Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 The Gables Of Marysville Health And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to maintain proper food safety and sanitation standards, with undated food items in the walk-in cooler, dirty kitchen equipment, and incorrect sanitizer test strips. The dishwasher was not reaching the required sanitization temperature, and outdated bread was found in storage. The facility's policies on dishwashing and food storage were not adequately followed.
The facility failed to maintain its dishwasher, affecting all 95 residents. The dishwasher displayed an error message and failed to reach the required sanitizing temperature. The facility resorted to handwashing dishes and lacked proper sanitizer test strips. The policy required immediate corrective action and ceasing use if temperatures were inadequate.
A facility failed to complete a new PASARR for a resident who received a new diagnosis of bipolar disorder. The resident had multiple existing conditions, including dementia with psychotic disturbance. Despite the new diagnosis, no new PASARR was conducted, and the facility lacks a policy on PASARR completion, as confirmed by staff interviews.
A facility failed to update a resident's care plan after the extraction of all her top teeth. Despite the resident being cognitively intact and experiencing some bleeding and swelling, the care plan did not address her dental needs. Interviews confirmed the absence of a specific care plan for her dental condition, contrary to the facility's policy requiring updates with significant changes.
A resident with multiple health conditions and identified as a fall risk was not properly secured during transport, resulting in a fall and knee injuries. The driver, an STNA, had hit his head prior to the transport and failed to secure the resident's seatbelt. The incident was not documented in the log, and no further staff education was provided to prevent recurrence.
A facility failed to complete pharmacist-recommended AIMS assessments for a resident on antipsychotic medication. Despite recommendations for assessments in August and November, only two were completed in the first and fourth quarters. The DON confirmed the lapse, noting it as a standard practice without a formal policy.
Two residents were administered antibiotics without justification for urinary tract infections, as confirmed by the DON. Both residents were not listed on the infection control log, and neither exhibited symptoms of infection, violating the facility's antibiotic stewardship protocols.
A facility failed to retain and act on pharmacy recommendations for GDRs and lab tests for a resident with dementia. The pharmacy suggested a dose reduction for Quetiapine and a Depakote level check, but these were not followed up. The DON confirmed the physician was informed but did not order the lab test, and the facility could not locate the GDR request.
Deficiencies in Food Safety and Sanitation Practices
Penalty
Summary
The facility failed to maintain proper food safety and sanitation standards, as observed during a survey. The walk-in cooler contained undated food items, including macaroni salad and a pudding substance with orange slices, as well as unmarked plastic bags with food items brought from home. The kitchen was not maintained in a clean condition, with debris such as a straw, sour cream container, napkins, a burger, and a can of soda found on the floor behind equipment. The soda dispenser and coffee station were also found to be dirty, with the Executive Chef acknowledging that these areas had not been cleaned recently. The facility did not have the correct sanitizer test strips for the three-compartment sink, using pH test strips instead of the required quat sanitizer test strips. The dishwasher was not functioning properly, with the temperature test stickers indicating that the machine was not reaching the required sanitization temperature. Despite this, the facility continued to use the dishwasher for large items that did not fit in the sink, while handwashing other items. The Executive Chef admitted to not having a temperature log for each dishwashing cycle and running out of test stickers. Additionally, the facility's policies were not adequately followed or enforced. The cleaning schedule indicated that certain areas were only cleaned monthly, and there was no policy for employee food storage. The facility's policies on dishwashing machine use and food storage were not adhered to, as evidenced by the lack of proper temperature monitoring and the presence of outdated bread in the dry storage area. The Executive Chef confirmed that the facility did not have the appropriate test strips and that the dishwasher's gauges were not functioning, leading to uncertainty about the effectiveness of the sanitization process.
Dishwasher Maintenance Failure
Penalty
Summary
The facility failed to maintain the dishwasher in working order, which had the potential to affect all 95 residents. During an observation, the dishwasher displayed an error message indicating it was too hot, and the gauges were not moving. The Executive Chef confirmed that the facility uses a high-temperature sanitizing dishwasher and expected a temperature of 185 to 190 degrees Fahrenheit. However, when tested with a temperature test sticker, the dishwasher failed to reach the required temperature of 160 degrees Fahrenheit, as indicated by the sticker remaining white. Further interviews revealed that the dishwasher was not fixed, and the facility resorted to handwashing dishes. The Executive Chef mentioned that a part needed to be ordered for the dishwasher, and they continued to use it for large items that did not fit in the three-compartment sink. The facility lacked the correct sanitizer test strips, and there was no temperature log for each dishwashing cycle, only a daily test sticker log that ended in early May. The facility's policy required immediate corrective action if sanitizer concentrations were too low and mandated ceasing the use of the dishwasher if temperatures or chemical sanitation concentrations did not meet requirements.
Failure to Complete New PASARR for Resident with New Diagnosis
Penalty
Summary
The facility failed to complete a new Pre-Admission Screening and Resident Review (PASARR) for a resident who received a new diagnosis of bipolar disorder. The resident, who was admitted with diagnoses including hypertensive heart and chronic kidney disease, chronic systolic heart failure, chronic respiratory failure with hypoxia, and unspecified dementia with psychotic disturbance, was later diagnosed with bipolar disorder. Despite this new diagnosis, the facility did not conduct a new PASARR, as confirmed by the Admissions - Discharge Coordinator. Additionally, the Director of Nursing confirmed that the facility lacks a policy on PASARR completion.
Failure to Update Care Plan for Dental Needs
Penalty
Summary
The facility failed to update the care plan for a resident following the extraction of all her top teeth. The resident, who was cognitively intact with a BIMS score of 15, had her top teeth removed and was experiencing some bleeding and swelling. Despite these changes, the care plan did not reflect the resident's dental needs or the fact that her top teeth had been extracted. The resident was set up to assist with meals and was eating well, but there was no care plan addressing her dental condition. Interviews with the resident and the Director of Nursing (DON) confirmed the absence of a care plan related to the dental extractions. The resident mentioned that she had not yet received her dentures and was waiting for a fitting in July. The DON acknowledged that multiple nurses were responsible for care plans and verified that there was no specific care plan regarding the resident's dental needs after the extractions. The facility's policy requires that care plans be updated with significant changes in a resident's condition, but this was not done in this case.
Failure to Secure Resident During Transport Leads to Fall
Penalty
Summary
The facility failed to safely transport a resident, resulting in a fall. The resident, who has epilepsy, diabetes type two, obesity, heart disease, kidney disease, and osteoarthritis, was identified as a fall risk and requires a wheelchair for ambulation. During a transport to an outside physician appointment, the resident was not properly secured in the transportation vehicle, leading to a fall. The driver, a State tested Nurse Aide (STNA), admitted to hitting his head on a bar in the bus before the transport and could not recall securing the resident's seatbelt. The resident reported falling forward out of the wheelchair and scraping her knees, which were later observed to have healed. The incident log did not document the fall, and the facility's fall investigation confirmed the driver's failure to secure the seatbelt due to his injury. The Director of Nursing (DON) verified the incident and acknowledged that the driver was educated not to drive if injured. However, no further education was provided to prevent similar incidents. The resident's family was not notified, as the resident is considered her own person and first contact for emergencies. The deficiency highlights a lapse in ensuring resident safety during transport, as well as inadequate documentation and follow-up education for staff.
Failure to Complete Pharmacist-Recommended AIMS Assessments
Penalty
Summary
The facility failed to ensure that all pharmacist recommendations were completed regarding antipsychotic medication assessments for a resident. The resident, who was admitted to the facility with diagnoses including bipolar disorder, was prescribed Risperidone for this condition. The pharmacist recommended that an Abnormal Involuntary Movement Scale (AIMS) assessment be completed for the Risperidone on two occasions, in August 2023 and November 2023. However, the nursing staff did not follow through with these recommendations. The Director of Nursing (DON) confirmed that AIMS assessments are to be completed quarterly for all residents on antipsychotic medications as a standard of practice, although there was no formal policy in place. For the resident in question, only one AIMS assessment was completed in the first quarter of 2023 and another in the fourth quarter, failing to meet the recommended schedule. This oversight was verified by the DON, indicating a lapse in adherence to the pharmacist's recommendations and the facility's standard practices.
Failure to Prevent Unnecessary Medication Administration
Penalty
Summary
The facility failed to ensure that residents' drug regimens were free from unnecessary medications, affecting two residents. Resident #13, who has diagnoses including epilepsy, diabetes type two, obesity, heart disease, kidney disease, and osteoarthritis, was prescribed Macrobid as a prophylactic antibiotic for recurrent urinary tract infections. However, the infection control log did not list Resident #13 as having a urinary tract infection, and the Director of Nursing (DON) confirmed that the resident did not exhibit any signs or symptoms of infection. The prescribed antibiotic did not align with the facility's antibiotic stewardship protocols. Similarly, Resident #72, diagnosed with dementia, kidney disease, diabetes type two, failure to thrive, and urgency of urine, was also prescribed an antibiotic, Cephalexin, for recurrent urinary tract infections. Like Resident #13, Resident #72 was not listed on the infection control log for a urinary tract infection, and the DON confirmed the absence of infection symptoms. The use of the antibiotic was not justified according to the facility's protocols, indicating a failure to adhere to appropriate medication administration practices.
Failure to Follow Pharmacy Recommendations for GDRs
Penalty
Summary
The facility failed to ensure that pharmacy recommendations for Gradual Dose Reductions (GDRs) and laboratory recommendations were retained and provided to the physician, affecting one resident out of five reviewed for unnecessary medications. Resident #22, who was admitted with diagnoses including Alzheimer's disease and unspecified dementia with behavioral disturbances, was prescribed psychotropic medications. The pharmacy recommended a dose reduction for Quetiapine and a Depakote level to be drawn, but there was no follow-up on these recommendations. The Director of Nursing (DON) confirmed that the physician was informed but did not order the Depakote level, as the medication was used for behaviors rather than seizures. Additionally, the facility was unable to locate the GDR request from the pharmacy. The facility's policy requires collaboration with a licensed pharmacist to ensure timely and appropriate pharmacy services, including conducting monthly medication regimen reviews, but this was not adhered to in this case.
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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 Marysville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Milcrest Nursing Center | 1.2 mi | — | 2 | 0 |
| Prestige Gardens Rehabilitation And Nursing Center | 1.4 mi | — | 2 | 0 |
| Als Woodstock Inc | 9.9 mi | — | 1 | 0 |
| The Convalarium Of Dublin | 15 mi | — | 21 | 0 |
| Arbors At Delaware | 15.5 mi | — | 35 | 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.