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 Galion Meadows Skilled Nursing And Rehabilitation during CMS and state inspections, most recent first.
Surveyors identified that the facility did not maintain a pleasant, homelike environment due to persistent strong urine odors in resident areas and unclean wheelchairs for several residents. Multiple staff, residents, and family members confirmed the ongoing odor and lack of wheelchair cleaning, despite facility policy stating wheelchairs should be cleaned regularly. Affected residents had conditions such as cognitive impairment, muscle weakness, hemiplegia, and Parkinson's disease.
Staff failed to follow infection prevention protocols, including not performing hand hygiene before and after resident care, not donning required PPE such as gowns and gloves for residents on Enhanced Barrier Precautions, and not disinfecting a glucometer between use on two residents. These deficiencies were confirmed through staff interviews, observations, and review of facility policies and CDC guidance.
A resident with severe cognitive impairment sustained a skin tear during a mechanical lift transfer, but the responsible party was not notified of the incident or new wound care orders. Staff interviews revealed confusion about notification responsibilities, and the facility's policy requiring timely notification of the resident's representative was not followed.
A resident with severe cognitive impairment and an indwelling catheter did not have urine output documented as ordered by the physician, and new areas of skin breakdown were not timely assessed or treated. Staff failed to record required information in the medical record, and multiple open wounds were observed without corresponding documentation or treatment orders. The Wound Care Nurse was unaware of the new wounds, and CNAs reported the wounds had been present for over a week.
A resident with severe mobility and cognitive impairments sustained a significant skin tear on the right foot during a transfer with a mechanical lift. The injury occurred when the resident's foot became caught under a wheelchair foot pedal while two CNAs were transferring the resident; one CNA was distracted by staff issues, and the other was occupied holding the resident's head due to the lack of a headrest on the manual wheelchair provided by therapy. The incident resulted in a painful wound with active bleeding.
A resident with diabetes received insulin injections from an RN who failed to prime the insulin pens before use, as required by both facility policy and manufacturer instructions. The RN also administered insulin doses later than ordered and delayed subsequent doses. These actions resulted in two medication errors out of 27 opportunities, causing the facility's medication error rate to exceed 5%.
A resident with type II diabetes mellitus received insulin injections from an RN who failed to prime the insulin pens before administration, despite facility policy and manufacturer instructions requiring priming before each use. The RN stated he only primed new pens, and the DON confirmed that priming should occur before every injection. This resulted in a significant medication error for the resident.
A resident with multiple chronic conditions experienced significant and ongoing weight increases over several months. Despite the dietitian's requests for re-weights after each significant gain, these were not completed in a timely manner, and a full nutritional assessment was not performed after the weight changes. Staff interviews and policy review confirmed that required procedures for monitoring and responding to significant weight changes were not followed.
A resident with multiple chronic conditions did not receive prescribed pregabalin for neuropathy due to the facility's failure to ensure a valid prescription was received and processed by the pharmacy. The medication was not administered for several days following the resident's return from the hospital, except for a brief period when an on-call CNP provided a short-term supply. The resident was not informed about the interruption in her pain medication, and facility leadership confirmed the medication was not available or given as ordered.
A resident with significant mobility deficits and a history of falls was injured during van transport when their electric wheelchair was not properly secured using the required four-point securement system and shoulder belt. The driver relied on the wheelchair's positioning belt, which is not intended for vehicle restraint, and there was no formal staff training or documentation on the use of the van's safety systems. The resident sustained injuries requiring hospital admission.
A resident's court-appointed guardian was not notified about the initiation or charges for therapy services, nor was informed consent obtained for dental services after the resident switched to private pay. The resident, who had significant cognitive and medical issues, received multiple therapy and dental services without proper guardian notification or updated consent documentation.
Two residents did not receive care as ordered: one did not have required lab tests completed before a nephrology appointment, resulting in the appointment being rescheduled, and another did not receive all required neurological assessments after a fall with a head injury while on anticoagulant therapy. Staff interviews and record reviews confirmed that care and monitoring were not provided as ordered, and notifications to family and medical staff were delayed.
A resident with severe cognitive impairment and multiple medical conditions received midodrine for hypotension despite physician orders to hold the medication if systolic blood pressure exceeded 120 mmHg. The medication administration record did not reflect the hold parameters, leading to 47 doses being administered when the resident's blood pressure was above the specified limit. The DON confirmed the discrepancy between the physician's order and the MAR.
A resident with multiple chronic conditions and severe cognitive impairment did not have physician-ordered laboratory tests completed prior to a scheduled specialist appointment. The omission was confirmed through medical record review, family interviews indicating missed or rescheduled appointments, and verification by the DON.
A resident with multiple chronic conditions and severe cognitive impairment received a wound dressing change during which the ADON did not change gloves or perform hand hygiene after removing a soiled dressing and before applying ointment to the wound, contrary to facility policy.
The facility's dishwasher failed to reach the required minimum temperature for proper sanitization, potentially affecting all residents receiving food from the kitchen. An observation revealed the dishwasher's wash temperature was 110°F, below the required 120°F. Missing temperature documentation was noted in the facility's Dish Machine log, and the issue was discovered during a complaint investigation.
The facility failed to provide scheduled showers for three residents who required assistance, missing multiple opportunities over nearly two months. One resident, with Parkinson's disease, received only four baths instead of the scheduled twice-weekly showers. Another resident, with schizophrenia and diabetes, also missed 11 scheduled showers. A third resident, with multiple sclerosis and quadriplegia, missed six scheduled showers due to staffing issues. Staff confirmed difficulties in completing ADL care timely due to increased demands.
A facility failed to ensure proper PPE use for a resident on COVID-19 precautions. Staff entered the resident's room without required eye protection and N-95 masks, despite clear signage. The resident, with COVID-19 and other health issues, required isolation. The facility's policies on PPE and transmission-based precautions were not followed, affecting the safety of all residents.
The facility did not have a registered nurse (RN) on duty for at least eight consecutive hours on two consecutive days, as required. This was confirmed through staff schedules, pay records, and interviews with the Administrator and DON. The absence of an RN had the potential to affect all 50 residents in the facility.
Failure to Maintain Clean Environment and Wheelchairs
Penalty
Summary
Surveyors found that the facility failed to maintain a safe, clean, and homelike environment for residents, as evidenced by persistent strong foul odors of urine throughout the North and South units and unclean wheelchairs for multiple residents. Observations and interviews with residents, family members, and staff confirmed that the odor was present in resident living areas over multiple days, and both nursing and housekeeping staff acknowledged the ongoing issue. The Director of Nursing also confirmed the presence of the odor during the survey. Additionally, the facility failed to ensure that residents' wheelchairs were clean. Three residents who used wheelchairs were observed to have wheelchairs with thick coatings of grime, dust, dirt, dried spills, food particles, and unidentified stains. Residents and family members reported that staff did not clean the wheelchairs, and staff interviews confirmed that cleaning was supposed to occur on shower days and as needed, but this was not being done. The affected residents had various diagnoses, including cognitive impairment, muscle weakness, hemiplegia, and Parkinson's disease.
Infection Control Failures in Hand Hygiene, PPE Use, and Equipment Disinfection
Penalty
Summary
Multiple deficiencies in infection prevention and control practices were observed among staff during medication administration, resident care, and use of medical equipment. A registered nurse failed to perform hand hygiene after exiting a resident's room and before preparing and administering insulin injections to another resident. The nurse also did not wash hands before donning gloves, exited the room with the same gloves, and handled medication equipment without performing hand hygiene. These actions were confirmed by the nurse during the interview. Certified nursing assistants did not follow Enhanced Barrier Precautions (EBP) when providing care to residents with indwelling catheters. Specifically, staff did not don isolation gowns or perform hand hygiene before or after providing catheter care, despite signage indicating EBP requirements. One CNA provided catheter care to a resident with an indwelling catheter and then entered another resident's room without washing or sanitizing hands. Another CNA and an LPN also failed to don gowns or perform hand hygiene as required during high-contact care activities for residents on EBP. A medication technician used a single glucometer for blood sugar assessments on two residents without cleaning or disinfecting the device between uses, contrary to CDC guidance and manufacturer instructions. The technician also failed to remove gloves or perform hand hygiene between residents. The Director of Nursing confirmed that staff were expected to clean glucometers between each use and to perform hand hygiene before and after resident care. Facility policies and CDC guidance reviewed during the investigation supported these requirements, but staff interviews and observations revealed consistent non-compliance.
Failure to Notify Resident Representative of Incident and Change in Condition
Penalty
Summary
The facility failed to notify a resident's representative of an incident involving the resident, specifically a skin tear sustained during a mechanical lift transfer. The resident, who had diagnoses including hemiplegia, hemiparesis following cerebral infarction, and cognitive communication deficit, was assessed as severely cognitively impaired. Documentation showed that the resident's son was listed as the responsible party and emergency contact. Despite this, there was no record that the son was informed of the skin tear or the subsequent new wound care orders. The son only learned of the injury days later during a visit, after inquiring about his father's comments regarding his foot. Staff interviews revealed confusion and inconsistency regarding notification responsibilities. The ADON stated she did not notify the family because she believed the resident was sometimes alert and oriented, and typically notified the resident directly. The DON admitted to not checking the responsible party information and assumed the resident was his own responsible party. Other staff confirmed the resident's cognitive status fluctuated, with orientation primarily to self and inconsistent recognition of others. Facility policy required notification of the resident's representative within 24 hours of any incident or change in condition, unless otherwise instructed by the resident, but this was not followed in this case.
Failure to Document Urine Output and Timely Assess Skin Breakdown
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders and the resident's needs for one resident. Specifically, staff did not document or record urine output as ordered by the physician for a resident with an indwelling catheter. Review of the medical record, Medication Administration Record (MAR), and Treatment Administration Record (TAR) showed no documentation of urinary output, and this was confirmed by the Regional Director of Clinical Services. The physician order required urine output to be recorded every shift, but this was not done. Additionally, the facility failed to timely assess and treat new areas of skin breakdown for the same resident. Observations revealed multiple open wounds and areas of redness and scabbing in the peri area, buttocks, thigh, and coccyx, which had been present for over a week. Certified Nursing Assistants (CNAs) reported the wounds but there was no documentation or treatment orders for these wounds in the medical record. The Wound Care Nurse was unaware of the new wounds and confirmed there were no treatment orders or documentation for them. The resident was severely cognitively impaired, dependent on staff for care, and had a history of resolved wounds, but the new wounds were not assessed or treated in a timely manner.
Resident Injury During Mechanical Lift Transfer Due to Inadequate Supervision
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment, hemiplegia, morbid obesity, and significant mobility deficits was injured during a transfer using a mechanical lift. The resident, who was dependent on staff for bed mobility and required two-person assistance for transfers, sustained a skin tear on the right foot after it was caught under the foot pedal of a manual wheelchair during the transfer. The incident happened while two CNAs were transferring the resident from a chair to bed using a Hoyer lift. One CNA was distracted due to interpersonal issues with another staff member and did not notice the resident's foot was caught, resulting in a skin tear with moderate bleeding. The resident's care plan specified the need for two-person assistance, and the transfer was being performed with two staff present, but one was preoccupied and failed to ensure the resident's safety. Further contributing factors included the use of a manual wheelchair without a headrest, which was provided by therapy after the resident experienced a decline and could no longer use his personal electric wheelchair with a headrest. During the transfer, one CNA had to hold the resident's head due to the lack of a headrest, limiting her ability to ensure the resident's extremities were clear of hazards. The wound was later assessed as a large skin tear with bruising and active bleeding, causing pain to the resident. Staff interviews confirmed that the distraction and the need to support the resident's head during the transfer contributed to the incident.
Medication Error Rate Exceeds 5% Due to Improper Insulin Pen Administration
Penalty
Summary
The facility failed to maintain a medication error rate below five percent, as two errors were identified out of 27 observed opportunities, resulting in a 7.4% error rate. The errors involved a resident with type II diabetes mellitus who was severely cognitively impaired and required daily insulin injections. During medication administration, a registered nurse did not prime either of the two insulin pens before administering them to the resident, contrary to manufacturer instructions and facility policy. The nurse stated that he only primed insulin pens if they were brand new, and did not perform the priming step for pens that had been previously used. Additionally, the nurse administered the resident's morning insulin doses significantly later than the prescribed times and delayed the next scheduled dose due to the late administration. The DON confirmed that insulin pens should be primed before each use and that medications should be administered according to physician orders. Facility policy and insulin pen manufacturer instructions both require priming before each injection to ensure proper dosing and function.
Failure to Prime Insulin Pens Prior to Administration
Penalty
Summary
A deficiency was identified when nursing staff failed to prime insulin pens prior to administering insulin to a resident with type II diabetes mellitus. The resident, who was severely cognitively impaired and required daily insulin injections, had physician orders for Basaglar and Admelog insulin pens to be administered at specific times. During an observed medication administration, a registered nurse attached new needles to both insulin pens, dialed in the prescribed doses, but did not perform the required priming procedure before injecting the insulin subcutaneously. The nurse later confirmed that he only primed insulin pens if they were brand new, contrary to manufacturer instructions and facility policy, which require priming before each use to ensure proper dosing. Further review of the resident's care plan and physician orders confirmed the necessity of administering medications as prescribed and in a timely manner. The Director of Nursing verified that insulin pens should be primed before every use and that medications must be given according to physician orders. The facility's policy and the insulin pen instruction manuals both specify the need for priming before each injection to ensure the pen and needle are functioning correctly and to deliver the correct dose. The failure to prime the insulin pens constituted a significant medication error affecting the resident.
Failure to Timely Complete Nutritional Assessments and Re-Weights for Significant Weight Gain
Penalty
Summary
The facility failed to timely complete nutritional assessments and obtain re-weights for a resident who experienced significant and continued weight increases. The resident, who had multiple diagnoses including chronic kidney disease, morbid obesity, type II diabetes, and other chronic conditions, showed a pattern of substantial weight gain over several months. Despite documented requests from the dietitian for re-weights following significant weight increases, these re-weights were not performed in a timely manner. For example, after a 5.6% weight increase in one month, a re-weight was requested but not completed until nearly a month later. Similarly, after another significant weight gain, a re-weight was again delayed by several weeks. Additionally, a full nutritional assessment was not completed after any of the significant weight increases, with the last assessment having been done months prior to the continued weight gains. Staff interviews confirmed that nurse aides obtain weights as directed by nursing staff, and that the dietitian relies on timely notification and completion of re-weights to perform further assessments. The facility's policy requires monthly weights and timely evaluation of significant weight changes by the multidisciplinary team, but these procedures were not followed. The dietitian confirmed that her requests for re-weights were not completed within her preferred timeframe, and that she was not notified promptly of significant weight changes. This resulted in a lack of timely intervention and assessment for the resident experiencing ongoing weight increases.
Failure to Obtain and Administer Ordered Medication
Penalty
Summary
The facility failed to obtain and administer a prescribed medication, pregabalin, to a resident following their return from a hospital admission. The resident, who had diagnoses including chronic kidney disease, convulsions, morbid obesity, type II diabetes mellitus, anxiety disorder, major depressive disorder, and lymphedema, had a care plan that included pain management with medications as ordered by a physician. Upon readmission, a physician ordered pregabalin 75 mg twice daily for neuropathy, but the medication was not administered from the evening of admission through several days, as documented in the medication administration record and progress notes. The lack of administration was due to the facility's failure to ensure a valid prescription was received and processed by the pharmacy. The pharmacy required a new prescription for the changed dosage, but did not receive it despite notifications to the facility's nurse practitioner and follow-up attempts. The resident did not receive pregabalin for multiple days, except for a brief period when an on-call nurse practitioner provided a three-day supply. The resident was unaware of the reason for the interruption in her pain medication, and facility leadership confirmed the medication was not available or administered as ordered during the specified periods.
Failure to Properly Secure Resident During Transport Results in Injury
Penalty
Summary
A deficiency occurred when a resident with multiple complex medical conditions, including congestive heart failure, diabetes, and a history of falls, was not properly secured during transport in the facility's van. The resident, who was cognitively intact but required extensive assistance for mobility and used an electric wheelchair, was being transported to an outside appointment. During the trip, the van driver had to make a sudden stop, causing the resident's wheelchair to tip forward and the resident to fall, resulting in injury. The incident led to the resident being admitted to the hospital for pain control and monitoring after sustaining a head injury and significant back pain. The investigation revealed that the resident's wheelchair was equipped with a positioning belt, which is not designed for use as a seatbelt in a motor vehicle. The facility's transport van was equipped with a four-point wheelchair securement system (Q'Straint) and a shoulder and pelvic belt restraint, which are required to be used together for safe transport. However, the driver only used the wheelchair's positioning belt and did not secure the resident with the van's shoulder belt. There was also uncertainty about whether the wheelchair was properly attached to the van floor at the time of the incident, as conflicting accounts were given by staff and the resident. Further review found that the facility did not have a formal training policy or documentation for staff responsible for operating the van and its securement systems. Training was informal and undocumented, with no checklists or records of topics covered. The lack of proper use of the securement system and inadequate staff training directly contributed to the resident's injury during transport.
Failure to Notify Guardian and Obtain Informed Consent for Therapy and Dental Services
Penalty
Summary
The facility failed to notify a resident's court-appointed guardian about the initiation and potential charges for therapy services, as well as failed to obtain informed consent prior to starting dental services. Record review showed that the resident, who had multiple diagnoses including Parkinson's disease, dementia, and malnutrition, was rarely or never understood and had a guardian appointed. Despite multiple therapy orders and treatments, there was no documentation that the guardian was informed of the therapy evaluations, treatments, or the associated charges. Billing statements confirmed that charges were incurred for occupational, speech, and physical therapy, but the guardian was not notified. Additionally, after the resident switched from Medicaid to private pay, there was no evidence that updated consent was obtained for dental services or that the guardian was notified of a dental visit. The previous ancillary consent form had been signed by the resident's wife for other services while the resident was on Medicaid, but no updated consent was documented after the change in payor status. The administrator confirmed that no updated informed consent was obtained and that billing for ancillary services was handled by the service providers, not the facility.
Failure to Complete Physician-Ordered Labs and Neurological Assessments
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders and resident needs in two separate cases. For one resident with severe cognitive impairment and multiple chronic conditions, the facility did not complete physician-ordered laboratory tests, including a urinalysis and several blood draws, prior to a scheduled nephrology appointment. As a result, the laboratory work was not available for the appointment, leading to the appointment being rescheduled. Family interviews confirmed that missed or delayed laboratory tests had resulted in rescheduled or missed appointments for this resident. The Director of Nursing verified that the laboratory tests were not completed as ordered. In another case, a resident with severe cognitive impairment, multiple diagnoses, and on anticoagulant therapy experienced a fall resulting in a head injury. The care plan required neurological assessments at specific intervals following the fall. While initial 15-minute checks were completed, subsequent 30-minute and hourly checks were missed or incomplete. Documentation showed that the nurse responsible was passing medications on another hall during the missed assessments. Additionally, at one assessment time, only vital signs were taken, and the resident could not be fully assessed as she was sleeping. The Director of Nursing confirmed that the neurological checks were not completed as required and that family and medical staff notifications about the fall and injury were delayed. Interviews with staff and review of records confirmed that the required care and monitoring were not provided according to physician orders and facility protocols. The deficiencies affected two of three residents reviewed for quality of care and treatment, as verified by the Director of Nursing and staff interviews.
Failure to Follow Medication Hold Parameters for Blood Pressure Medication
Penalty
Summary
The facility failed to ensure that the parameters for administering midodrine, a medication used to treat low blood pressure, were correctly entered into the medical record and followed during administration for a resident with multiple diagnoses including Alzheimer's disease, neuromuscular dysfunction, dysphagia, type 2 diabetes, schizoaffective disorder/bipolar type, and depressive disorder. The physician's order specified that midodrine should be held if the resident's systolic blood pressure (SBP) was greater than 120 mmHg. However, review of the medication administration records showed that the resident received 47 doses of midodrine when their SBP was above this threshold, with the highest recorded blood pressure at the time of administration being 169/103 mmHg. The Director of Nursing confirmed that the hold parameters were present in the physician's order but were not reflected on the medication administration record, resulting in the medication being given contrary to the specified parameters.
Failure to Complete Physician-Ordered Laboratory Tests
Penalty
Summary
The facility failed to obtain physician-ordered laboratory tests for one resident with multiple chronic conditions, including Alzheimer's disease, dementia, chronic obstructive pulmonary disease, and chronic heart failure. The resident, who had severely impaired cognition, was admitted on 01/15/25 and had a follow-up nephrology appointment scheduled for 07/20/25, with laboratory tests ordered to be completed on 07/14/25. These tests included a complete blood count, hepatic function panel, magnesium, microalbumin/creatinine ratio, renal function panel, sodium, protein/creatinine ratio, and urinalysis. Review of the medical record showed no evidence that the laboratory tests were completed as ordered. Family interviews confirmed that the facility had not completed the ordered tests prior to appointments, resulting in rescheduled or missed appointments. The Director of Nursing verified that the laboratory tests were not completed as ordered.
Failure to Follow Infection Control Protocol During Wound Care
Penalty
Summary
During a wound dressing change for Resident #28, who had diagnoses including Alzheimer's disease, type 2 diabetes, major depressive disorder, and chronic kidney disease, the Assistant Director of Nursing (ADON) failed to follow established infection control procedures. The resident, who had severe cognitive impairment, was being treated for a skin tear on the right lower leg. The ADON removed the soiled dressing while wearing gloves, placed the soiled dressing on a paper towel on an over-bed table, and did not remove her gloves or perform hand hygiene before proceeding to the next steps of the wound care process. The ADON then used her gloved finger, which may have been contaminated from removing the soiled dressing, to apply ointment directly to the wound before covering it with a new dressing. At the time of observation, the ADON confirmed that she did not change gloves or perform hand hygiene between removing the old dressing and applying the new treatment. Review of the facility's wound care policy indicated that gloves should be changed and hand hygiene performed between these steps, but these procedures were not followed during the observed dressing change.
Dishwasher Temperature Deficiency
Penalty
Summary
The facility failed to ensure that the dishwasher reached the minimum temperature required to properly sanitize dishware, which had the potential to affect all residents receiving food from the kitchen. During an observation, the dishwasher, model ES 2400, was noted to have a wash temperature of 110 degrees Fahrenheit and a rinse cycle of 130 degrees Fahrenheit. Dietary Aide #200 confirmed that the wash cycle was only 110 degrees Fahrenheit and believed it should be at 120 degrees Fahrenheit. A review of the facility's Dish Machine log for November 2024 showed missing temperature documentation for several days and meals, while other entries recorded temperatures of 120 degrees Fahrenheit. The dishwasher guidelines specified a minimum wash temperature of 120 degrees Fahrenheit. This issue was discovered incidentally during a complaint investigation.
Failure to Provide Scheduled Showers for Dependent Residents
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADL) for residents who required help with bathing and showers. This deficiency affected three residents who were dependent on staff for these services. Resident #38, diagnosed with Parkinson's disease and other conditions, was scheduled for showers twice a week but only received four baths over nearly two months, missing 11 scheduled opportunities. The resident expressed a preference for bed baths due to her inability to get out of bed, but the facility did not document reasons for missed baths. Resident #52, with diagnoses including schizophrenia and diabetes, also required substantial assistance for showers. Despite being scheduled for showers twice weekly, he only received four showers over the same period, missing 11 opportunities. The resident expressed a desire for timely showers, but again, there was no documentation explaining the missed care. Resident #41, who has multiple sclerosis and quadriplegia, was similarly affected. Scheduled for showers twice a week, he only received two showers in a month, missing six opportunities. The resident reported being told that showers were missed due to staffing issues, despite a recent schedule change intended to accommodate him. Interviews with staff confirmed that they were unable to complete ADL care timely due to increased demands following the closure of a dementia unit.
Inadequate PPE Use for Resident on COVID-19 Precautions
Penalty
Summary
The facility failed to implement its infection control policies, specifically regarding the use of personal protective equipment (PPE) for staff entering the room of a resident on droplet/contact precautions due to a positive COVID-19 test. Observations revealed that staff, including a physical therapist, a rehab services manager, and a state-tested nurse assistant, entered the resident's room without the required eye protection and N-95 masks, despite a sign on the door indicating the need for such precautions. Interviews with the staff confirmed the lack of appropriate PPE, and the Director of Nursing acknowledged that eye protection was not available for the resident in question or another resident in contact isolation. The resident involved had been admitted with diagnoses including hypoxic ischemic encephalopathy, hemiplegia, and COVID-19 acute respiratory disease. The resident was cognitively intact and required varying levels of assistance for daily activities. The facility's policy on PPE and transmission-based precautions was not followed, as PPE was not maintained outside the resident's room for easy access. This deficiency was identified during a complaint investigation and had the potential to affect all 52 residents in the facility.
Failure to Maintain RN Coverage
Penalty
Summary
The facility failed to comply with the requirement of having a registered nurse (RN) on duty for at least eight consecutive hours a day, seven days a week. This deficiency was identified during a review of the nursing staff schedule and pay records, which revealed that no RN was present or working in the facility on 06/15/24 and 06/16/24. Interviews with the Administrator and the Director of Nursing (DON) confirmed the absence of an RN on these dates. This non-compliance had the potential to affect all 50 residents residing in the facility, as the facility census was 50.
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 82 citations issued within 25 miles in the last 12 months — 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 Galion
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Galion Pointe, Llc | 0.6 mi | — | 0 | 0 |
| Mill Creek Nursing & Rehabilitation | 0.7 mi | — | 0 | 0 |
| Crestline Rehabilitation And Nursing Center | 5.5 mi | — | 0 | 0 |
| Altercare Of Bucyrus Center Fo | 8.9 mi | — | 3 | 0 |
| Unger Park Post Acute | 11.2 mi | — | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Galion Meadows Skilled Nursing And Rehabilitation.
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.