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Complaint Investigation

Avon Place Healthcare Center

November 18, 2025 · Avon, OH · 32900 Detroit Rd
Citations 3
CMS Rating 3/5
Beds 91
Provider ID 365155
Healthcare Facility
Avon Place Healthcare Center
Avon, OH  ·  View full profile →
Inspection Summary

AVON PLACE HEALTHCARE CENTER in AVON, OH — inspection on November 18, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

facility would notify the physician and resident representative of changes in the resident's medical condition or status including injuries of an unknown source, a significant change in the resident's physical condition, a need to alter the residents medical treatment, and specific instruction to notify the physician of changes in the resident's condition.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/18/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Avon Place Healthcare Center

32900 Detroit Rd Avon, OH 44011

SUMMARY STATEMENT OF DEFICIENCIES

Review of the undated facility policy Protocol: Focused Nursing Assessment, revealed a focused assessment zeroes in on a patient's current problem or complaint to identify immediate needs, monitor changes, and evaluate the effectiveness of interventions.

Further review of the protocol revealed a focused assessment should be completed during acute changes.

Continued review of the policy revealed no specific guidelines for assessing range of motion or assessing for additional injuries when a cognitively impaired resident was found with bruising of unknown origin.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/18/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Avon Place Healthcare Center

32900 Detroit Rd Avon, OH 44011

SUMMARY STATEMENT OF DEFICIENCIES

Review of the facility policy Oxygen Administration, revised 10/2010, revealed the resident would be assessed during oxygen administration including lung sounds and oxygen saturation levels.

Staff would document the rate of oxygen flow, route, and rationale, the frequency and duration of the treatment, the reason for as needed administration, all assessment data obtained before, during, and after the procedure, how the resident tolerated the procedure, and would report other information in accordance with facility policy and professional standards of practice.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in AVON, OH, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AVON PLACE HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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