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Complaint Investigation

Muskingum Skilled Nursing & Rehabilitation

August 13, 2025 · Beverly, OH · 501 Pinecrest Drive
Citations 1
CMS Rating 2/5
Beds 50
Provider ID 365461
Healthcare Facility
Muskingum Skilled Nursing & Rehabilitation
Beverly, OH  ·  View full profile →
Inspection Summary

MUSKINGUM SKILLED NURSING & REHABILITATION in BEVERLY, OH — inspection on August 13, 2025.

Found 1 citation. 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

FF0610
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

then within two hours to the State agency.

The DON said the alleged perpetrator should be removed from the facility as soon as allegations were made to ensure resident safety, the resident(s) should be assessed immediately, witness statements collected, family and physicians should be notified, and medical care should be obtained if needed.

The DON stated she did not receive a call until about 4:00 A.M. on [DATE] when the first detective arrived at the facility, but during that call the nurses did not know what was happening.

She was subsequently made aware the detectives took LPN #119 from the facility for questioning.

The DON stated she arrived to the facility on [DATE] at about 4:35 A.M. and did not see LPN #119.

The police informed the DON and Administrator of the allegations later that morning around shift change (shift change was at 6:00 A.M. for CNA staff and 7:00 A.M. for nurses).

Interview on [DATE] at 2:01 P.M. to 2:34 P.M. with Resident #18's power of attorney (POA) (POA #203) revealed before the allegations, she was visiting Resident #18 and assisted in changing her incontinence brief when she noticed blood.

The aide thought it could be vaginal bleeding but it went further back, so Resident #18 was rolled further and there was blood from her rectum. POA #203 stated Resident #18 had a history of irritable bowel syndrome, diverticulitis, constipation and hemorrhoids and had previously needed to manually remove stool from her rectum. A nurse checked over Resident #18 and POA #203 had no concerns at the time and reported seeing stool on her mom's fingers before so it made sense to her. POA #203 stated on the morning of [DATE], she received a phone call from the facility related to allegations of sexual abuse and was shocked because the allegations happened the night before but she had not been notified.

She did not receive a phone call at the time but if she had she would have come to the facility to be with her mom and to make decisions related to the allegation. POA #203 revealed the Administrator was not aware until [DATE] because the police showed up to the facility. POA #203's initial reaction was nothing had happened, the aides were wrong and had jumped to conclusions.

However, POA #203 stated she was informed of the allegations regarding the other resident (#22) as well. POA #203 stated she had spoken to SGT #145 and was aware they had collected evidence and would have additional information when the lab reported back.

The police[TRUNCATED]

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 BEVERLY, 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 MUSKINGUM SKILLED NURSING & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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