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 Medina Bsd Opco Llc during CMS and state inspections, most recent first.
The facility failed to screen new employees against the State of Ohio Nurse Aide Registry before employment, potentially affecting all 52 residents. Personnel files for several staff members, including a PTA, LPN, RN, DM, DOR, Housekeeper, and DA, showed no evidence of NAR checks. The HR Manager was unaware of this requirement, confirming the oversight.
The facility failed to provide adequate staffing, leading to unmet resident needs and delayed call light responses. Residents and staff reported insufficient aides, particularly during night shifts, resulting in long wait times for assistance. Observations confirmed the inadequacy, with call lights going unanswered. The facility did not implement its assessment to maintain required staffing levels, resulting in non-compliance.
The facility did not maintain the required RN coverage for at least eight consecutive hours a day, seven days a week, due to call-offs and lack of replacements. The staffing tool review showed no RN coverage on two days, despite the facility assessment indicating a need for one to two RNs per shift for an average census of 53 residents. This non-compliance had the potential to affect all 52 residents.
A resident reported a distressing comment from a staff nurse to the Social Service Director (SSD), who failed to document the grievance or inform the necessary administrative staff. The resident, who was cognitively intact and dependent on staff for ADLs, was dismissed by the SSD for not recounting the incident verbatim. The facility's policy to document and address grievances promptly was not followed.
The facility failed to ensure that authorizations for resident fund accounts were witnessed by non-facility staff, affecting two residents. The authorizations for managing funds lacked the required non-facility affiliated witness signatures. This deficiency was confirmed during an interview with the Business Office Manager, who verified the oversight.
The facility failed to provide required SNF ABNs to two residents before discontinuing skilled services under Medicare Part A. The Business Office Manager confirmed the oversight, mistakenly believing the forms were only needed for Medicare Part B beneficiaries.
A resident with hearing loss did not receive timely audiology services despite physician orders and a care plan indicating the need for such services. The facility's scheduling process failed, resulting in the resident experiencing discomfort due to a blocked ear, with no follow-up care provided.
Failure to Screen New Employees Against State Nurse Aide Registry
Penalty
Summary
The facility failed to ensure that all new employees were screened through the State of Ohio Nurse Aide Registry (NAR) prior to employment. This screening is crucial to identify if an employee has any findings related to abuse, neglect, exploitation, mistreatment of residents, or misappropriation of resident property. The personnel files of several staff members, including a Physical Therapist Aide, Licensed Practical Nurse, Registered Nurse, Dietary Manager, Director of Rehabilitation, Housekeeper, and Dietary Aide, revealed that none of these individuals were checked against the NAR before their hire dates. An interview with the Human Resource Manager revealed a lack of awareness regarding the requirement to check all new employees against the NAR. The HR Manager confirmed that the necessary checks were not performed prior to the first day of employment for the mentioned staff members. This oversight had the potential to affect all 52 residents residing in the facility, as the facility's policy clearly states that individuals with findings in the state nurse aide registry concerning abuse, neglect, exploitation, mistreatment, or misappropriation should not be employed.
Inadequate Staffing Leads to Unmet Resident Needs
Penalty
Summary
The facility failed to ensure adequate staffing to meet the needs of its 52 residents, as evidenced by multiple interviews and observations. Residents and staff reported insufficient staffing, particularly during night shifts and weekends, leading to delayed responses to call lights and unmet care needs. Interviews with residents revealed complaints about long wait times for assistance, with one resident waiting over 15 minutes for a call light to be answered, only for it to be turned off without follow-up. Staff interviews corroborated these issues, with reports of operating with only one to two aides on the floor, which was insufficient to meet the residents' needs. Observations confirmed the inadequacy of staffing, with call lights going unanswered for extended periods. The staffing tool review indicated that the facility did not have registered nursing coverage for two days and was operating below the required staffing levels. The facility assessment, which was supposed to guide staffing levels, was not implemented effectively, resulting in non-compliance with the required staffing standards. This deficiency was investigated under Complaint Number OH00157038.
Failure to Maintain Required RN Coverage
Penalty
Summary
The facility failed to maintain the required registered nurse (RN) coverage for at least eight consecutive hours a day, seven days a week, as mandated by regulations. This deficiency was identified during a review of the staffing tool with the Staffing Coordinator, which revealed that there was no RN coverage on two specific days due to call-offs, and no replacement RNs were arranged. The facility assessment, which was intended to determine the necessary resources for resident care and daily operations, indicated a need for one to two RNs per shift based on an average census of 53 residents. However, the facility did not adhere to this assessment in maintaining RN coverage, leading to non-compliance with the staffing requirements. This issue had the potential to affect all 52 residents residing in the facility and was investigated under Complaint Number OH00157038.
Failure to Address Resident Grievance Timely
Penalty
Summary
The facility failed to ensure that concerns were filed, addressed, and resolved in a timely manner, affecting a resident who was cognitively intact and dependent on staff for Activities of Daily Living (ADLs). The resident reported to the Social Service Director (SSD) that a staff nurse had made a distressing comment wishing for the resident's death. However, the SSD did not document the grievance or inform the necessary administrative staff, including the Administrator and Assistant Director of Nursing (ADON), about the incident. The SSD claimed to have entered a note into the system and sent a text to staff but did not complete the required grievance form. Interviews with the resident and staff revealed discrepancies in the handling of the grievance. The resident expressed that the SSD dismissed her concerns because she could not recount the incident verbatim. The SSD admitted to not filing a concern log form and only verbally informing the ADON during a meeting. The ADON, however, was unaware of the grievance, and the concern log showed no record of the incident. The facility's policy required grievances to be documented and addressed promptly, which was not followed in this case.
Failure to Obtain Non-Facility Witness Signatures for Resident Fund Authorizations
Penalty
Summary
The facility failed to ensure that authorizations for resident fund accounts were witnessed by non-facility staff, affecting two residents out of five reviewed. For Resident #7, the authorization to manage funds dated 10/17/23 lacked a non-facility affiliated witness signature as required. Similarly, for Resident #41, the authorizations dated 03/16/23 and 11/09/23 also did not have the necessary non-facility affiliated witness signatures. This deficiency was confirmed during an interview with the Business Office Manager on 10/07/24, who verified that the authorization forms for these residents were not properly witnessed.
Failure to Provide Required SNF ABNs to Residents
Penalty
Summary
The facility failed to provide required notices of potential financial obligation to residents before discontinuing skilled services under Medicare Part A. This deficiency affected two residents out of three reviewed for beneficiary notices. Resident #17 was discharged from skilled therapy services on May 14, 2024, without receiving a Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) as required. Similarly, Resident #55 was discharged from skilled therapy services on September 3, 2024, without receiving the necessary SNF ABN. During an interview on October 7, 2024, the Business Office Manager (BOM) confirmed that the SNF ABNs were not provided to these residents. The BOM mistakenly believed that these forms were only necessary for residents on Medicare Part B, indicating a misunderstanding of the requirements for Medicare Part A beneficiaries.
Failure to Provide Timely Audiology Services
Penalty
Summary
The facility failed to ensure timely access to ancillary services for a resident with hearing difficulties. The resident, who was cognitively intact and had a history of hearing loss, was admitted with a care plan that included monitoring ear conditions and referring to audiology as needed. Despite physician orders for earwax removal and a follow-up with an audiologist, the resident did not receive the necessary audiology services. Interviews revealed that the resident had been experiencing discomfort due to a blocked ear and had not been followed up with after initial ear drop treatment. The facility's process for scheduling and coordinating audiology appointments was not effectively executed. The Social Service Director was responsible for scheduling these services, but the resident was not added to the list for audiology visits on two occasions. The Director of Nursing was unaware of the resident's unmet needs, and there was no documentation of the resident being scheduled or seen by the audiologist. The facility's policy required the social worker to assist residents in accessing hearing services, but this was not adequately fulfilled for the resident in question.
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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 Medina
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medina Center For Rehabilitation And Nursing | 1.2 mi | — | 0 | 0 |
| Avenue At Medina | 1.3 mi | — | 11 | 0 |
| Samaritan Care Center And Villa | 1.4 mi | — | 4 | 0 |
| Champion Creek Health And Rehabilitation | 2.6 mi | — | 0 | 0 |
| Western Reserve Masonic Comm | 3.7 mi | — | 0 | 0 |
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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.