Continuing Healthcare Of Cuyahoga Falls
CONTINUING HEALTHCARE OF CUYAHOGA FALLS in CUYAHOGA FALLS, OH — inspection on August 20, 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 facility policy titled Change in Condition Communication revised 06/2019 revealed to notify the physician of the change in medical condition.
The nurse will document all assessments and changes in the resident's condition in the medical record.
All attempts to notify the physician and family members will be thoroughly documented in the resident's medical record.
The guidelines are not intended to substitute for good nursing judgement. If the nurse feels uncomfortable with a situation, he/she should not delay contacting the physician or call 911 if it appears to be life-threatening event.
The above applies 24 hours a day, seven days a week.
This deficiency represents non-compliance investigated under Complaint Number 2576681.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare of Cuyahoga Falls
300 East Bath Road Cuyahoga Falls, OH 44223
SUMMARY STATEMENT OF DEFICIENCIES
Review of Resident #112's physician orders revealed an order dated 06/18/25 for Novolog (a short acting insulin) inject 3 units subcutaneously twice daily for type two diabetes mellitus with diabetic neuropathy.
Additional instructions stated to hold the dose for a blood sugar less than 110.
Review of the Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #112 had a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. Resident #115 was assessed to require minimal or supervising assistance for activities of daily living (ADLs) and hygiene needs. Resident #112 was identified to require insulin injections on seven out of seven days of the assessment reference period.
Observation on 08/06/25 at 11:42 A.M. revealed Licensed Practical Nurse (LPN) #231 obtained Resident #112 ' s blood glucose level. LPN #231 cleansed her hands and the glucometer. LPN #231 proceeded to wipe Resident #112's finger with an alcohol swab, inserted the test trip into the glucometer, and used a single-use lancet to prick Resident #112's right pinky finger with the lancet. LPN #231 wiped the first drop of blood off with clean gauze and then placed the test strip over a small drop of Resident #112's blood to obtain a blood glucose result of 93.
LPN #231 then retrieved the multidose vial of Resident #112's Novolog insulin from the medication cart, cleansed the top of the vial with an alcohol swab, and drew up four units of insulin using an insulin syringe.
LPN #231 then performed hand hygiene and returned to Resident #112's room. LPN #231 administered the four units of insulin subcutaneously to Resident #112, injecting the insulin into the resident's right upper arm.
Hand hygiene was performed after contact with the resident.Interview with the Director of Nursing (DON) on 08/06/25 at 1:30 P.M. verified the significant medication error with LPN #231 administering insulin to Resident #112 when the medication should have been held per provider order.
The DON assessed Resident #112 for any signs and symptoms of hypoglycemia. Resident #112 displayed no negative effects from receiving the insulin dose.
The DON documented the medication error in the electronic medical record and informed the resident and the physician of the occurrence. No new orders were obtained.
Review of facility policy titled, Medication Administration and Management revised 06/2019, revealed authorized staff members administer subcutaneous injections.
The nurse will review physician orders and follow the eight rights of medication administration.
This deficiency represents non-compliance investigated under Complaint Number 2581097.
Facility ID: