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Complaint Investigation

Embassy Of Cambridge

February 24, 2026 · Cambridge, OH · 1471 Wills Creek Valley Drive
Citations 3
CMS Rating 2/5
Beds 95
Provider ID 365770
Healthcare Facility
Embassy Of Cambridge
Cambridge, OH  ·  View full profile →
Inspection Summary

EMBASSY OF CAMBRIDGE in CAMBRIDGE, OH — inspection on February 24, 2026.

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

FF0584
Resident Rights Deficiencies

Observation and interview on 02/23/26 at 4:25 P.M. with Licensed Practical Nurse (LPN) #107 confirmed there was a floor tile in the hallway which had broken in half with the broken half missing and there were baseboards coming loose. A tour with Administrator and Director of Nursing (DON) were completed on 02/24/26 from 10:00 A.M. to 10:20 A.M. and revealed there were missing floorboards, loose floorboards, splatters on the wall, three vents with rust, and missing half of a floor tile which could be a tripping hazard. 2.

Record review revealed Resident #13 was admitted to the facility on [DATE] with diagnoses including epilepsy and hypo-osmolality and hyponatremia.

Record review revealed Resident #14 admitted to the facility on [DATE] with diagnoses including schizoaffective disorder and type II diabetes.

Observation on 02/23/26 at 3:45 P.M. revealed Resident #13 and #14 were roommates.

Observation on their room revealed Resident #14's footboard had trim on the left side which had come off and she had tried to tape it back on but the tape did not hold so there was a gap between the trim and footboard of approximately two inches, the grout around the toilet was dirty and brown, the toilet moved, and the sharps container was overflowing.

Interview on 02/23/26 at 4:00 P.M. with Certified Nursing Assistant (CNA) #123 confirmed the trim and footboard had about a two-inch gap, the grout around the toilet was brown and the sharps container was overflowing.

Interview on 02/23/26 at 4:15 P.M. with LPN #107 confirmed trim and footboard had about a two-inch gap, the grout around the toilet was brown and the sharps container was overflowing.

Additionally, she confirmed the toilet moved.

Review of a policy titled Safe and Homelike Environment dated 06/01/24 revealed in accordance with resident rights, the facility will provide a safe, clean, comfortable and homelike environment, allowing the resident to use his or her personal belongings to the extent possible.

This includes ensuring the resident can receive care and services safely and that the physical layout of the facility maximizes resident independence and does not pose a safety risk.

This deficiency represents non-compliance investigated under Complaint Number

  • Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
  • safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

365770 02/24/2026

Embassy of Cambridge 1471 Wills Creek Valley Drive Cambridge, OH 43725

Review of a sanitation log completed by Maintenance Director (MD) #120 revealed he had marked the inspection of the ice machine and sanitation as completed twice a month since 05/31/25.

Review of a manual for the ice machine revealed it should be cleaned and sanitized every six months for efficient operation. If more frequent cleaning was needed, a consult company should be contacted to test the water and recommend appropriate water treatment.

The sanitizer procedure would be used to remove algae or slime, using the sanitizing solution and a sponge or cloth, sanitize the following areas: side walls, base (area above water trough), water distribution tube, water pump, inch thickness probe and water level probe and bin or dispenser.

The rinse all areas with clear water.This deficiency represents incidental findings of non-compliance investigated under Complaint Number 2713371.

365770 02/24/2026

Embassy of Cambridge 1471 Wills Creek Valley Drive Cambridge, OH 43725

Observation on 02/23/26 at 4:31 P.M. revealed the laundry room now had 12 full barrels.

Interview on 02/24/26 at 6:30 A.M. with Laundry Aide (LA) #115 revealed there were now 15 barrels of laundry, four were outside the laundry room in the hallway with one barrel without a lid, the additional barrels were in the laundry room and eight did not have a lid, had unbagged clothing and linens, and were overflowing. LA #115 stated second shift was let go so nightshift aides were supposed to help with laundry which is not always possible because they are busy too. LA #115 stated she is able to get eight loads of laundry done during her shift. LA #115 stated she gets so many complaints about the laundry because it is so backed up due to having to focus on linens and supplies for care needs instead of personal items. LA #115 confirmed there was a red hazardous bag and stated it had been placed on top of a laundry basket so both the bag and basket items would have to be bleached. LA #115 stated she is not ever made aware of what type of infection the red bags indicate so everything gets bleached, even personal items which can get ruined.

Review of a policy titled Infection Prevention and Control Program dated 01/07/25 revealed soiled linen should be collected at the bedside and placed in a linen bag, then the bag should be closed securely and placed in the soiled utility room.

Soiled linen should not be kept in the resident's room or bathroom.

Environmental services staff should not handle soiled linens if it is not properly bagged.

Observation and interview on 02/23/26 at approximately 3:10 P.M. with Licensed Practical Nurse (LPN) #107 revealed a clean utility room which contained an ice machine.

The ice machine had white steaks of buildup down the sides of it and a brown streak down the front.

When opened, the upper wall of the machine was noted to have a black mold-like substance. LPN #107 looked inside the ice machine to confirm the observation and said, oh yeah, that's mold.

Interview on 02/23/26 at 3:20 P.M. with the Administrator confirmed there was a black substance in the ice machine.

When asked if she thought residents should consume ice from the machine, the Administrator stated, No.

Review of a sanitation log completed by Maintenance Director (MD) #120 revealed he had marked the inspection of the ice machine and sanitation as completed twice a month since 05/31/25.

Review of a manual for the ice machine revealed it should be cleaned and sanitized every six months for efficient operation. If more frequent cleaning was needed, a consult company should be contacted to test the water and recommend appropriate water treatment.

The sanitizer procedure would be used to remove algae or slime, using the sanitizing solution and a sponge or cloth, sanitize the following areas: side walls, base (area above water trough), water distribution tube, water pump, inch thickness probe and water level probe and bin or dispenser.

The rinse all areas with clear water.This deficiency represents incidental findings of non-compliance investigated under Complaint Number 2713371.

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 CAMBRIDGE, 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 EMBASSY OF CAMBRIDGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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