Addison Heights Rehab: Missed Pain Medication Doses - OH
The resident, identified in inspection records as Resident #55, was prescribed Lyrica, the brand name for pregabalin, a medication used to treat nerve pain. He had recently undergone neck surgery and was dealing with neck pain when he spoke with inspectors on December 3, 2025. He said the facility had run out of his Lyrica the previous week.
When inspectors sat down five days later with the Director of Nursing and pulled his medication administration records for October and November 2025, the full picture came into view. On October 4, he did not receive three scheduled doses. On October 5, he missed one more. Then, nearly two months later, on November 28, he went without three doses again. On November 29, he missed three more.
Ten doses total. Across two separate months. Both times, the gaps ran across multiple consecutive days.
The facility did not dispute the records. The Director of Nursing reviewed the medication administration charts alongside inspectors during the December 8 interview, and the charting confirmed every missed dose.
Lyrica is prescribed for nerve pain, and missing doses does not simply mean a few hours of discomfort. Pregabalin builds and maintains its effect through consistent dosing. A man with surgical neck pain going without it for three doses in a single day, then again the next morning, is not a paperwork problem. It is a gap in care that left him in pain the facility had agreed to treat.
The deficiency was cited under F0755, which covers the safe and accurate administration of medications. Inspectors rated the level of harm as minimal harm or potential for actual harm, and noted that few residents were affected. The citation was tied to two separate complaints, numbered 2660262 and 2656086, meaning someone, likely the resident or someone close to him, had reported the problem to state authorities not once but twice before inspectors arrived.
Two complaints. The same resident. The same medication.
The October gaps and the November gaps suggest this was not a one-time supply chain failure that got corrected and stayed corrected. Whatever caused the facility to run out of Lyrica in late October apparently had not been resolved by the time Thanksgiving week arrived. The resident went without his pain medication on November 28 and again on November 29.
He had neck surgery. He was in a rehabilitation center, presumably because he needed professional care during his recovery. The point of being there, from his perspective, was that his needs would be met.
The inspection was completed December 22, 2025, as part of a complaint investigation at Addison Heights Health and Rehabilitation Center, located at 3600 Butz Rd in Maumee. The facility's plan of correction was not included in the inspection documents reviewed.
What the records show is a man who told someone what was happening to him, and then told someone again, and then sat across from an inspector in December and described running out of pain medication after neck surgery. His medication charts confirmed he had been telling the truth.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Addison Heights Health and Rehabilitation Center from 2025-12-22 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 20, 2026 · Our methodology
ADDISON HEIGHTS HEALTH AND REHABILITATION CENTER in MAUMEE, OH was cited for violations during a health inspection on December 22, 2025.
The resident, identified in inspection records as Resident #55, was prescribed Lyrica, the brand name for pregabalin, a medication used to treat nerve pain.
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.