Timberland Ridge: RN Staffing Gaps Found in Inspection - OH
The gaps showed up across two separate stretches of the year. January 4 was the first. Then March 16. Then, in back-to-back days, August 2 and August 3. Inspectors found no evidence in staffing schedules, posted staffing information, or the federal payroll data the facility submits to Medicare that a registered nurse was present for eight hours on any of those four days.
A registered nurse is not a luxury in a nursing home. RNs assess residents whose conditions are changing, catch early signs of infection, manage medications that licensed practical nurses cannot independently handle, and make the calls that determine whether a resident gets transferred to a hospital or treated in place. When that coverage disappears, the gap doesn't announce itself. Residents don't always know who is caring for them or what credentials that person holds.
The inspection was triggered by a complaint and completed August 12, 2025. Inspectors reviewed the facility's own staffing schedules, the information posted publicly at the facility, and the CASPER Payroll Based Journal Staffing Data Report covering the second quarter of 2025, which runs January through March. That federal database pulls from payroll records facilities submit directly to Medicare, making it difficult to argue the hours were worked but simply not documented.
When inspectors sat down with the administrator on August 7 at 2:45 in the afternoon, the administrator did not dispute the findings. The facility did not have the required RN coverage on January 4, March 16, August 2, or August 3. There was no evidence of it either.
That last detail matters. Inspectors weren't only finding that the hours weren't worked. They were finding that the facility couldn't produce any documentation to suggest otherwise. No schedule showing an RN clocked in. No payroll entry. Nothing posted.
The two August dates are particularly notable because they fell within days of the inspection itself. Inspectors arrived to investigate a complaint, and the staffing gap they found wasn't only a historical problem from the winter. It was happening, or had just happened, as they walked in the door.
Timberland Ridge sits at 3558 Ridgewood Road in Fairlawn and was serving 63 residents at the time of the inspection. The deficiency was classified as having the potential to affect all of them, which is how staffing violations of this kind are categorized. When there is no registered nurse in a building, every resident in that building is potentially affected. The harm level was listed as minimal harm or potential for actual harm, the lower end of the federal scale, though that classification reflects what inspectors could document, not necessarily what residents experienced on the days in question.
The facility was given the opportunity to submit a plan of correction. What that plan contains, and whether the staffing gaps have continued since August, is not reflected in the inspection report.
Four days without required RN coverage across eight months may sound like a narrow problem in a facility that otherwise staffed adequately. But the federal requirement exists precisely because nursing home residents are medically fragile and their conditions can deteriorate quickly. A fall at 3 in the morning, a resident running a fever, a sudden change in mental status — these are the moments when the difference between a licensed practical nurse and a registered nurse can determine what happens next. On January 4, March 16, August 2, and August 3, whatever happened in that building happened without the registered nurse the facility was required to have there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Timberland Ridge Nursing & Rehabilitation from 2025-08-12 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 3, 2026 · Our methodology
TIMBERLAND RIDGE NURSING & REHABILITATION in FAIRLAWN, OH was cited for violations during a health inspection on August 12, 2025.
The gaps showed up across two separate stretches of the year.
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.