Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
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 Parma Care Center during CMS and state inspections, most recent first.
A resident with multiple comorbidities and known constipation had physician orders for routine stool softeners and laxatives, along with PRN Bisacodyl suppositories and Milk of Magnesia, and a care plan requiring bowel movement tracking and medication administration. Over several separate multi-day periods, no bowel movements were documented and no PRN bowel medications were recorded on the MAR, despite a facility policy requiring initiation of a bowel protocol after three days without a BM. The DON confirmed the bowel protocol was not started during these episodes, and the resident subsequently experienced abdominal pain and significant constipation requiring multiple ER evaluations and interventions, including imaging, suppositories, oral laxatives, and an enema.
A resident with hemiplegia, multiple psychiatric diagnoses, total dependence for ADLs, and consistently assessed as high fall risk required a mechanical (Hoyer) lift for all transfers. During a transfer from bed to wheelchair performed by two CNAs, one of the lift pad straps was not properly secured to the spreader bar, causing the resident to slip from the sling and fall to the floor. The resident reported pain to the head, elbow, and hip, and hospital imaging confirmed acute fractures of the left superior and inferior pubic rami. The facility’s investigation, supported by CNA statements and DON confirmation, identified the unsecured Hoyer strap as the direct cause of the fall and injury, and the resident subsequently expressed fear of further Hoyer lift transfers.
The facility failed to ensure accurate documentation and proper administration of controlled substances, including errors in medication records, removal of as-needed medications before they were needed, administration of medications without physician orders, and inaccurate documentation of medication administration. These deficiencies involved several residents with complex medical histories and resulted from staff not following established medication administration protocols.
Staff failed to perform hand hygiene during medication administration for two residents, including handling medications with bare hands and not sanitizing between residents. Additionally, isolation precautions were not implemented for a resident with confirmed influenza A, despite symptoms and a diagnosis, as required by facility policy. These deficiencies were confirmed through observation, record review, and staff interviews.
Failure to Implement Bowel Protocol and PRN Laxatives for Constipated Resident
Penalty
Summary
The deficiency involves the facility’s failure to timely implement and follow a bowel management protocol for a resident with multiple complex medical conditions and known constipation. The resident, admitted with diagnoses including cerebral infarction, stroke, malnutrition, hemiparesis, epilepsy, type II diabetes, schizoaffective disorder, bipolar disorder, and PTSD, was dependent on staff for toileting and was incontinent of bowel and bladder. The care plan identified constipation with interventions to record bowel movement patterns and administer medications as ordered. Physician orders included routine Docusate Sodium and Polyethylene Glycol for bowel management, as well as PRN Bisacodyl suppositories and Milk of Magnesia for constipation. Record review showed multiple periods where the resident had no documented bowel movements for several consecutive days, yet there was no documentation that PRN bowel medications were administered. Specifically, there were no documented bowel movements on several dates in December and January, and the MAR showed no administration of PRN Bisacodyl suppositories or Milk of Magnesia during those periods. Despite the facility’s bowel management policy stating that residents without a bowel movement for three consecutive days should have a specified bowel protocol initiated, the DON confirmed that the bowel protocol was not initiated on the dates when it should have been, based on the absence of bowel movements. During these episodes of unaddressed constipation, the resident experienced abdominal symptoms that led to multiple ER visits. An abdominal x-ray on one occasion showed a large, dilated bowel loop with a recommendation for a CT scan to rule out obstruction, and an ER summary documented significant constipation and stool burden treated with a suppository and oral laxatives. On another occasion, progress notes described the resident as inconsolable with abdominal pain, absent bowel sounds in lower abdominal quadrants, and pain on palpation, prompting transfer to the ER where the resident had a bowel movement. A later ER visit for possible bowel obstruction resulted in a CT scan, administration of a soap suds enema, and adjustments to the resident’s laxative regimen. These events occurred in the context of the facility not initiating the bowel protocol as required by its own policy and the resident’s orders.
Improper Hoyer Lift Use Leads to Resident Fall and Pelvic Fracture
Penalty
Summary
The deficiency involves the facility’s failure to ensure safe use of a mechanical (Hoyer) lift during a resident transfer, resulting in a fall and injury. The resident involved had diagnoses including bipolar disorder, post-traumatic stress disorder, and hemiplegia with hemiparesis following a cerebrovascular event affecting the left non-dominant side, and was dependent on staff for all ADLs. Physician orders required use of a mechanical lift for all transfers, and repeated fall risk assessments consistently identified the resident as being at high risk for falls. On the day of the incident, at approximately 10:30 A.M., a charge nurse heard a loud noise and entered the resident’s room, finding the resident lying on the floor next to the bed with two CNAs present and a wheelchair and Hoyer lift nearby. Immediate assessment revealed no visible injuries, but the resident reported slipping from the Hoyer lift sling and complained of pain to the left elbow and left side of the face. The resident was kept on the floor for safety until further evaluation, and EMS, the facility NP, and the resident’s family were notified. Subsequent hospital evaluation documented that the resident reported pain to the left side of the head, left elbow, and left hip, and pelvis radiographs showed acute fractures of the left superior and inferior pubic rami. The facility’s investigation determined that during the transfer from bed to wheelchair, one of the Hoyer lift pad straps had not been secured to the spreader bar, causing the resident to slip from the sling and fall. Written statements from both CNAs confirmed the failure to secure the strap, and the DON confirmed that the injury was caused by improper securing of the Hoyer lift sling. The resident later expressed apprehension about being transferred with the Hoyer lift following the incident.
Deficient Medication Administration and Documentation Practices
Penalty
Summary
The facility failed to ensure accurate documentation and proper handling of medication administration, particularly with controlled substances, affecting seven residents. In several instances, documentation on controlled substance accountability sheets was inaccurate, including incorrect recording of dates, times, amounts administered, and quantities remaining. For example, one resident's records showed inconsistencies in the number of tablets dispensed and remaining, and it was unclear whether medications were removed from the medication cart or the electronic dispensing system. Registered nurses involved confirmed the documentation errors during interviews. There were also failures in following physician orders and proper medication administration protocols. One nurse removed multiple residents' as-needed controlled medications from the electronic dispensing system at the same time, intending to administer them later during her shift, rather than as needed. Another resident received oxycodone earlier than prescribed, with insufficient documentation to confirm the timing and administration of the dose. Additionally, a nurse administered liquid morphine to a resident without a physician order, and the source of the medication was unclear. In another case, documentation indicated a resident received Ativan, but the medication was actually administered to a different resident, resulting in inaccurate clinical records. The facility's medication administration policy required strict adherence to the five rights of medication administration and proper documentation immediately after administration. However, the findings revealed multiple deviations from these protocols, including administering medications without orders, removing as-needed medications in advance of need, and failing to document administration accurately. These actions and inactions led to the cited deficiencies in pharmaceutical services and medication management.
Failure to Perform Hand Hygiene and Initiate Isolation Precautions
Penalty
Summary
Staff failed to perform proper hand hygiene during medication administration for two residents. An LPN administered multiple oral medications to one resident, including opening capsules with bare hands and mixing them with applesauce, without performing hand hygiene before or after the process. The same LPN then administered medications to a second resident, again failing to perform hand hygiene after the medication pass. These actions were observed and later confirmed in an interview with the LPN, and were not in accordance with the facility's policy, which requires handwashing before and after medication administration and after direct resident contact. Additionally, the facility failed to implement isolation precautions for a resident who was readmitted with a diagnosis of influenza A. The resident exhibited symptoms such as a moist cough and abnormal lung sounds and was receiving antiviral medication. Despite these symptoms and a confirmed diagnosis, there was no documentation in the medical record or physician orders indicating that isolation precautions were initiated for this resident. The facility's policies on medication administration and transmission-based precautions were reviewed and found to require hand hygiene and the initiation of isolation precautions for residents with transmissible infections. The Director of Nursing confirmed that isolation precautions were not implemented for the resident with influenza A, and the observed medication administration practices did not follow the facility's established guidelines.
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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 Parma
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Broadview Multi Care Center | 0.1 mi | — | 0 | 0 |
| Seven Hills Health & Rehab Center | 0.8 mi | — | 0 | 0 |
| Mt Alverna Home Inc | 2.3 mi | — | 0 | 0 |
| Snf-the Villa At Marymount | 2.5 mi | — | 0 | 0 |
| Avenue At Brooklyn | 2.6 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.