Omni Manor: Resident Discharged Without Feeding Pump - OH
The woman, identified in inspection records only as Resident 5, left the facility with roughly 20 bags of tube feed and no way to administer them continuously, which is what her physician had prescribed. She was also experiencing nausea from the alternative, a method called bolus feeding, in which formula is delivered in larger amounts at intervals rather than slowly and steadily around the clock. Her physician orders required continuous tube feeding. She went home without the equipment to do it.
The gap wasn't discovered by staff. Resident 5 made the call herself.
A licensed practical nurse, identified as LPN 201, told inspectors she received the call the day after discharge. She said she spoke with the facility's dietitian about how Resident 5 could manage bolus feeds on her own, and noted that the resident had been educated on that method in the weeks before she left. What LPN 201 did not explain was why a resident with a physician order for continuous feeding was being counseled, after the fact, on how to get by without the equipment that would have delivered it.
Resident 5's daughter came to the facility that afternoon and picked up a pump.
When inspectors interviewed the facility's clinical director, identified as CD 202, on August 9, the answer was the same as the nurse's: no one knew. "CD 202 stated no one knew why Resident 5 did not receive a feeding pump upon discharge," the inspection report reads. The clinical director confirmed the physician orders called for continuous tube feeding and acknowledged that Resident 5 had been getting nauseated from the bolus method.
That nausea detail sits at the center of what went wrong. Continuous tube feeding exists precisely because some patients cannot tolerate the volume and pace of bolus feeds. Resident 5 was one of them. Her doctor had written the order accordingly. Somewhere between that order and the moment she walked out the door, the pump was left behind, and no process caught it.
Omni Manor's own discharge policy, dated 2008, states the facility will provide residents with a written summary and verbal explanation of their condition upon leaving. The inspection report does not indicate whether Resident 5 received either. What it does indicate is that she left without the equipment her condition required, called to report it herself, and waited for her daughter to drive back to the facility to retrieve it.
The inspection was conducted on August 9, 2025, as part of a complaint investigation. Federal inspectors cited the deficiency under complaint number 1357084 and classified the level of harm as minimal harm or potential for actual harm, affecting a few residents.
That classification reflects the regulatory floor, not the experience of a woman managing a tube feeding regimen at home, nauseated, without the right equipment, calling a nursing home to ask where her pump was.
Her daughter made the drive. The pump was there waiting.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Omni Manor Nursing Home from 2025-08-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 4, 2026 · Our methodology
OMNI MANOR NURSING HOME in YOUNGSTOWN, OH was cited for violations during a health inspection on August 9, 2025.
Her physician orders required continuous tube feeding.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.