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 Piqua Manor during CMS and state inspections, most recent first.
Two residents experienced changes in condition for which staff did not notify the attending physicians as required by orders, care plans, and facility policy. One resident with COPD and continuous O2 use had nighttime breathing difficulties and was later sent to the hospital at family request, but staff did not document vital signs, assessments, or any physician notification regarding the respiratory change or the transfer. Another resident with CHF, diabetes, and chronic kidney disease had multiple documented daily weight gains exceeding the physician-ordered threshold for notification, yet there was no record that the physician was informed of these weight changes.
A resident with severe cognitive impairment was allegedly photographed by a CNA while topless in her room. The incident was witnessed and reported to the Administrator, but the facility failed to notify the Ohio Department of Health as required by policy, and not all witnesses were interviewed during the internal investigation.
A facility failed to thoroughly investigate an alleged abuse incident involving a resident with severe cognitive impairment, after a CNA was reported to have taken a photo of the resident while she was topless. Although some staff and the accused CNA were interviewed, two CNAs in training who were present were not interviewed, and there was no documentation of interviews with other residents or notification to the state health department as required by policy.
Failure to Notify Physicians of Resident Changes in Condition
Penalty
Summary
The deficiency involves the facility’s failure to notify physicians of residents’ changes in condition in a timely manner, as required by physician orders, care plans, and facility policy. For one resident with centrilobular emphysema, COPD, and essential hypertension who used continuous oxygen at three liters via nasal cannula, the care plan directed staff to monitor for and report signs of respiratory distress to the physician. On one occasion, the resident experienced trouble breathing during the night and initially refused transfer to the hospital. The DON recalled this event and stated that the resident’s daughter later convinced the resident to go to the hospital that morning. However, the medical record contained no documentation of vital signs, assessments, or any notification to the physician regarding the change in respiratory status or the subsequent hospitalization, and the DON confirmed the assigned LPN did not document the change in condition or physician notification. For a second resident admitted with diagnoses including disruption of an external surgical wound, infection following a procedure, combined systolic and diastolic CHF, type 2 diabetes with polyneuropathy, and chronic kidney disease, the care plan required monitoring and reporting to the physician of significant weight changes and changes in lung sounds, edema, shortness of breath, vital signs, and weight. A physician order directed staff to notify the physician of a weight gain of two or more pounds in one day or five pounds in one week. Weight records showed the resident gained 4.0 lbs from one day to the next on one occasion and 3.4 lbs from one day to the next on another occasion. There was no documentation in the medical record that the physician was notified of these weight gains, and the regional clinical nurse confirmed that the physician was not notified on those dates, contrary to the physician’s order and facility policy requiring notification of changes affecting the resident.
Failure to Report Alleged Abuse to Authorities
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident with severe cognitive impairment and multiple medical diagnoses, including senile degeneration of the brain, hypertension, diabetes mellitus, and unspecified psychosis. The incident involved a staff member allegedly taking a photo of the resident while she was topless in her room. The event was witnessed by a housekeeper, who immediately reported it to the facility Administrator. Subsequent interviews confirmed that several staff members were aware of the allegation, and the Director of Nursing (DON) acknowledged that the Administrator had been informed and had conducted some interviews related to the incident. Despite the facility's policy requiring immediate reporting of abuse allegations to the Ohio Department of Health (ODH), the facility did not complete a Self-Reported Incident or notify ODH as mandated. The investigation conducted by the Administrator did not include all potential witnesses, specifically two CNAs in training who were present at the time of the incident. The facility's policy clearly outlined the requirement to report all allegations of abuse or serious bodily injury to ODH within specified timeframes, which was not followed in this case.
Failure to Thoroughly Investigate Alleged Abuse Incident
Penalty
Summary
The facility failed to thoroughly investigate an allegation of abuse involving a resident with severe cognitive impairment and multiple medical diagnoses, including senile degeneration of the brain, hypertension, diabetes mellitus, and unspecified psychosis. The incident involved a CNA allegedly taking a photo of the resident while she was topless in her room, as witnessed by a housekeeper who immediately reported the event to the Administrator. The Director of Nursing confirmed that the Administrator interviewed some witnesses and the accused CNA, who denied the allegation, but did not interview two CNAs in training who were also present at the time of the incident, as indicated in witness statements. Additionally, there was no documentation to support that any other residents on the hall were interviewed for concerns of abuse. The facility's investigation documentation did not include interviews with all potential witnesses, specifically the two CNAs in training, nor did it show that a Self-Reported Incident was completed or that the Ohio Department of Health was notified as required by facility policy and regulations. The facility policy mandates immediate reporting and thorough investigation of all alleged violations involving abuse, including interviewing the resident, the accused, and any witnesses. The failure to follow these protocols resulted in a deficient practice regarding the investigation of the abuse allegation.
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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 Piqua
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ayden Healthcare Of Piqua | 3.6 mi | — | 0 | 0 |
| Vancrest-upper Valley | 4.8 mi | — | 0 | 0 |
| Stillwater Skilled Nursing And Rehabilitation | 4.8 mi | — | 2 | 0 |
| Troy Rehabilitation And Healthcare Center | 8.2 mi | — | 8 | 0 |
| Fair Haven Shelby County | 9.4 mi | — | 1 | 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.