Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 Rose Lane Nursing And Rehabilitation during CMS and state inspections, most recent first.
Surveyors found that multiple residents on a memory care hall were living in rooms and bathrooms with visible feces on toilets and floors, urine puddled on toilet risers, sticky and soiled floors, and strong putrid odors, despite facility policies stating that rooms and bathrooms should be cleaned daily. A resident reported that the bathroom had not been cleaned for several days. The housekeeper assigned to the hall described using a “trash and dash” method in some rooms, only removing trash and not mopping unless floors appeared obviously sticky, and acknowledged that one aggressive resident’s room was not cleaned at all the prior day. The HS had not recently checked this housekeeper’s work on the hall, and CNAs and a UM/LPN confirmed that residents had not refused housekeeping services.
The facility failed to ensure a clean, safe, and homelike environment for several residents. One resident’s bedside commode contained dried urine and BM, and the bathroom had BM around the toilet and on the floor, with no housekeeping presence noted on the hall and nursing staff later confirming the commode remained soiled. Another resident’s bed linens had smeared BM, multiple blood spots, and other brown stains that a CNA acknowledged needed changing but had not noticed. A third resident’s room had a loose wall night light and a damaged baseboard heater with a loose front panel and bent coils that became caught on the resident’s rollator. These conditions conflicted with the facility’s stated resident rights to a safe, clean, and comfortable environment with appropriate housekeeping, maintenance, and clean linens.
A cognitively impaired resident with dementia, depression, anxiety, muscle weakness, and documented weight loss had a care plan identifying risk for poor nutrition and dehydration, with interventions to assist with meals and feed as needed. During a lunch meal, staff placed food in front of the resident while other residents were being assisted; when a staff member briefly placed a sandwich in his hand, he ate, but that staff member left and did not return. The resident then struggled to open crackers, ate only those, and left the rest of the meal untouched despite a verbal cue from across the table, eventually closing his eyes before a CNA removed the tray. Staff reported that the resident usually ate independently with verbal cues and that meal intake was recorded from memory, while leadership confirmed there was no specific ADL policy despite the care plan directive to assist with meals and feed as needed.
A resident with significant medical needs was found to have multiple new hip fractures and a dislocation after being transferred to the hospital, with no witnessed injury or fall during their stay. Despite being informed by hospital staff, facility leadership did not report the injury of unknown origin to authorities as required by policy, instead attributing the injuries to infection based on physician input. The facility's own policy and state regulations mandate immediate reporting of such injuries, but this was not followed.
Failure to Maintain Clean and Sanitary Resident Rooms and Bathrooms on Memory Care Unit
Penalty
Summary
The deficiency involves the facility’s failure to maintain a clean, sanitary, and homelike environment on the 300-hall memory care unit, affecting 12 residents out of 30 on that hall. During an observation period, surveyors and the Housekeeping Supervisor identified multiple resident rooms and bathrooms with visible feces on toilets, floors, and in open soiled briefs, as well as urine puddled on toilet risers, sticky floors, large amounts of food and fecal matter on floors, and strong putrid odors. Several toilets had visible buildup and rings, suggesting they had not been cleaned in some time, and fecal splatter remained in at least one toilet even after flushing. A resident reported that the bathroom was not cleaned often and that it had been a few days since the last cleaning. Interviews with housekeeping and nursing staff further described the practices that led to the unclean conditions. The housekeeper assigned to the memory care hall stated that he had cleaned all bathrooms the previous day but used a “trash and dash” approach for rooms that did not look bad to him, meaning he only removed trash and did not mop floors unless they were obviously sticky. He also reported that one aggressive resident’s room was not cleaned at all the previous day. The Housekeeping Supervisor acknowledged that all resident rooms and common areas were supposed to be cleaned seven days a week, but she had not checked this housekeeper’s work on the 300-hall and had last reviewed his work two weeks earlier on a different unit. CNAs and the Unit Manager/LPN reported that residents on the unit had not refused housekeeping services. Facility documents and the resident handbook stated that resident rooms and bathrooms were to be cleaned daily, with floors swept and mopped daily and more thorough weekly cleaning, which contrasted with the observed conditions and reported cleaning practices.
Failure to Maintain Cleanliness and Safe Room Conditions for Multiple Residents
Penalty
Summary
The deficiency involves the facility’s failure to maintain a safe, clean, and homelike environment for multiple residents. For one resident, surveyors observed a bedside commode containing dried urine and bowel movement, and the resident’s bathroom had bowel movement around the toilet riser, toilet base, and on the floor while the resident was out of the room. When the resident returned, she stated she takes herself to the bathroom and had used the bedside commode a few days earlier. Although an RN cleaned the bathroom, a later observation the same day showed the bedside commode still had not been cleaned. Housekeeping staff reported that resident rooms are cleaned daily when a housekeeper is assigned to the hall, but on weekends there may not be a housekeeper on each hall. The RN later verified that the bedside commode still contained dried urine and bowel movement and stated it should have been cleaned by housekeeping or the CNA on the hall. Another resident’s bed linens were found with dried brown spots that appeared to be dried blood, and later observations confirmed smeared bowel movement on the incontinence pad and multiple blood spots and other brown areas on the flat sheet, top sheet, and covers. The resident reported not knowing when his sheets were changed. A CNA stated linens are changed on bath days and as needed but acknowledged the sheets needed to be changed and that she had not noticed their condition during her shift. A third resident, who had been in his room about a week, had a loose night light on the wall and an electric baseboard heater in disarray, with the front panel partially off, coils bent, and the panel caught on the resident’s rollator. A maintenance staff member later verified the loose night light and the disarrayed baseboard heater. The facility’s resident handbook states residents have the right to a safe, clean, comfortable, and homelike environment, including housekeeping and maintenance services and clean bed and bath linens in good condition.
Failure to Follow Care Plan for Meal Assistance for Cognitively Impaired Resident
Penalty
Summary
The deficiency involves the facility’s failure to provide meal assistance in accordance with the care plan for a cognitively impaired resident who required set-up or clean-up assistance with eating and was dependent for all other ADLs. The resident had dementia, depression, anxiety, hypertension, muscle weakness, and a documented need for assistance with personal care. Nutritional assessments and orders showed he was on a regular diet with thin liquids and a house supplement twice daily, with documented weight loss over several months. His care plan, initiated shortly after admission, identified risk for decreased nutritional status and dehydration and included interventions to assist him with meals and feed as necessary, as well as to monitor intake and weight. During a lunch observation in the memory care unit dining room, staff placed the resident’s meal in front of him while two CNAs, the Activity Director, and Human Resources staff were present passing trays and assisting others. HR staff verbally discussed whether the resident needed food placed in his hand or just in front of him; when HR handed him a sandwich, he began eating, but HR then left and did not return. The Activity Director continued assisting another resident and only gave a verbal cue from across the table, which did not prompt the resident to use his utensils. The resident struggled for several minutes to open a cracker packet, ate the crackers, but left soup, potato salad, and fruit untouched, then closed his eyes and attempted to push back from the table. His nose was dripping when a CNA asked if he was done, then removed his largely untouched meal. Staff interviews indicated they believed he usually ate independently and needed only verbal cues, and that meal intake was documented from memory rather than at the time of the meal. The DON confirmed there was no specific ADL policy and that the care plan included assisting with meals and feeding as needed.
Failure to Timely Report Injury of Unknown Origin
Penalty
Summary
The facility failed to timely report an injury of unknown origin for a resident who was admitted with multiple complex medical conditions, including an abscess of the right hip, MRSA infection, and Alzheimer's Disease. The resident was dependent on staff for all activities of daily living and was always incontinent. During the resident's stay, there was a documented change in condition, including a high fever, which led to the resident being sent to the hospital. Hospital staff later informed facility staff that the resident had multiple new fractures and a dislocated right hip, with no reported falls or witnessed injuries during the resident's stay. Despite being notified by the hospital of the fractures and dislocation, the facility did not report the injury as an injury of unknown origin to the state agency. The DON initiated an internal investigation, including staff interviews and skin sweeps of all residents, but discontinued the reporting process after the facility physician suggested the injuries could be attributed to infection rather than trauma. The facility's own policy defined an injury of unknown source as one not observed or explained, and suspicious due to its extent or location, which applied to this case. Interviews with facility staff, including the DON, RN, and Administrator, confirmed that injuries of unknown origin are required to be reported within two hours according to both facility policy and state regulations. However, the injury was not reported as required, and not all relevant staff were interviewed during the initial investigation. The deficiency was identified during a complaint investigation and was based on interviews, record reviews, and facility policy review.
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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 Massillon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Pavilion At Canal Fulton For Nursing And Rehab | 1.5 mi | — | 0 | 0 |
| Altercare Of Nobles Pond, Inc | 2.3 mi | — | 7 | 0 |
| Laurels Of Massillon, The | 3.1 mi | — | 0 | 0 |
| Amherst Meadows Skilled Nursing And Rehab | 3.3 mi | — | 2 | 0 |
| Chapel Hill Community | 3.7 mi | — | 0 | 0 |
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