Muskingum Skilled Nursing & Rehabilitation
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.
Inspection Findings
#115, including suspicion of LPN #119 being on drugs at work, and he did not do anything to address
jeopardy to resident health or could sit in the break room together to come to a resolution and discuss their feelings. LPN #115 safety stated if the staff wrote statements he would put the witness statements in DON's mailbox to review the following morning.
After 1:00 A.M. on [DATE], CNA #128 stated she encouraged CNA #108 to call
being around the residents. CNA #128 stated LPN #115 should have called the Administrator as soon as concerns were brought to his attention. CNA #128 stated she was not sure what had occurred or been done to Resident #18, but she knew it was something traumatic or an action which caused the resident distress to be uncomfortable and act the way she was. CNA #128 stated the police arrived to the facility at about 3:00 A.M. and LPN #119 remained in the facility after the allegations were reported, until at least 5:15 A.M.Interview on [DATE] at 9:03 A.M. with the Administrator revealed she was not aware of any allegations of abuse/sexual abuse involving Resident #18 or Resident #22 until [DATE] at 7:30 A.M. when she first found out about the allegations.
The Administrator reported the nurses did call her on [DATE] at about 4:00 A.M. to let her know the police were at the facility but they did not know why they were there.
The Administrator confirmed LPN #115, who was the nursing supervisor, should have reported allegations (of abuse to her) as soon as they were made.
The Administrator indicated when a supervisor did not address a concern, staff were to report directly to her or the DON.
The Administrator stated no one had reported concerns to her from night shift previously and she would expect if concerns were reported to the nightshift supervisor they would be communicated to her or the DON.
During an interview on [DATE] at 10:44 A.M. with the DON, the DON denied knowledge of concerns or reports being made to her about nightshift staff, including allegations of drug use or inappropriate behaviors.
The DON stated abuse should be reported immediately to administration, 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]
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.