Rose Lane Nursing and Rehabilitation: Environment Failures - OH
Dried feces covered the toilet riser, the base of the toilet, and the floor around it. Her bedside commode, which she uses independently, had dried urine and bowel movement sitting in the bottom of it. The unit manager and a licensed practical nurse, both present when the inspector noted the conditions, acknowledged the resident takes herself to the bathroom. The resident confirmed it had been a few days since she last used the commode.
A registered nurse cleaned the bathroom at 10:59 that morning. When the inspector returned at 1:50 in the afternoon, the bedside commode still had not been touched. No housekeeper had appeared on the hall.
The next morning, the same registered nurse confirmed the commode still had dried urine and bowel movement in the bottom of the tub. She said it should have been cleaned, either by housekeeping or by the certified nursing assistant working the hall. A housekeeper interviewed that morning explained she had worked the weekend but not the day before. On weekends, she said, the facility may not have a housekeeper on every hall.
Resident rooms are supposed to get cleaned every day when a housekeeper is assigned to the hall. On the day the inspector found the bathroom, there was no housekeeper on that hall.
Down the corridor, in another resident's room, an inspector found something different but no less stark. The bed sheets and covers on a male resident's bed had dried brown spots that appeared to be dried blood. The resident said he didn't know when his sheets had last been changed because he isn't in the room when it happens.
The next day, an inspector returned to the room with a nursing assistant and looked at the bed together. What they found was worse than the initial observation: smeared bowel movement on the chuck pad, multiple blood spots on the sheets from the resident scratching himself, and other brown areas spread across the flat sheet, top sheet, and covers. The nursing assistant said the sheets needed to be changed and that she hadn't noticed during her shift.
A different nursing assistant, interviewed separately, said she had been in the room and asked the resident if he needed anything. He would ring if he did, she said. Linens, she explained, get changed on bath days and when needed.
The inspection report does not say when the sheets had last been changed.
The third finding was in the room of a resident who had been there about a week. A night light on the wall was loose. The baseboard heater next to his bed was in disarray, its front panel pulled away from the unit at one end, the coils inside visibly bent. The panel had caught on the resident's rollator walker.
An inspector returned two days later with a maintenance assistant, who verified what the inspector had seen. The night light was still loose. The heater panel was still coming off. The coils were still bent. The panel was still caught on the rollator.
The facility's own resident handbook, cited in the inspection report, states on page 47 that residents have a right to a safe, clean, comfortable, and homelike environment, including housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior, and clean bed and bath linens in good condition.
The inspection, completed January 29, covered five residents for physical environment concerns. Three of them had findings. The facility had 162 residents at the time.
Inspectors rated the harm level as minimal harm or potential for actual harm. The bent heater coils and loose panel sitting against a resident's bed, catching on his walker, are what that category looks like in practice.
Rose Lane Nursing and Rehabilitation sits on High Mill Avenue in Massillon. The inspection was conducted in response to a complaint.
What the report doesn't resolve is how long the sheets on that resident's bed had been stained before anyone noticed, or whether the bedside commode in the first resident's room was cleaned after the second morning's confirmation. It records what inspectors saw, what staff said when asked, and what was still unchanged when they came back.
The resident with the blood-spotted sheets said he doesn't know when they change his linens. He isn't there when it happens.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Rose Lane Nursing and Rehabilitation from 2026-01-29 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
ROSE LANE NURSING AND REHABILITATION in MASSILLON, OH was cited for violations during a health inspection on January 29, 2026.
Dried feces covered the toilet riser, the base of the toilet, and the floor around it.
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.