Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
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 Arbors At Streetsboro during CMS and state inspections, most recent first.
A deficiency was cited for not ensuring a resident's right to dignity, self-determination, communication, and the exercise of their rights. The report does not specify the exact circumstances or individuals involved.
Two residents were found in unsanitary conditions, including soiled linens, strong urine odors, and the presence of gnats, with staff confirming that soiled items and spills were not promptly addressed. One resident, with hemiplegia and incontinence, was left in a room with wet pads and soiled clothes, while another, with a urinary catheter and dementia, frequently spilled urine and refused housekeeping, resulting in unclean and odorous living spaces.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
A resident with multiple medical conditions was repeatedly served carrots, a documented food dislike, despite clear dietary records and tray tickets specifying alternative vegetables. Photographic evidence and staff interviews confirmed that the resident received meals inconsistent with her stated preferences, in violation of facility policy.
The facility's assessment, intended to determine necessary resources for resident care, was incomplete and lacked essential information, such as the names of key personnel and staffing requirements. This deficiency was confirmed by the Administrator.
The facility failed to properly secure and dispose of sharp objects, affecting six ambulatory residents on the 600 unit. An observation revealed a treatment cart with an open compartment containing used syringes, lancets, and a needle, without a second receptacle for securing these items. An LPN verified the exposed sharp objects, which violated the facility's policy for a safe environment.
A resident with intact cognition was found with three skin tears of unknown origin after a shower and smoke break. The injuries were documented by a nurse but not reported to the DON or state agency as required. The facility's policy mandates immediate investigation and reporting of such injuries, which was not followed, leading to a deficiency.
A resident with intact cognition was found with three skin tears of unknown origin, but the facility failed to investigate or report the injuries within the required time frame. The registered nurse documented the injuries but did not notify the DON or on-call nurse, and the LPN present did not conduct an investigation. The facility's policy requires immediate investigation and reporting, which was not followed, leading to a delay in reporting to the state agency.
The facility failed to provide therapeutic activities for its residents, affecting three individuals. A resident with severe cognitive impairment was observed lying in bed with minimal engagement, despite a care plan for daily socialization. Another resident, mostly bed-bound, reported a lack of activity staff visits and exclusion from outings, leading to boredom. A third resident, who is cognitively intact, stated that the activity calendar was not followed, and he had to buy his own puzzle books for entertainment. The facility did not adhere to its policy of providing activities based on residents' preferences and needs.
A facility failed to maintain a clean and monitored refrigerator for a resident. A mini refrigerator was found with an outdated temperature log and a dirty interior with a pink dried substance. An RN confirmed these findings. The facility's policy requires daily temperature checks and cleaning by housekeeping, which was not followed.
A facility failed to use proper PPE during incontinence care for a resident on enhanced barrier precautions. Despite a care plan requiring gowns and gloves for high-contact activities, CNAs provided care without gowns. An RN confirmed the oversight, noting available PPE and signage indicating precautions. The facility's policy to prevent multidrug-resistant organism transmission was not followed.
Two residents at high risk for elopement managed to leave a secured memory care unit without staff knowledge. One resident followed a dietary staff member through a secured door and exited the facility, while the other was found by a staff member on their way to work. The facility failed to respond to wander guard alarms and did not conduct timely headcounts, resulting in these incidents.
The facility failed to report two resident elopements to the State Agency. One resident with dementia was found by police 0.7 miles away, and another resident was located in a church parking lot 1.1 miles from the facility. Both incidents were not reported as required by the facility's policy.
The facility failed to ensure that a resident consistently received a divided plate with all meals as requested, despite the preference being documented on her diet ticket. Observations and interviews confirmed the deficiency, and the resident's care plans did not include this preference.
The facility failed to apply prescribed barrier cream after incontinence care for two residents, both of whom reported discomfort and had no barrier cream applied despite physician orders and care plan instructions.
The facility failed to provide timely dental services for a resident with Alzheimer's dementia, dysphagia, and failure to thrive, who experienced weight loss and had an order for a dental consultation due to improper fitting dentures. Despite the order, the resident was not seen by the dentist during their visit to the facility.
Failure to Honor Resident Rights
Penalty
Summary
A deficiency was identified regarding the failure to honor the resident's right to a dignified existence, self-determination, communication, and the exercise of their rights. The report notes that the facility did not ensure these resident rights were upheld, but does not provide specific details about the actions or inactions that led to this deficiency, nor does it mention any particular events or residents involved.
Failure to Maintain Clean and Sanitary Resident Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a clean and sanitary environment for its residents. In one instance, a resident was found in a room with a strong odor of urine, a wet and soiled incontinence pad on the bed with dried yellowish-brown stains, and multiple gnats present on the soiled area. Additionally, wet soiled clothes were found on the floor outside the bathroom, and soiled linens were left across the room. The resident reported being left in the wheelchair for an extended period without the area being cleaned, and a CNA confirmed that the night shift had left the room in that condition for several hours. The resident's care plan indicated a need for one to two staff assistance with all ADLs and noted incontinence of bowel and bladder. In another case, a different resident's room and the surrounding hallway had a strong urine odor, and the floor was sticky. The bed had an exposed incontinence pad with dried urine and feces, and the bedside table was sticky with dried spills and debris. Staff interviews confirmed that the resident, who had a urinary catheter and moderate cognitive impairment, would empty the catheter bag without assistance, often spilling urine on the floor and bed sheets. The resident also exhibited behaviors such as refusing housekeeping or personal care, requiring staff to clean the room after the resident left. Facility policies required prompt removal of soiled linens and maintenance of a clean, odor-free environment, which was not followed in these instances.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Honor Resident Food Preferences
Penalty
Summary
The facility failed to provide meals in accordance with a resident's documented food preferences. The resident, who had diagnoses including diabetes, end stage renal disease, and major depressive disorder, was cognitively intact and required set up assistance with meals. Documentation in the Nutrition Data Collection/Evaluation and Meal Tracker printout indicated that carrots were listed as a dislike for this resident, and the resident's diet was updated accordingly. Despite this, photographic evidence provided by the resident's family showed that carrots were repeatedly served to the resident, even when tray tickets specified other vegetables such as brussel sprouts, whole kernel corn, or broccoli florets. Interviews with the resident's family and facility staff, including the District Director of Dietary and the DON, confirmed that the resident received food items listed on her dislike list for at least three meals. The facility's policy required that individual tray assembly tickets reflect all food items appropriate for the resident based on diet order, allergies, intolerances, and preferences. Both the Regional Director of Dietary and the DON reviewed and verified the photographs, confirming the discrepancy between the resident's documented preferences and the meals served.
Incomplete Facility Assessment Lacks Critical Information
Penalty
Summary
The facility failed to complete an accurate and thorough Facility Assessment, which is essential for determining the necessary resources to care for residents competently during both routine operations and emergencies. The assessment, dated from January 2024 through December 2024, lacked critical information, including the names of the Administrator, Director of Nursing, and Medical Director, as well as a review mark. Additionally, it did not specify the type and number of staff required to provide care and services. This deficiency was confirmed during an interview with the Administrator, who acknowledged the assessment's inadequacies.
Failure to Securely Dispose of Sharp Objects
Penalty
Summary
The facility failed to properly secure and dispose of sharp objects, which had the potential to affect six ambulatory residents residing on the 600 unit. During an observation, a treatment cart was found with an open compartment containing nine used syringes, three lancets, and one used needle for an insulin injector pen. This compartment lacked a second receptacle for securing these sharp objects, posing a safety risk. A Licensed Practical Nurse verified the presence of these exposed sharp objects at the time of the observation. The facility's policy, titled 'Safe and Homelike Environment,' dated 01/01/2022, mandates providing a safe environment, which includes ensuring that the physical layout does not pose a safety risk to residents.
Failure to Report Injuries of Unknown Origin
Penalty
Summary
The facility failed to report injuries of unknown origin to the state agency within the required time frame, affecting one resident. The resident, who had intact cognition and required varying levels of assistance for daily activities, was found with three new skin tears of unknown origin. These injuries were documented by a registered nurse but were not reported to the Director of Nursing (DON) or the state agency as required by facility policy. The incident occurred when the resident, who had been incontinent and more agitated than usual, was taken for a shower by two nurses. After the shower, the resident went out to smoke and returned with blood on her arm and three skin tears. The nurses involved did not notify the DON or the on-call nurse about the injuries, and no Self-Reported Incident (SRI) was initiated on the day of the injury. The facility's policy requires immediate investigation and reporting of injuries of unknown origin, but this was not followed. The DON confirmed that neither she nor the on-call nurse was notified, and an SRI was only opened two days later. The failure to report and investigate the injuries promptly was a clear violation of the facility's policy and state regulations.
Failure to Investigate and Report Injuries of Unknown Origin
Penalty
Summary
The facility failed to investigate and report injuries of unknown origin for a resident within the required time frame. The resident, who had intact cognition and required varying levels of assistance for daily activities, was found with three new skin tears of unknown origin. These injuries were documented by a registered nurse, but no immediate investigation or self-reported incident (SRI) was initiated on the day the injuries were discovered. Interviews with the Director of Nursing (DON) and nursing staff revealed that the registered nurse who documented the injuries did not notify the DON or the on-call nurse. Additionally, the licensed practical nurse (LPN) who was present did not conduct any investigation into the cause of the injuries, as they were on orientation and unsure of the procedures. The DON confirmed that neither they nor the on-call nurse were informed of the injuries until two days later, at which point an SRI was opened and an investigation began. The facility's policy on abuse, neglect, and exploitation requires immediate investigation and reporting of injuries of unknown origin. However, the staff failed to adhere to these procedures, resulting in a delay in reporting the incident to the state agency. The policy mandates that such incidents be reported within two hours if they involve abuse or serious bodily injury, or within 24 hours if they do not. This deficiency highlights a lapse in communication and procedural adherence among the facility's staff.
Failure to Provide Therapeutic Activities for Residents
Penalty
Summary
The facility failed to provide therapeutic activities to meet the needs and preferences of its residents, affecting three residents. Resident #47, who has severe cognitive impairment and is dependent on staff for mobility, was observed lying in bed with a flat affect and watching television during multiple observations. The care plan for Resident #47 included daily visits for encouragement and socialization, but the Activity Director admitted that one-on-one activities occurred only once a week and were not documented on the activity calendar. The resident's participation in group activities was minimal, and the facility did not adhere to the care plan's interventions. Resident #2, who has intact cognition but is mostly bed-bound, reported that activity staff did not visit her room for activities and that she was not included in outings. The resident expressed boredom and a desire for more engagement, stating that the activities documented were due to a CNA sneaking her treats from activities. The activity documentation showed limited participation, and the resident felt neglected in terms of being offered activities or outings. Resident #10, who is cognitively intact and dependent on staff for mobility, also reported a lack of engagement from the activity department. The resident stated that the monthly activity calendar was not followed, and he had to purchase his own puzzle books for entertainment. The Activity Director confirmed that one-on-one activities were brief and infrequent, and the resident's care plan for daily visits was not implemented. The facility's policy to provide activities based on residents' preferences and needs was not followed, as evidenced by the limited participation and lack of individualized attention for these residents.
Failure to Maintain Clean and Monitored Resident Refrigerator
Penalty
Summary
The facility failed to maintain a safe and clean refrigerator for a resident's personal use. During an observation, a mini refrigerator in the room of a resident was found to have a temperature log dated September 2024, indicating a lack of recent monitoring. The interior of the refrigerator was dirty, with a pink dried substance present. A Registered Nurse confirmed both the outdated temperature log and the unclean condition of the refrigerator. The facility's policy, dated January 1, 2022, requires daily temperature recording and cleaning of resident-owned refrigerators by housekeeping staff, which was not adhered to in this instance.
Failure to Use PPE During Incontinence Care
Penalty
Summary
The facility failed to adhere to its infection prevention and control program by not utilizing proper personal protective equipment during incontinence care for a resident on enhanced barrier precautions. Resident #118, who was admitted with diagnoses including chronic peptic ulcer, hypertension, chronic kidney disease stage four, and diabetes mellitus type two, required enhanced barrier precautions as per their care plan. The resident's care plan specified the use of gowns and gloves during high-contact care activities, such as personal hygiene and changing briefs. During an observation, Certified Nurse Assistants (CNAs) #305 and #360 were seen providing incontinence care to Resident #118 without wearing gowns, despite the presence of a sign indicating enhanced barrier precautions and available personal protective equipment outside the room. This was confirmed by Registered Nurse (RN) #347, who acknowledged that the CNAs should have been wearing gowns. The facility's policy on enhanced barrier precautions, which aims to reduce the transmission of multidrug-resistant organisms, was not followed, leading to this deficiency.
Inadequate Supervision Leads to Resident Elopement
Penalty
Summary
The facility failed to provide adequate supervision for a resident who was assessed to be at high risk for elopement. This resident, who resided in a secured memory care unit and had a history of exit-seeking behavior, managed to follow a dietary staff member through a secured door and subsequently eloped from the facility. The resident's wander guard alarmed as designed when he exited through the front door, but staff failed to respond in a timely manner and did not adequately investigate the source of the alarm. The resident was found approximately 0.7 miles away by local police after a neighborhood resident reported seeing him fall. Another incident involved a second resident who also eloped from the facility without staff knowledge. This resident was found by a staff member who was on their way to work. Both residents were identified as being at high risk for elopement, and the facility's failure to supervise them adequately resulted in their unsupervised departure from the premises. The facility's policies and procedures for preventing elopement were not followed, as evidenced by the lack of timely response to alarms and failure to conduct resident headcounts. Staff interviews confirmed that the facility did not adequately monitor residents at risk for elopement, leading to these incidents.
Removal Plan
- Upon discovery Resident #18 had eloped from the facility, a head count was initiated by Licensed Practical Nurses (LPNs) #136 and #137 and all additional residents were accounted for.
- LPN #249 completed a head-to-toe assessment on Resident #18.
- Resident #18 was placed on one-on-one staff supervision, which would continue pending the outcome of a guardianship hearing.
- LPN #144 was notified by the LPD Resident #03 had been located off facility grounds.
- LPN #144 initiated a resident head count to ensure all other residents were accounted for.
- The LPD and Emergency Medical Services (EMS) arrived at the facility with Resident #03. EMS and LPN #144 assessed the resident, and the resident was returned to the secured memory care unit.
- Resident #03 was placed on one-on-one supervision. This would continue while the facility worked with the resident's guardian to determine any additional interventions or alternative placement.
- The DON and LPN/UM #248 reviewed the facility cameras and completed a root cause analysis. It was determined Resident #03 was able to elope when staff exited the secured memory care unit without ensuring no residents were following, lack of timely staff response when the wander guard set off the front door alarm and lack of adequate staff response upon investigating the front door alarm.
- The DON completed a wander guard audit for all residents (#03, #53 and #54) with wander guards to ensure the intervention was appropriate, orders were in place and care plans were updated with no discrepancies identified.
- The DON and LPN/UM #248 reviewed and updated the resident elopement binder to ensure accuracy of information.
- The DON completed a second audit of the facility elopement binder with no discrepancies identified.
- The DON and LPN/UM #248 completed a reassessment of all facility residents for elopement risk. Care plans for residents at risk for elopement (#03, #18, #53 and #54) were reviewed and updated as appropriate.
- An elopement drill was completed by the DON and LPN/UM #248.
- The DON educated all facility staff in-person and by phone on ensuring residents do not follow them through the locked door of the secured memory care unit, the facility policy for elopement, responding to door alarms and missing resident with 100% of staff receiving the education.
- The DON educated all Certified Nursing Assistants (CNA) in-person and by phone on resident supervision, to include checking on residents every two hours, and if unable to locate a resident, to immediately notify the nurse so a headcount of facility residents can be initiated and search conducted per facility policy with 100% of the CNAs receiving the education.
- LPN #249 and LPN #139 completed a whole facility audit of windows and doors to validate all security measures were in place with no concerns identified.
- Dietary Manager (DM) #156 completed one-on-one education with Dietary Aide (DA) #157 to ensure no residents were following when exiting the secured memory care unit.
- The DON/designee would review all risk for elopement assessments and nursing quarterly assessments for four weeks to ensure accuracy and appropriate interventions are in place.
- The DON/designee would observe food carts going off the secured memory care unit five times per week for eight weeks to ensure staff are following procedures to prevent residents from following behind them when exiting the unit.
- The DON/designee would randomly observe staff entering and exiting the secured memory care unit for eight weeks to ensure procedures are followed to prevent residents from exiting the unit.
- The Administrator/designee would complete daily elopement drills on random shifts for two weeks then monthly elopement drills (one on each shift per quarter).
- The DON would review progress notes for all residents daily, Monday through Friday, for any documentation of exit seeking behaviors for four weeks to ensure appropriate interventions are implemented and care plans revised.
- The Interdisciplinary Team (IDT) would continue to identify residents at risk for elopement upon admission/re-admission and change in condition to ensure appropriate interventions are implemented and care planned to address elopement risk.
- DOM #246 would continue to monitor and validate door alarms and function per facility policy and procedures.
- An ad hoc Quality Assurance Performance Improvement (QAPI) committee meeting was held, which included the Administrator, DON, Medical Director (MD) #247, Activities Director (AD) #255 and LPN/UM #248 to review the root cause analysis, policies and procedures and corrective action plan.
- The QAPI Committee met to review the first week audit findings with no concerns identified.
Failure to Report Resident Elopements
Penalty
Summary
The facility failed to report incidents of elopement involving two residents to the State Agency, which was identified during a complaint investigation. Resident #03, who had diagnoses including dementia and Alzheimer's disease, eloped from the secured memory care unit. The resident was found by the police approximately 0.7 miles away from the facility, disoriented and on his hands and knees. The facility staff were unaware of the resident's absence until contacted by the police. The incident was not reported to the state agency as required. Resident #18, diagnosed with unspecified dementia and other conditions, was found in a church parking lot 1.1 miles from the facility. The resident had left the facility without informing the staff, which was treated as an elopement. Despite the resident being her own responsible person, the facility did not report this incident to the state agency. The facility's policy required reporting all alleged violations and substantiated incidents to the State Agency, which was not followed in these cases. Interviews with facility staff, including the DON and Regional Directors, confirmed the lack of reporting for both incidents. The facility's failure to report these elopements was an incidental finding during the investigation, highlighting a deficiency in adhering to reporting protocols as outlined in their policy.
Failure to Provide Divided Plate as Requested
Penalty
Summary
The facility failed to ensure that Resident #42 consistently received a divided plate with all meals as requested. Resident #42, who has diagnoses including Alzheimer's dementia, dysphagia, and failure to thrive, had a documented preference for a divided plate on her diet ticket. However, observations on two separate days revealed that her lunch meals were not served on a divided plate. Resident #42 confirmed that she was not provided with a divided plate as requested on these occasions. Additionally, her current care plans, including the nutritional care plan, did not include information related to her preference for a divided plate. Interviews with the District Manager confirmed that Resident #42's meal ticket indicated a preference for a divided plate due to her desire to keep different food types from touching. Despite this, the facility's policy on Resident Food Preferences, which states that the resident's clinical record should document likes, dislikes, and special dietary instructions, was not followed. This deficiency was investigated under Complaint Number OH00152644.
Failure to Apply Prescribed Barrier Cream After Incontinence Care
Penalty
Summary
The facility failed to ensure that care planned and physician-ordered protective barrier cream was applied after incontinence care for two residents. Resident #43, who had a stage two pressure ulcer on the right buttock, reported that staff had not been applying the prescribed zinc oxide cream. During an observation, it was confirmed that Resident #43 was not wearing an incontinence brief and had no zinc oxide cream applied, despite the resident stating she had never refused the treatment. This was corroborated by the State tested Nursing Assistants (STNAs) who were present during the observation. Similarly, Resident #53, who had a raw and painful peri area, was also not receiving the prescribed barrier cream. Despite physician orders and care plan instructions to apply zinc oxide cream after each incontinence episode, an observation revealed that no barrier cream had been applied. The Licensed Practical Nurse (LPN) confirmed that the cream should have been applied, and the STNA admitted to not applying it. Both residents had intact cognition and were able to communicate their discomfort and the lack of care they received.
Failure to Provide Timely Dental Services
Penalty
Summary
The facility failed to provide dental services as requested for Resident #42, who had diagnoses including Alzheimer's dementia, dysphagia, and failure to thrive. The resident experienced weight loss and had an order for a dental consultation due to improper fitting dentures. Despite the order being placed on 04/02/24, the resident was not seen by the dentist when they visited the facility on 04/16/24. Interviews with the Registered Dietitian, Social Worker, and Director of Nursing revealed a lack of awareness and follow-through regarding the dental concerns and consultation order. The facility's policy on dental services, revised on 10/30/23, stated that residents with lost or damaged dental appliances would be promptly referred for dental services, which was not adhered to in this case.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 642 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Streetsboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avenue At Aurora | 5 mi | — | 6 | 0 |
| Majestic Care Of Kent | 5.4 mi | — | 23 | 0 |
| Aurora Manor Special Care Cent | 5.5 mi | — | 14 | 1 |
| Hudson Springs Nursing And Rehab | 5.6 mi | — | 10 | 0 |
| Arbors At Stow | 5.9 mi | — | 9 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Arbors At Streetsboro.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.