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Complaint Investigation

Cityview Healthcare And Rehabilitation

Inspection Date: September 17, 2025
Total Violations 1
Facility ID 365879
Location CLEVELAND, OH
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

residents. Former Administrator #500 stated he had then done an audit of all the doors on each unit with MD #400 and had observed the door on the 3rd floor had not been closing effectively. Former Administrator #500 stated he had advised MD #400 to repair the lock on the third-floor door to the soiled utility room at that time. Former Administrator #500 stated he had done an investigation beginning on 08/07/25 and stated

he had turned in his resignation effective immediately on 08/08/25. The Former Administrator did not provide any additional information related to his resignation. Review of the undated facility policy Connections Unit revealed the Connections unit was a secured unit which provided a living environment that was supportive for those with mental health diagnoses that supported a need for increased safety and supervision. It emphasized structured activities and programs to meet physical, mental, and psychosocial needs in a comforting and safe manner. The goal of Connections unit was to respect the privacy and dignity of residents, administer care and treatment, provide a smaller environment with increased supervision that focuses on daily routines, and/or offer an environment that allows individuals to be comfortable with themselves while decreasing the potential for self-harm or escalation of negative behaviors. The Connections unit was a locked unit with coded keypads to unlock the doors. Benefits of the unit include reduction of external stressors and expectations to promote self-worth and a safe living environment. Staff who were trained to provide support and care for residents with aggression and behaviors related to their diagnosis or other need for increased supervision and activities that are specifically chosen for the interest and needs of the residents on the unit. Review of the policy Compliance/Ethics: Records and Documentation dated 08/2025 revealed accurate and complete recordkeeping and documentation is critical to virtually every aspect of the facility's operations. It is the policy of the facility that all documentation should be timely, accurate, and consistent with applicable professional, legal, and facility guidelines and standards. This includes all aspects of the facility's documentation, including resident assessments and care plans, clinical records and all billing and payment documentation. This deficiency represents non-compliance investigated under Complaint Number 2594724.

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📋 Inspection Summary

CITYVIEW HEALTHCARE AND REHABILITATION in CLEVELAND, OH inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 CLEVELAND, 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 CITYVIEW HEALTHCARE AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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