Broadview Multi Care: Medication Errors Harm Residents - OH
Federal inspectors responding to a complaint found that on May 20, Resident 169 received an incorrect dose of medication. Two weeks later on June 5, staff failed to give Resident 34 their prescribed medication at all.
The facility's own policy, written in 2006 and titled "Medication Administration-General Guidelines," requires nurses to follow the five rights of medication safety for every dose: right resident, right drug, right dose, right route, and right time. Staff violated at least three of these basic principles.
The policy states medications must be "administered as prescribed and in accordance with good nursing principles and practices." Neither error met this standard.
When medications are withheld, refused, or unavailable, facility policy requires nurses to initial and circle the space on the medication administration record. The policy also mandates that medication refusals be reported to the physician after three doses or according to facility protocol, with documentation of the notification.
The inspection report does not indicate whether proper documentation procedures were followed for either incident.
Broadview Multi Care's medication policy addresses the complexity of administering drugs to elderly residents. The guidelines note that crushing medications may require a physician's order and should only be done if safe. The policy emphasizes an individual approach, requiring nurses to work with pharmacists and physicians to determine the most appropriate method while considering each resident's safety.
Long-acting and enteric-coated medications should never be crushed, according to the facility's own rules.
The medication errors occurred during a period when federal inspectors were investigating Complaint Number 2583042. The inspection, completed on August 25, classified the violations as causing "minimal harm or potential for actual harm" affecting "few" residents.
However, medication errors in nursing homes can have serious consequences for elderly residents who often take multiple prescription drugs and may have compromised immune systems or other health vulnerabilities.
The facility policy's emphasis on individual resident safety suggests staff understood the risks involved in medication administration. The 2006 guidelines require coordination between nurses, pharmacists, and physicians to ensure safe practices.
Despite having detailed policies in place for nearly two decades, staff failed to prevent basic medication errors that put residents at risk.
The wrong dose given to Resident 169 represents a fundamental failure in the medication administration process. Whether the error involved too much or too little medication, both scenarios can harm elderly residents whose bodies process drugs differently than younger patients.
The complete omission of Resident 34's medication on June 5 suggests a breakdown in the facility's systems for tracking and administering prescribed treatments. Missing doses can be particularly dangerous for residents taking medications for heart conditions, diabetes, or other chronic illnesses that require consistent therapeutic levels.
Federal inspectors noted the facility had policies requiring proper documentation when medications are not given as prescribed. The inspection findings suggest these protocols may not have been followed.
Broadview Multi Care Center, located on Broadview Road in Parma, faced scrutiny over these medication safety failures during the August inspection. The facility serves elderly residents who depend on staff to safely manage their complex medication regimens.
The inspection report indicates the medication errors were discovered as part of a complaint investigation, suggesting the problems may have been reported by residents, families, or staff members concerned about patient safety.
Both incidents occurred within a 16-day period in late May and early June, raising questions about whether the facility had systemic issues with medication management during that time.
The facility's 2006 policy acknowledges the critical importance of medication safety, stating that nurses must ensure all five rights are applied for each medication administered. The policy's age suggests Broadview Multi Care has long recognized these requirements but failed to prevent the violations found by inspectors.
Resident 169 and Resident 34 experienced medication errors that federal regulators determined caused at least minimal harm or had the potential for actual harm. The long-term consequences of these errors remain unclear from the inspection documentation.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Broadview Multi Care Center from 2025-08-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
BROADVIEW MULTI CARE CENTER in PARMA, OH was cited for violations during a health inspection on August 25, 2025.
Federal inspectors responding to a complaint found that on May 20, Resident 169 received an incorrect dose of medication.
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.