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Complaint Investigation

Carecore At Mary Scott

August 12, 2025 · Dayton, OH · 3109 Campus Dr
Citations 2
CMS Rating 3/5
Beds 102
Provider ID 366122
Healthcare Facility
Carecore At Mary Scott
Dayton, OH  ·  View full profile →
Inspection Summary

CARECORE AT MARY SCOTT in DAYTON, OH — inspection on August 12, 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

FF0610
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

represents non-compliance investigated under Complaint Number 1313950 (OH00167084).

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Carecore at Mary Scott

3109 Campus Dr Dayton, OH 45406

SUMMARY STATEMENT OF DEFICIENCIES

Finding include:

Review of the medical record for Resident #77 revealed an admission date of 03/06/23 with diagnoses of anoxic brain damage, epilepsy, unspecified, intractable, without status epilepticus, chronic obstructive pulmonary disease, and acute on chronic systolic (congestive) heart failure.

Review of the Quarterly Minimum Data Set (MDS) dated [DATE] revealed the resident was cognitively impaired, was dependent on staff for all activities of daily living, and resident had a trach.

Review of the care plan dated 03/07/23 revealed a care plan for trach related to impaired breathing mechanics injury with interventions of keep extra trach tube and obturator at bedside. If tube is coughed out attempt to reinsert tube.

Review of the physician orders revealed an order dated 01/02/25 for trach care daily.

Change inner cannula number four (#4) Shiley every day shift related to anoxic brain damage. On 08/11/25 an order was noted for trach size 4UN85H with inner canula size Shiley #4- 41C85 every shift.

Observation and interview on 08/12/25 at 7:20 A.M. with Licensed Practical Nurse (LPN) #234 confirmed there was not an extra trach available if Resident #77's current trach became dislodged.

Interview with LPN #234 also confirmed the facility does not always have the trach supplies that are needed for Resident #77.

Interview on 08/12/25 at 8:37 A.M. with LPN Unit Manager #294 brought a trach size #4 with a cuff stating it was the trach Resident #77 used and was placing the trach at the residents beside.

Interview with LPN Unit Manager #294 confirmed Resident #77 did not have a cuffed trach and did not have a physician's order for a cuffed trach.

Review of the Tracheostomy Care policy dated 01/10/25 revealed a replacement trach tube must be available at the bedside at all times.

This deficiency represents non-compliance investigated under Complaint Number 1313951 (OH00166239).

Facility ID:

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 DAYTON, 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 CARECORE AT MARY SCOTT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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