Hudson Springs Nursing and Rehab: Glove Failure - OH
The resident at the center of the April 22 observation, identified in inspection records only as Resident 51, has Parkinson's disease, hemiplegia following a stroke affecting his right dominant side, chronic kidney disease, and acute kidney failure, among other diagnoses. He is frequently incontinent of both bowel and bladder and entirely dependent on staff for incontinence care. His physician had ordered checks and changes every two hours, around the clock.
Two certified nursing assistants, identified in the report as CNA 280 and CNA 286, performed the care together that morning. The sequence started correctly. Both washed their hands before beginning. CNA 286 removed the soiled brief, cleansed the resident from front to back, then stripped off the dirty gloves, washed her hands, and put on clean ones. So far, proper procedure.
Then CNA 280 took over, wearing clean gloves, and cleansed the resident's buttocks. That was the last time clean gloves were involved. Without removing them, without washing her hands, CNA 280 reached for a fresh brief, handled it, and applied it to the resident.
Inspectors observed the entire sequence at 9:34 a.m. When they spoke with both aides immediately afterward, CNA 280 confirmed she had not changed her gloves or washed her hands between cleaning the soiled area and placing the clean brief.
The Director of Nursing, interviewed sixteen minutes later, said the same thing the aide had already admitted: soiled gloves should be changed and hand hygiene performed before a clean brief is placed on a resident.
Nobody disputed what happened. The question the inspection report leaves open is how often it goes unobserved.
Hudson Springs identified 45 residents who require incontinence care out of a total census of 73. That means nearly two out of every three residents in the building depend on staff to manage this need, multiple times a day, every day. The observation on April 22 captured one procedure involving one resident. It was the only incontinence care observed during the inspection.
The violation was investigated under three separate complaint numbers, suggesting concerns about infection control practices at the facility had been raised on more than one prior occasion before inspectors arrived in April.
Resident 51 had been admitted to the facility on December 18, 2025, roughly four months before the observation. His medical history includes not just Parkinson's and stroke-related paralysis but chronic and acute kidney disease, conditions that can make infections harder to fight and faster to worsen. The failure to change gloves during incontinence care carries a direct risk of transferring fecal bacteria to skin or surfaces that will be in contact with the resident's body.
The CDC guidance inspectors cited is not ambiguous. Gloves become contaminated after contact with body fluids. They must be changed before handling clean materials. Hand hygiene follows. The sequence exists precisely because the transfer of pathogens during personal care is not theoretical.
The inspection report rates the level of harm as minimal, with potential for actual harm. Whether Resident 51 experienced any consequence from the lapse that morning is not addressed in the findings. What the record shows is a man with serious neurological and kidney disease, entirely dependent on others, whose care that day did not follow the steps designed to keep him from getting sicker.
His condition was already complex before he arrived at Hudson Springs. After four months there, he was still depending on the same staff, the same procedures, the same gloves.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hudson Springs Nursing and Rehab from 2026-04-29 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
HUDSON SPRINGS NURSING AND REHAB in STOW, OH was cited for violations during a health inspection on April 29, 2026.
He is frequently incontinent of both bowel and bladder and entirely dependent on staff for incontinence care.
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.