Optalis Health and Rehabilitation of Canton transferred the resident to the emergency room on October 11 using an eINTERACT form that listed "fall" as the reason for hospitalization. The resident had actually been assaulted the day before when another resident directed profanity at her, escalating into a physical fight where she was grabbed by the hair and thrown to the ground.
The Licensed Practical Nurse who serves as Unit Manager acknowledged the deception during a November interview with state inspectors. She said the eINTERACT form's purpose was "to ensure that the hospital has accurate information regarding the transfer of a resident in order to provide correct treatment."
The nurse admitted "the correct information on R104's eINTERACT form was not given to the hospital" and noted that "a physical exam and assessment for a fall would be different than a physical exam and assessment following a physical altercation."
This wasn't the first time these residents clashed. On September 14, staff witnessed the same resident pushing and hitting the victim during morning medication rounds. The victim told nurses "she was hit and pushed by another resident, and she is too old to fight other people."
Staff completed an incident report for the September attack but never entered it into the resident's medical record. The Director of Nursing confirmed this omission violated facility policy requiring documentation of all incidents "to ensure a complete medical record and effective communication among staff."
The incident report was marked "Privileged and Confidential. Not part of the Medical Record" at the bottom.
During the inspection exit conference, administrators offered no additional documentation when questioned about the missing records and falsified transfer information.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Optalis Health and Rehabilitation of Canton from 2025-12-01 including all violations, facility responses, and corrective action plans.