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Complaint Investigation

Woods Edge Rehab And Nursing

September 30, 2025 · Cincinnati, OH · 1171 Towne Street
Citations 2
CMS Rating 2/5
Beds 93
Provider ID 366209
Healthcare Facility
Woods Edge Rehab And Nursing
Cincinnati, OH  ·  View full profile →
Inspection Summary

WOODS EDGE REHAB AND NURSING in CINCINNATI, OH — inspection on September 30, 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Immediate Jeopardy

Review of the facility policy titled Elopement Prevention and Management Unsafe Wandering and Exit Seeking Behavior dated [DATE] revealed the facility strives to prevent resident elopement and would develop a care plan and implement individualized interventions to prevent elopement.

Review of the facility training document undated and untitled used for onboarding new hires and used again in the facility safety re-education initiated on [DATE] revealed a resident threatening to hurt themselves or others was a mental health crisis requiring immediate intervention.

Immediate actions included the following: do not leave the resident alone, maintain continuous observation of the resident, do not leave the resident unsupervised, call for backup immediately, use a code word (Code 4-behavioral emergency) to discreetly alert staff, supervisor, and security.

Further review of the document revealed even if staff felt the resident would not commit to hurting themselves or someone else, the threat should be reported immediately to the Administrator and the DON, and the resident should be placed on one-on-one supervision.

This deficiency represents noncompliance at investigated under Complaint Number 2614502.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/30/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Woods Edge Rehab and Nursing

1171 Towne Street Cincinnati, OH 45216

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited WOODS EDGE REHAB AND NURSING in CINCINNATI, OH for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-09-30.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of WOODS EDGE REHAB AND NURSING.

Correction Status: Deficient, Provider has no plan of correction.

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 CINCINNATI, 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 WOODS EDGE REHAB AND NURSING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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