needs.

According to a July 2017 inspection, the facility hadn’t developed a policy to deter theft of residents’ medication, despite a previous incident in which one employee was investigated for stealing narcotic pain medications.

The Center for Rehabilitation at Hampton Woods
1517 East Western Reserve Road, Poland
For-profit corporation: The Center for Rehabilitation at Hampton Woods Inc.

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been cited for two deficiencies since May 2016.

The facility’s most recent October 2018 inspection noted no deficiencies.

According to an August 2017 inspection, the facility failed to notify a resident’s physician that the resident had gained weight, as ordered, or that the resident at times refused to be weighed. The facility was cited separately for failing to properly keep clinical records for that resident and another resident who had a skin condition.

Continuing Healthcare of Boardman
(formerly Vista Center of Boardman)
830 Boardman Canfield Road, Boardman
For-profit corporation: Continuing Healthcare Solutions

This facility has an overall “average” rating of three stars on Medicare.gov. It has been cited for 11 deficiencies since June 2017.

According to the facility’s most recent September 2019 inspection, the facility was cited for failing to develop a plan of care for a resident who had a history of sexually inappropriate behaviors. Nurses spotted one male resident touching a female resident inappropriately in a dining hall. The man shortly after asked to see another female resident’s genitals.

The facility administrator reported the allegation was not identified as possible abuse and therefore was not reported to the state, leading to a separate citation.

Crandall Nursing Home
800 S 15th St., Sebring
Nonprofit corporation: Crandall Medical Center

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been fined a total $1,363 and cited for 16 deficiencies since March 2016.

According to the facility’s most recent July 2018 inspection, employees failed to promptly notify a resident’s physician about the resident’s signs and symptoms of eye infection.

In a separate citation, the facility failed to notify the ombudsman’s office that the facility had discharged one resident, and would not allow the resident to return, due to behavioral issues.

The facility was fined $1,363 following this inspection.

Danridge’s Burgundi Manor
31 Maranatha Drive, Youngstown
For-profit corporation: Burgundi Manor Operating Co. LLC

This facility has an overall “much below average” rating of one star on Medicare.gov. It has been fined $19,633 and cited for 32 deficiencies since May 2017.

According to the facility’s most recent September 2019 inspection, the facility failed to properly supervise one resident who required continuous oxygen therapy and was found smoking in his room while using his oxygen concentrator, creating a fire hazard that could have injured other residents.

The facility updated its smoking rules to allow the discharge of residents who break them. The facility instructed all employees on the facility’s smoking policy. 

During a May 2019 inspection, conducted following a complaint, the facility’s administrator reported the facility’s owner had not been properly performing fingerprinting or background checks on employees. The company instead used a website to check criminal histories rather than an approved service.

Employee records indicated 25 employees hired between August 2018 and May 2019 either had not been sent for fingerprinting, had not been checked against the State Nurse Aide Registry — which tracks nursing home employees who’ve been linked to abuse or theft claims — or had no references on-file.

During a July 2018 inspection, the facility was cited for failing to provide enough food and fluids, as ordered by a physician, to one tube-fed resident, who reportedly lost about 13 pounds in one month. The facility was fined $9,633 following this inspection.

Greenbriar Center
8064 South Ave., Boardman
For-profit corporation: South I Leasing Co. LLC

This facility has an overall “below average” rating of two stars on Medicare.gov. It has been flagged for abuse and cited for 32 deficiencies since December 2016.

According to the facility’s most recent March 2019 inspection, it was cited for failing to prevent one resident from verbal abuse by an employee, who threatened to turn off the resident’s oxygen while she slept “so she would die and would not be able to report anyone.” The employee then threw the resident’s call light out of her reach. The employee was terminated.

The facility was separately cited for not properly documenting care following the incident and for failing to notify relatives until days later.

The facility was also cited for failing to prevent one employee from stealing pain medications from two residents. The employee was suspended and later resigned. Felony charges were filed in the county courts.

In a May 2018 inspection, conducted following a complaint, the facility was cited for failing to properly report a resident’s sexual abuse allegation to the state or the resident’s relatives or physician. One female resident reported a male employee “made her feel sexually uncomfortable” while checking to see if her undergarments were dry.

The facility was also cited for an employee who was reportedly “very rough” with a resident while repositioning them, causing them pain.

During a February 2018 standard inspection, the facility was cited for another instance of verbal abuse, in which an employee reportedly charged down a hallway, “yelling and cursing” at a resident. The employee was terminated.

Hampton Woods Nursing Center, Inc.
1525 East Western Reserve Road, Poland
For-profit corporation: Hampton Woods Nursing Center Inc.

This facility has an overall “above average” rating of four stars on Medicare.gov. It has been cited for 16 deficiencies since February 2017.

According to the facility’s most recent inspection in May 2019, it was cited for failing to complete reference checks for one nursing assistant and one housekeeping employee.

The facility was also cited for various food safety violations.

Heritage Manor Jewish Home for the Aged
517 Gypsy Lane, Youngstown
Nonprofit corporation: Youngstown Area Jewish Federation

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been cited for 12 deficiencies since March 2017.

According to the facility’s most recent inspection in August 2018, conducted following a complaint, it was cited for failing to protect one palliative care resident from being assaulted by another resident in the middle of the night. The victim was reportedly transported to the emergency room. The aggressor was later discharged from the facility.

During a June 2018 standard inspection, the facility was cited for failing to ensure pressure ulcer treatments were implemented as ordered for one resident.

It was also cited for failing to address previous noncompliance with that resident’s care plan, as well as a “significant” medication error involving that resident.

Humility House
755 Ohltown Road, Austintown
Nonprofit corporation: Humility House

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been fined $16,221 and cited for three deficiencies since November 2016.

According to the facility’s most recent inspection in November 2018, the facility failed to protect four residents from the spread of infection. Employees reportedly did not wash or sanitize their hands when administering medications.

During a March 2017 inspection, conducted following a complaint, the inspector reported a resident fell while transitioning to her wheelchair, sustaining a fracture and requiring surgery. The inspector noted though two employees were required to move the resident, only one employee attempted to assist the woman alone. The facility was fined $16,221 following this inspection.

Ivy Woods Healthcare and Rehabilitation Center
9625 Market St., North Lima
For-profit corporation: Rolling Acres Care Center LLC

This facility has an overall “above average” rating of four stars on Medicare.gov. It has been fined a total $2,717 and cited for 16 deficiencies since June 2017.

According to the facility’s most recent inspection in October 2019, it was cited for failing to screen 26 of the 43 employees hired since the last state survey for abuse, neglect, exploitation or mistreatment findings and for failing to log criminal background checks for four employees who were hired in the previous year — including for the business office manager.

In a March 2018 inspection, conducted following a complaint, the facility was cited for failing to properly investigate one resident’s visible face injuries. That resident claimed a male employee attempted to smother him and struck him with a rod because the employee “doesn’t like white people.”

One employee told the inspector the resident was “at times delusional.” Though no other employees reported witnessing the alleged abuse and there was no documented evidence to disprove the resident’s claim, the director of nursing substantiated the resident’s claim of abuse, and the employee was terminated.

A police investigation noted inconsistencies between two of the resident’s official statements.

Maplecrest Nursing and Rehabilitation
400 Sexton St., Struthers
For-profit corporation: Cred Kap Inc.

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been finedl $6,500 and cited for seven deficiencies since April 2017.

According to the facility’s most recent August 2019 inspection, hot water temperature in four of five rooms tested failed to meet standards of between 105 and 120 degrees. The facility was also cited for failing to implement a policy to provide flu and pneumonia vaccines.

In a January 2018 inspection, conducted following a complaint, the inspector found one worker attempted to move a resident who required the assistance of two workers. The woman fell and fractured her ankle. The facility was fined $6,500 following this inspection.

Masternick Memorial Health Care Center
5250 Windsor Way, New Middletown
For-profit corporation: Omni Manor LLC

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been cited for four deficiencies since May 2017.

The facility’s most recent August 2019 inspection noted no deficiencies.

Oasis Center For Rehabilitation And Healing
850 East Midlothian Blvd., Youngstown
For-profit corporation: Oasis Nursing LLC

This facility has an overall “below average” rating of two stars on Medicare.gov. It has been flagged for abuse, fined $114,381 and cited for 58 deficiencies since December 2016.

According to the facility’s most recent standard inspection in March 2019, which coincided with a complaint investigation, one 71-year-old male resident sexually assaulted a severely cognitively impaired 59-year-old female resident in his room in the facility’s dementia ward. The resident accused of assault was placed under one-to-one supervision and transported to a hospital for an evaluation. The facility refused to readmit him.

At the time, only one nursing assistant was staffed for the dementia ward. The facility later changed its policy to require two nursing assistants at all times. One worker interviewed said the resident accused of sexual assault had a history of sexually inappropriate behavior. The inspector also noted residents weren’t assessed for sexually inappropriate behaviors. Workers were re-educated on identifying those behaviors among residents.

The claim of abuse was ultimately unsubstantiated. The director of nursing told the inspector he felt abuse did not occur.

“Because the investigation was not thorough systemic problems were not identified and corrective action was not put in place,” the inspection reads. “The [director of nursing] also indicated he based his reporting on each resident and he would not necessarily report allegations made by a resident with dementia.”

The facility was separately cited for not properly responding to that incident, as well as: another instance of sexual contact between different residents; an instance of nonsexual abuse involving two other residents; a claim of threatening treatment from one facility worker; and a claim of theft from a resident.

In a December 2016 inspection, the facility was cited for failing to report an allegation of verbal abuse by a facility worker. The claim was unsubstantiated, however, and considered “not reportable” by facility administrators.

The facility was also cited for failing to prevent misappropriation of $200 from a resident’s personal funds account, which was not caught due to lack of proper accounting. The claim was unsubstantiated. However, one of the two business office workers suspected was not allowed to return to the office, according to the report.

Ohio Living Park Vista
1216 5th Ave., Youngstown
Nonprofit corporation: Ohio Living Communities

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been cited for five deficiencies since March 2017.

According to the facility’s most recent June 2019 inspection, the facility failed to notify four residents’ ombudsmen that those residents’ were transferred to hospitals. The facility was also cited for failing to conduct assessments of its eight contracted nursing services agencies.

During a May 2018 inspection, the facility was cited for failing to notify facility staff and a resident’s physician about that resident’s skin breakdown, which was caused by pressure ulcers. The condition was first discovered by the resident’s daughter.

The facility faces two wrongful death lawsuits filed separately within a month of each other late last year on behalf of two female residents whose pressure ulcers reportedly became infected. Both suits claim the women’s deaths could have been prevented had their pressure ulcers been properly treated.

Omni Manor Nursing Home
3245 Vestal Road, Youngstown
For-profit corporation: Omni Manor LLC

This facility has an overall “below average” rating of two stars on Medicare.gov. It has been cited for 20 deficiencies since January 2017.

According to the facility’s most recent April 2019 inspection, the facility failed to protect one resident from sexual abuse by another resident.

The resident accused of sexually inappropriate touching used a wheelchair. Though workers placed an orange flag on the man’s wheelchair to keep track of him following the incident, interviews revealed some other workers were unaware of the flag’s meaning.

The facility was cited separately for not investigating the incident thoroughly, for not implementing an action plan to prevent further instances of abuse and for failing to educate workers on sexual abuse intervention.

During an April 2017 inspection, conducted following a complaint, the facility was cited for failing to keep enough staff to assist residents at meal-time.

Park Center Health Care and Rehabilitation Center
5665 South Ave., Youngstown
For-profit corporation: GEC Youngstown Management LLC

This facility has an overall “average” rating of three stars on Medicare.gov. It has been flagged for abuse, fined $18,601 and cited for 24 deficiencies since January 2017.

According to the facility’s most recent November 2019 inspection, conducted following a complaint, one nursing assistant verbally and physically abused one resident in October. The worker was terminated and reported to the Ohio Nurse Aide Registry.

This citation also references another instance of verbal abuse involving another resident and a registered nurse in October. That nurse also admitted to being verbally abusive and was terminated.

The facility was previously cited in a September 2019 inspection, conducted following a complaint, for failing to protect two other residents from verbal and physical abuse during a physical altercation between those two residents, for not reporting the incident in a timely manner and for not following the facility’s abuse policy.

During a December 2017 inspection, conducted following a complaint, the facility failed to prevent a sexually inappropriate relationship between a facility worker and a resident. The facility was fined $18,601 following this inspection.

Shepherd of the Valley Poland
301 West Western Reserve Road, Poland
Nonprofit corporation: Shepherd of the Valley Lutheran Retirement Services Inc.

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been cited for five deficiencies since April 2017.

According to the facility’s most recent April 2019 inspection, the facility failed to prevent misappropriation of one resident’s medications. One nurse suspected of stealing more than 60 tablets of an unidentified medication reportedly refused to submit to drug screening and abruptly quit the facility.

Shepherd of the Valley Boardman
7148 West Blvd., Youngstown
Nonprofit corporation: Shepherd of the Valley Lutheran Retirement Services Inc.

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been cited for seven deficiencies since July 2017.

According to the facility’s most recent October 2019 inspection, which coincided with a complaint, the facility was cited for failing to keep a registered nurse on duty for the required eight hours on four separate days.

During a June 2018 inspection, conducted following a complaint, the facility was cited for a medication error rate of 29 percent, much higher than the required threshold of less than 5 percent.

St Mary's Alzheimer's Center
1899 Garfield Road, Columbiana
For-profit corporation: Omni Manor Inc.

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been cited for five deficiencies since April 2017.

According to the facility’s most recent August 2019 inspection, the facility failed to protect 11 residents from one resident who “had a potential to be physically aggressive towards other residents due to her dementia” and was seen assaulting several residents over the course of several months and another resident who was also violent [toward] other residents and at one point said “he was going to kill someone.”

The facility was cited separately for failing to follow its abuse policy in those incidents and others, for failing to report those incidents of abuse to the state and for failing to respond appropriately to alleged abuse violations.

Windsor Health Care Center
1735 Belmont Ave., Youngstown
For-profit corporation: Omni Manor LLC

This facility has an overall “much below average” rating of one star on Medicare.gov. It has been flagged for abuse and cited for 17 deficiencies since August 2016.

According to the facility’s most recent August 2019 inspection, conducted following a complaint, one resident sustained “significant, life-threatening” injuries, including cerebral hemorrhages, after being badly beaten by another resident in the dementia ward. The aggressive resident was transferred out of the facility and to a psychiatric hospital. Workers were re-educated on resident-on-resident abuse and crime reporting. At the time, the 15 residents in the dementia ward were overseen by one nursing assistant. The facility later changed its policy to require two workers in the dementia ward at all times.

Workers previously expressed concern that the dementia ward needed two aides at all times but were told “the budget would not allow it.”

The facility was cited separately for failing to maintain staffing levels to meet each resident’s needs and for failing to use facility resources effectively and efficiently.

Windsor House at Canfield
6445 State Route 446, Canfield
For-profit corporation: Omni Manor LLC

This facility has an overall “much above average” rating of five stars on Medicare.gov. It has been cited for four deficiencies since December 2017.

According to the facility’s most recent January 2019 inspection, one resident claimed to have been verbally abused by a hospice aide. The facility was cited for failing to follow its abuse policy, after another worker failed to report that the resident’s door was locked, which was an unusual occurrence.

The facility was also cited for improper medication administration.



Justin Dennis

About the Author: Justin Dennis

Justin Dennis has been on the beat since 2011, covering crime, courts and public education. Dennis grew up in Poland and Salem and studied journalism and communications at Cleveland State University and University of Pittsburgh.
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