Heights Rehabilitation And Healthcare Center, The
HEIGHTS REHABILITATION AND HEALTHCARE CENTER, THE in BROADVIEW HEIGHTS, OH — inspection on November 17, 2025.
Found 2 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.
Inspection Findings
Review of the medical record for Resident #67 revealed an admission date of 01/08/24 with diagnoses which included dementia, diabetes, symptoms and signs involving cognitive functions and awareness, restlessness and agitation, mental disorder, encephalopathy, and systolic congestive heart failure.
Review of the MDS 3.0 quarterly assessment dated [DATE] revealed Resident #67 was moderately cognitively impaired. Resident #67 had a legally appointed guardian.Review of the RFMS Statement Landscape from January 2025 to September 2025 for Resident #67 revealed the following:a. On 03/18/25, $1,830.00 was debited for personal need items with BOM #120 as the payee.b.
On 04/17/25, $2,359.09 was debited for a computer with BOM #120 as the payee.c. on 04/28/25, $324.68 was debited for furniture with BOM #120 as the payee.
Review of the undated Amazon receipt revealed the following item was addressed to BOM #120 at the facility address: a Samsung Galaxy book 3 Pro laptop for $2,359.09.
Review of the RFMS Withdrawal Record dated 04/16/25 revealed the petty cash account was credited $2,359.09 for Resident #67 ' s computer; BOM #120 was the vendor.Review of Check #1909 dated 04/17/25 revealed $2359.09 was paid to the order of BOM #120 for resident spend downs.
Review of the RFMS Withdrawal Record dated 05/15/25 revealed the petty cash account was credited a total of $2,222.19 which included $1,624.93 for Resident #67 ' s clothing; BOM #120 was the vendor.
This amount was a combination of items for Resident #9 and #67.
Review of Check #1923 dated 05/16/25 revealed $2,421.52 was paid to order of BOM #120 for resident spend downs.
Interview on 09/09/25 at 2:15 P.M. with RDO #124 (RBOM #123 present) revealed Resident #67 stated he did not receive a computer, and a computer was not located in the resident ' s room for Check #1909 dated 04/17/25. RDO #124 stated receipts were located for women ' s clothing for Resident #67 (a male resident) for Check #1923 dated 05/16/25. RDO #124 revealed Resident #67 would be reimbursed for $2359.09 and $597.26.Interview on 09/15/25 at 9:02 A.M. with Resident #67 ' s guardian revealed she did not authorize the purchase of a computer and women ' s clothing for Resident #67.
The police reached out to the guardian and the guardian wanted to press charges against BOM #120 so BOM #120 couldn ' t do this again in another facility.8.
Review of the medical record for Resident #9 revealed an admission date of 02/01/24 with diagnoses which included Alzheimer ' s disease, repeated falls, dementia with agitation, need for assistance with personal care, delusional disorder, psychosis, hallucination
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Heights Rehabilitation and Healthcare Center, The
2801 E Royalton Rd Broadview Heights, OH 44147
SUMMARY STATEMENT OF DEFICIENCIES
Review of the Disciplinary Action form dated 09/09/25 revealed RN #126 failed to administer scheduled medications causing a delay in care. It stated RN #126 failed to comply with standard nursing practices or facility policy and procedures. RN #126 was terminated from employment on 09/11/25.
Review of the facility's undated Administering Medications policy revealed medications must be administered in accordance with the orders, including any required time frames.
Review of the facility's Intervention and Monitoring Behavioral assessment dated [DATE] revealed the interdisciplinary team would evaluate behavioral symptoms in residents to determine the degree of severity, distress, and potential safety risk to the resident and develop a plan of care accordingly.
Interventions would be individualized and part of an overall care environment that supported physical, functional and psychosocial needs, and strived to understand, prevent and relieve the resident's distress or loss of abilities.
This deficiency represents non-compliance investigated under Complaint Number 2618274.
Facility ID: