Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Loft Rehab & Nursing Of Canton during CMS and state inspections, most recent first.
A resident with multiple comorbidities and mild cognitive impairment developed a full-thickness burn on the left lateral knee after a CNA repeatedly applied homemade hot packs for knee pain. The CNA prepared the hot packs using hot water from a coffee maker on washcloths, sealed in a plastic biohazard bag and wrapped in pillowcases, then placed them directly on the resident’s skin, without a physician’s order and outside CNA scope. Nursing staff initially documented the area as a blister/burn and the wound physician later identified it as a thermal burn related to heat use, while the ADON first assumed it was due to edema. The administrator and wound physician confirmed that homemade hot packs should never be used, that heat applications require a physician’s order and must be applied only by licensed staff or therapy, and the facility could not provide a policy on heat application.
A resident did not receive care and treatment in accordance with physician orders and their own preferences and goals, resulting in a failure to deliver individualized care as required.
A resident with multiple chronic conditions had a blood thinner discontinued, but neither the resident nor their Power of Attorney was notified of this significant medication change. Interviews and record review confirmed that required notifications were not made or documented, despite facility policy mandating such communication.
The facility did not complete the care plan within 7 days of the comprehensive assessment, and the care plan was not prepared, reviewed, and revised by a team of health professionals as required.
A resident was not provided with hospice services, nor was assistance given to transfer the resident to a facility that could arrange for hospice care, resulting in a deficiency related to the provision of end-of-life services.
The facility failed to implement effective infection control measures after a CNA tested positive for COVID-19 and two residents exhibited symptoms. Despite the facility's policy, symptomatic residents were not tested or placed in transmission-based precautions, potentially exposing all 67 residents to the virus.
A resident with hemiplegia and hemiparesis fell and dislocated their shoulder during a sit-to-stand mechanical lift transfer due to a CNA transferring them alone, contrary to the facility's policy requiring two staff members. The resident, unable to maintain grip, fell and sustained a severe injury, highlighting a breach in the facility's transfer protocol.
The facility failed to provide physician-ordered wound care for three residents, as documented in their Treatment Administration Records. The records showed missed treatments, including cleansing, dressing applications, and topical creams. Interviews with staff confirmed the treatments were not completed as per orders, with the Wound Nurse and Director of Nursing acknowledging the lapses.
The facility failed to maintain sanitary conditions in food preparation by not ensuring proper use of PPE. Maintenance men were observed in the kitchen without hair or beard restraints, and a cook had exposed hair while preparing lunch trays. The Dietary Manager confirmed the need for proper hair coverage according to facility policy.
A facility was cited for deficiencies in infection control and medication administration. Staff failed to use PPE and perform hand hygiene properly during wound care for a resident with multiple medical conditions. Additionally, the DON improperly handled medications after they were contaminated, acknowledging the error. These practices potentially affected several residents.
A resident admitted for therapy after a Cerebral Vascular Accident was transferred to an emergency room without a completed transfer document. The resident, who was on anticoagulant medication, exhibited behaviors and requested to leave the facility. The transfer forms lacked essential information such as the reason for transfer, primary care clinician details, and risk alerts. The DON and Administrator acknowledged the incomplete documentation.
A resident admitted for hospice care and documented as totally dependent for bathing and grooming was found with unkempt facial hair and long fingernails, despite requesting assistance. The facility's policy requires personal hygiene services for residents unable to perform activities of daily living, but there was no documentation of refusal, indicating a failure in care provision.
A resident with Type 2 Diabetes Mellitus did not receive proper blood glucose monitoring and insulin administration upon returning to the facility post-hospitalization. The resident's glucose levels were not checked for three days, leading to elevated levels and symptoms like lethargy and diaphoresis. Insulin was administered after a delayed check, and a nurse confirmed the lapse in monitoring and order acquisition.
A facility failed to provide proper catheter care for a resident with an indwelling catheter, leading to a deficiency. Despite the resident's spouse expressing concerns about a potential UTI, a urinalysis was not obtained, and catheter care was delayed for four days after the resident's return from hospitalization. The resident was treated for a UTI and pneumonia during their hospital stay.
The facility failed to identify and document specific triggers for re-traumatization in the care plans of two residents with PTSD. One resident's care plan lacked identified triggers despite a history of child sexual abuse, while another resident's PTSD diagnosis was overlooked entirely. The Social Services/Care Plan Coordinator acknowledged these oversights.
The facility failed to identify appropriate indications for antipsychotic medications for three residents, leading to unnecessary medication use. One resident was given Olanzapine without a psychiatric diagnosis or behaviors justifying its use. Another resident's Quetiapine dosage was increased at the family's request despite no bipolar disorder diagnosis, and the behaviors observed did not meet antipsychotic criteria. The third resident was prescribed Quetiapine for behaviors related to vascular dementia, but the care plan lacked target behaviors, and staff noted the behaviors were due to pain and communication issues.
Burn Injury from Unauthorized Homemade Hot Pack Applied by CNA
Penalty
Summary
The deficiency involves the facility’s failure to prevent a burn injury caused by an unsafe, homemade hot pack applied to a resident’s left outer knee. The resident had multiple medical conditions, including COPD, mild protein-calorie malnutrition, type 2 diabetes mellitus, hereditary and idiopathic neuropathy, and later multiple rib fractures and acute respiratory failure, and had mild cognitive impairment with a BIMS score of 11/15. Following a fall, the resident reported bilateral knee discomfort and pain in the left knee. On the day after the fall, nursing documentation noted a new water blister on the resident’s left outer knee, and the wound was entered on the facility’s wound log as a blister/burn measuring 3.5 cm by 3 cm. The wound physician later documented a full-thickness burn wound of the left lateral knee, with duration greater than seven days, and noted that the resident had been using a heating pad for knee pain and suffered a thermal burn. Interviews and record review showed that the resident later reported the burn was caused by a hot pack placed on the outer knee that felt like it was burning, but the resident thought it was helping the pain. The administrator confirmed that homemade hot packs should never be used, that CNAs are not allowed to apply any type of heat application, and that heat packs require a physician’s order and must be applied by licensed nursing staff or therapy. The wound physician stated he was not aware the burn was caused by a homemade hot pack applied by staff and affirmed that only specific, safe products with a physician’s order should be used, and only by licensed nursing staff. The ADON initially assumed the blister was due to edema and treated it as a fluid-filled blister without any report of hot pack use, and only later learned from the resident that a CNA had applied a hot pack. The CNA admitted making and applying homemade hot packs at the resident’s request by using hot water from a coffee maker on washcloths, placing them in a plastic biohazard bag, wrapping them in pillowcases, and placing them directly on the resident’s skin, and stated she was unaware CNAs were not allowed to apply hot packs. The facility was unable to provide any policy or procedure addressing resident heat application, and the CNA job description only generally required reporting complaints and using only equipment for which the CNA had been trained.
Failure to Provide Care According to Orders and Resident Preferences
Penalty
Summary
The deficiency involves a failure to provide appropriate treatment and care according to physician orders, as well as the resident's preferences and goals. The report indicates that care was not delivered in alignment with the established plan, which may include disregarding specific medical orders or not considering the resident's expressed wishes and objectives for their care. This lapse resulted in the resident not receiving the individualized care that was ordered and preferred, as required by regulatory standards.
Failure to Notify Resident Representative of Medication Discontinuation
Penalty
Summary
The facility failed to notify a resident's representative of a significant change in the medication regimen for one of three residents reviewed. Specifically, a resident with diagnoses including Chronic Obstructive Pulmonary Disease, Alzheimer's Disease, and Chronic Atrial Fibrillation had their Xarelto (a blood thinner) discontinued, but there was no documentation that either the resident or the resident's Power of Attorney was informed of this change. The facility's policy requires prompt notification of the resident and their representative when there is a change in treatment, such as discontinuation of medication. Interviews and record reviews confirmed that neither the resident's Power of Attorney nor the resident's spouse, who was actively involved in care, were notified of the discontinuation. The administrator acknowledged entering the verbal order to discontinue the medication but did not notify the resident or their representative, believing hospice should have handled the notification. The hospice nurse practitioner and the spouse also confirmed they were not aware of the medication change, and the clinical record lacked evidence of required notifications.
Failure to Timely Develop and Review Care Plan
Penalty
Summary
The facility failed to develop the complete care plan within 7 days of the comprehensive assessment. The care plan was not prepared, reviewed, and revised by a team of health professionals as required. This deficiency was identified based on the review of facility records and documentation, which showed that the care planning process did not meet the specified timeline and team involvement requirements.
Failure to Arrange Hospice Services
Penalty
Summary
The facility failed to arrange for the provision of hospice services for a resident or assist the resident in transferring to a facility that would provide such services. This deficiency indicates that the necessary steps were not taken to ensure the resident received appropriate hospice care as required.
Failure to Implement COVID-19 Infection Control Measures
Penalty
Summary
The facility failed to implement effective Infection Prevention and Control (IPC) practices after a staff member tested positive for COVID-19 and residents exhibited symptoms of the virus. The facility's policy mandates that appropriate interventions be implemented to prevent the spread of COVID-19 and to respond promptly to any suspected or confirmed infections. However, the facility did not adhere to these guidelines, as evidenced by the lack of testing and transmission-based precautions for residents who showed symptoms of COVID-19. A Certified Nursing Assistant (CNA) worked a full shift while experiencing symptoms such as a sore throat and runny nose, later testing positive for COVID-19. Despite this, the facility did not test any residents who had been in contact with the CNA, nor did they implement transmission-based precautions for symptomatic residents. This oversight was acknowledged by the Director of Nursing, who admitted that residents were not tested or isolated as per the facility's policy. Two residents, one with chronic atrial fibrillation, chronic obstructive pulmonary disease, and hypertension, and another with type II diabetes mellitus, chronic obstructive pulmonary disease, and hypertension, exhibited symptoms consistent with COVID-19. Despite their symptoms, neither resident was tested for COVID-19, nor were they placed in transmission-based precautions. This failure to follow established protocols potentially exposed all 67 residents in the facility to the virus.
Failure to Use Two Staff Members for Mechanical Lift Transfer
Penalty
Summary
The facility failed to adhere to its Safe Resident Handling/Transfers policy, which mandates the use of two staff members during mechanical lift transfers. This deficiency was observed when a Certified Nursing Assistant (CNA) attempted to transfer a resident using a sit-to-stand mechanical lift without the assistance of a second staff member. The resident, who has a history of hemiplegia and hemiparesis following a cerebral infarction, was unable to maintain grip on the lift's hand grips, resulting in a fall and a severely painful dislocated left shoulder. The resident's medical records indicate a dependency on assistance for transfers due to limited physical mobility and cognitive intactness. During the incident, the CNA was the sole staff member present, contrary to the facility's policy requiring two staff members for such transfers. The resident reported severe pain and was unable to move the left arm, necessitating emergency room treatment for a shoulder dislocation. Interviews with facility staff confirmed the breach of protocol, attributing the CNA's actions to it being their last day of employment.
Failure to Provide Physician-Ordered Wound Care
Penalty
Summary
The facility failed to provide physician-ordered treatments for three residents reviewed for wound care. The facility's Wound Treatment Management Policy mandates evidence-based treatments in accordance with physician orders, but the Treatment Administration Records for the residents did not document the completion of these orders. For Resident 1, several wound care treatments, including cleansing and dressing applications, were not documented as completed on multiple dates. Similarly, Resident 2's records showed missed applications of topical creams and medicated pads, while Resident 3's records indicated missed applications of barrier cream and external cream for stasis dermatitis. Interviews with facility staff, including the Wound Nurse, Wound Doctor, and Director of Nursing, confirmed that the treatments were not completed as per the physician's orders. The Wound Nurse stated that if there were no signatures or initials on the Treatment Administration Record, the treatment was not done. The Wound Doctor emphasized that the Nursing Department should follow physician orders for skin treatments. The Director of Nursing acknowledged that treatments were missed and not documented, and the Administrator confirmed that nurses should follow physician orders and document the completion of treatments.
Improper Use of PPE in Food Preparation
Penalty
Summary
The facility failed to ensure food was prepared under sanitary conditions by not properly using Personal Protective Equipment (PPE) to prevent hair from contacting food. The facility's policy, dated 11/10/21, requires food and nutrition services employees to wear hair restraints and beard guards at all times in the kitchen. On 8/21/24, two maintenance men were observed working on an ice machine in the kitchen without hair or beard restraints. Additionally, a cook was seen with multiple pieces of hair exposed from under the hair restraint while preparing lunch trays. The Dietary Manager acknowledged that the maintenance men should have donned hair restraints and beard guards before entering the kitchen, and the cook should have ensured all hair was covered by the hair restraint.
Infection Control and Medication Administration Deficiencies
Penalty
Summary
The facility was found deficient in its infection prevention and control practices. Specifically, the staff failed to appropriately use Personal Protective Equipment (PPE), disinfect patient-use items, and perform hand hygiene according to policy. This was observed in the care of a resident with sacral and ankle wounds, a gastrostomy tube, an indwelling urinary catheter, and a history of urinary tract infections. During wound care, a registered nurse and a certified nurse aide did not don gowns as required by the Enhanced Barrier Precautions policy. The nurse also failed to perform hand hygiene after removing soiled gloves and before handling a tube of ointment, which was then placed back into the ointment box without disinfection. Additionally, the facility failed to administer medications in a manner that prevents contamination. The Director of Nursing was observed preparing medications and accidentally knocking them over onto the medication cart. Instead of discarding the contaminated medications, the director used a gloved hand to scoop them back into the medicine cup and administered them to a resident. This practice was acknowledged by the director as inappropriate, as the medication cart surface is not considered clean, and the medications should have been discarded. This incident had the potential to affect multiple residents residing on the same hall.
Incomplete Transfer Documentation for Resident
Penalty
Summary
The facility failed to provide a completed transfer document for a resident who was reviewed for discharge. The resident, who had been admitted for therapy following a Cerebral Vascular Accident, was receiving skilled therapy and an anticoagulant medication. On the day of the incident, the resident exhibited behaviors such as refusing to complete therapy sessions, sliding out of his wheelchair, and requesting personal phone numbers from staff. After reporting numbness, the resident was sent to a local emergency room for evaluation. However, the transfer form accompanying the resident was incomplete, missing critical information such as the reason for transfer, primary care clinician details, risk alerts, immunizations, and behavioral issues. The Director of Nursing and the Administrator acknowledged the deficiencies in the transfer documentation. The Director of Nursing was unaware of why the forms were incomplete, as she was not the one who filled them out. The Administrator confirmed that the forms should have been fully completed and noted that the resident's behaviors and anticoagulant use should have been documented. The lack of complete documentation was evident in both the SNF/NF to Hospital Transfer Form and the eInteract Transfer Form, as well as the Acute Care Transfer Document Checklist, which indicated that none of the recommended documents accompanied the resident to the emergency room.
Failure to Provide Personal Grooming for Dependent Resident
Penalty
Summary
The facility failed to provide necessary personal care for a resident, identified as R20, who was unable to perform activities of daily living independently. R20 was admitted for hospice care due to adult failure to thrive and muscle wasting, and was documented as totally dependent for bathing and grooming. Despite this, R20 was observed with a full beard stubble, a long mustache covering his lips, and long fingernails, indicating a lack of personal grooming. R20 expressed dissatisfaction, stating that he had requested staff to shave him and cut his nails, but these requests were not fulfilled. R20's family member also noted the need for grooming and mentioned attempts to bring clippers to address the issue themselves. The facility's policy mandates that residents unable to perform activities of daily living should receive necessary services to maintain personal hygiene. However, there was no documentation of R20 refusing personal grooming, and the administrator confirmed that it was expected for residents to receive grooming during showers. Despite R20 receiving a shower, there was no evidence of personal grooming being completed, highlighting a deficiency in the facility's care provision.
Failure in Diabetic Monitoring and Care
Penalty
Summary
The facility failed to complete diabetic monitoring and care for a resident with Type 2 Diabetes Mellitus who was insulin-dependent. The resident was admitted with standing orders for blood glucose monitoring before meals and at bedtime, and a sliding scale for insulin administration. However, upon returning to the facility post-hospitalization, the resident's blood glucose levels were not monitored according to these orders. The first blood glucose check was conducted on the day of admission, but the next check was not performed until three days later. During this period, the resident exhibited symptoms such as yelling, lethargy, and diaphoresis, which prompted a blood glucose check revealing a level of 471. Insulin was administered according to the sliding scale, and the physician was notified of the elevated levels. Subsequent checks showed persistently high glucose levels, necessitating further insulin administration. It was confirmed by a registered nurse that the resident's blood glucose levels were not monitored per standing orders, nor were insulin orders obtained upon the resident's return to the facility until three days later.
Failure to Ensure Proper Catheter Care and Timely Response to UTI Symptoms
Penalty
Summary
The facility failed to ensure proper catheter care for a resident with an indwelling catheter, leading to a deficiency in care. The resident's care plan required monitoring for signs and symptoms of a urinary tract infection (UTI), but there was a lack of documentation that a urinalysis was obtained despite concerns raised by the resident's spouse. The resident was eventually sent to the hospital for evaluation and was treated for a UTI and pneumonia, with a urine culture showing the presence of Pseudomonas Aeruginosa, Enterococcal Faecalis, and Coag-negative Staphylococcus. Upon the resident's return to the facility, there was a delay in conducting catheter care as per the physician's order, which was not initiated until four days after the resident's return. A registered nurse acknowledged the resident's spouse's concerns about a potential kidney infection and attempted to facilitate a clean catch urine specimen, but the sample was never obtained. The nurse noted that physician orders were not addressed promptly, likely due to the weekend, contributing to the deficiency in care.
Failure to Identify Trauma Triggers in Care Plans
Penalty
Summary
The facility failed to identify specific triggers of re-traumatization for two residents with a history of PTSD, as required by their trauma-informed care policy. One resident, who had a documented history of child sexual abuse, had care plan interventions that suggested speaking to Social Services or Nursing if experiencing triggers, but the care plan did not identify specific triggers for potential re-traumatization. This oversight was acknowledged by the Social Services/Care Plan Coordinator, who stated that triggers should have been identified and documented. Another resident with a history of sexual abuse was noted to have no symptoms or triggers per the resident's assessment. However, the resident's care plan did not include any mention of PTSD or trauma-informed care, including triggers or interventions. The Social Services/Care Plan Coordinator admitted that the diagnosis of PTSD was overlooked in the care plan. These deficiencies highlight a failure to adhere to the facility's policy on trauma-informed care, which mandates the identification and documentation of triggers to prevent re-traumatization.
Inappropriate Use of Antipsychotic Medications
Penalty
Summary
The facility failed to identify appropriate indications for the use of antipsychotic medications for three residents, leading to unnecessary medication administration. For the first resident, identified as R28, the facility administered Olanzapine despite the absence of any documented psychiatric diagnosis or behaviors warranting such medication. Observations and staff interviews confirmed that R28 had not exhibited any behaviors since admission that would justify the use of antipsychotic medication. The resident's care plan and psychiatric evaluations did not support the need for Olanzapine, and the resident was noted to be drowsy, raising concerns about the medication's appropriateness. The second resident, R32, was prescribed Quetiapine for an unspecified mood disorder, with the dosage increased at the family's request despite the absence of a bipolar disorder diagnosis. The resident's care plan indicated mood disorder and depression, but the behaviors observed, such as occasional verbal aggression and resistance to care, did not meet the criteria for antipsychotic use. The facility's social services and nursing staff acknowledged that the behaviors did not justify the medication, and there was a discrepancy in the documented diagnosis on the psychotropic consent forms. For the third resident, R39, Quetiapine was prescribed for verbal aggression and crying related to vascular dementia with agitation. However, the care plan did not address the use of antipsychotic medication or identify target behaviors. Observations during the survey showed no inappropriate behaviors, and staff indicated that the resident's behaviors were often due to pain and communication difficulties. The Assistant Director of Nursing acknowledged a disconnect between nursing and care planning, and the current diagnosis was deemed inappropriate for the medication's use.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Canton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Renaissance Care Center | 2.7 mi | — | 1 | 0 |
| Sunset Rehabilitation And Health Care | 2.7 mi | — | 3 | 0 |
| Graham Hospital | 2.7 mi | — | 9 | 0 |
| Farmington Village Nrsg | 6.9 mi | — | 0 | 0 |
| Clayberg, The | 11 mi | — | 0 | 0 |
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