New Dawn Rehabilitation And Healthcare Center
NEW DAWN REHABILITATION AND HEALTHCARE CENTER in DOVER, OH — inspection on February 26, 2026.
Found 6 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
potential to lower the resident's blood pressure.
This affected one (Resident #18) of six residents
A.M., Registered Nurse (RN) #252 was observed administering medications to Resident #18.
Among the medications administered were lisinopril (angiotensin-converting enzyme (ACE) inhibitor which is used to manage high blood pressure) 20 milligrams (mg) and metoprolol succinate (beta blocker used to treat high blood pressure) 50 mg. RN #252 obtained Resident #18's blood pressure after administering the blood pressure medication.
During an interview on 02/25/26 at 9:09 A.M., RN #252 verified Resident #18's blood pressure should have been obtained prior to administering the medications.Further review of Resident #18's February 2026 Medication Administration Record (MAR) revealed there were no parameters set up for administration of the lisinopril or metoprolol tartrate.
However, there was an area to document the blood pressure and pulse with the metoprolol tartrate administration.
The MAR indicated there were five times when the metoprolol tartrate was not administered related to blood pressure readings including 90/67 the morning of 02/02/26, 93/51 the morning of 02/04/26, 95/61 on the morning of 02/05/26 and 105/90 on 02/23/26.
Additional blood pressure readings of 99/63 were recorded the evening of 02/02/26 and a reading of 98/52 the morning of 02/24/26.
During an interview on 02/25/26 at 1:02 P.M., the Director of Nursing (DON) stated blood pressures should ideally be monitored prior to giving medications that could affect blood pressure, especially if a resident had a history of low readings.This deficiency represents non-compliance investigated under Complaint Number 2706361.
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
365990 02/26/2026
New Dawn Rehabilitation and Healthcare Center 865 East Iron Avenue Dover, OH 44622
co-morbidities (medical conditions that coexist alongside a primary diagnosis, affecting health, treatment, and prognosis), incontinence, and medication use.
One of the interventions dated 11/16/23 included placing a dycem to wheelchair (Dycem is a non-slip material).
The physician orders revealed an order dated 11/05/23 for a non-skid sheet to the wheelchair.The fall risk evaluation dated 11/04/25 revealed Resident #64 was at a high risk for falls.
Risk factors included multiple falls experienced within the last six months, medication use (including diabetic medications, blood pressure medications, narcotics and psychotropic medication), memory problems, frequent incontinence, behaviors that occurred less than daily, confinement to the chair, loss of balance while standing, requiring hands-on assistance to move from place to place, use of an assistive device, and decrease in muscle coordination.
The fall risk assessment revealed interventions continued to include dycem to the wheelchair.
During observations and interview on 02/25/26 at 1:25 P.M., Licensed Practical Nurse (LPN) #239 verified Resident #64 was sitting in the wheelchair but there was no dycem present.
This deficiency represents non-compliance investigated under Master Complaint Number 2743736 and Complaint Number 2706361.
365990 02/26/2026
New Dawn Rehabilitation and Healthcare Center 865 East Iron Avenue Dover, OH 44622
Review of documentation for catheter care on the nursing assistant task bar from 12/26/25 to 01/21/25 revealed the catheter care was scheduled to be provided every shift and there was no documentation it was completed except for three days.
There were three shifts (day shift on 01/16/26, 01/17/26 and 01/18/26) which were initialed.
The urinary catheter was discontinued 01/22/25.
During an interview on 02/25/26 at 10:24 A.M., the Director of Nursing (DON) stated there was no documentation for catheter care in December 2025 because it did not show up on aide task bar until the baseline care plan evaluation was completed and verified there were only three days it was completed in January 2026.
The DON stated staff knew if residents had urinary catheters that catheter care was necessary so she believed it was a documentation issue versus failure to provide the catheter care.b. Resident #103's admission assessment revealed no skin impairment. A wound nurse practitioner note dated 12/29/25 at 8:01 P.M. indicated Resident #103's skin was intact with no open wounds.
Review of skilled evaluations revealed documentation of skin concerns and dressings being dry and intact on 01/06/26, 01/12/26, 01/15/26, 01/19/26, 01/21/26 and 01/28/26.
However, no skin/wound assessments were able to be located.
During an interview on 02/24/26 at 10:50 A.M., Registered Nurse (RN) #252 denied Resident #103 had any wounds/dressing changes. RN #252 stated Resident #103 had a cast to her wrist but no skin impairment.
During an interview on 02/24/26 at 10:53 A.M., Certified Nursing Assistant (CNA) #221 stated she was only aware of a cast on one of Resident #103's arm but no other wounds or dressings.
During an interview on 02/24/26 at 11:03 A.M., the Director of Nursing (DON) reported Resident #103's skin was intact throughout her stay.
The DON stated the skilled evaluations indicating there were skin concerns on 01/06/26, 01/12/26, 01/15/26, 01/19/26, 01/21/26 and 01/28/26 were incorrect.This deficiency represents non-compliance investigated under Master Complaint Number 2743736.
365990 02/26/2026
New Dawn Rehabilitation and Healthcare Center 865 East Iron Avenue Dover, OH 44622
Review of Resident #25's medical record revealed diagnoses included congestive heart failure, vascular dementia, and obstructive and reflux uropathy (blockage in the urinary tract). An order dated 08/19/25 indicated urinary catheter care was to be provided every shift.During an observation on 02/25/26 at 10:37 A.M., Certified Nursing Assistant (CNA) #266 provided urinary catheter care for Resident #25.
After providing catheter care, CNA #266 did not remove her gloves and continued to wear the same gloves to handle the call light, the bed controls, bedding, and the urinary collection bag and its cover.
During an interview on 02/25/26 at 10:53 A.M., CNA #266 verified she had not removed the gloves used for catheter care prior to handling the call light, bed controls and bedding.This deficiency represents non-compliance investigated under Master Complaint Number
- 365990 02/26/2026
New Dawn Rehabilitation and Healthcare Center 865 East Iron Avenue Dover, OH 44622
Medicine for Surveillance Definitions of Infections in Long-Term Care Facilities: Revisiting the McGeer Criteria dated October 2012 revealed the resident must meet both categories: 1.
Clinical signs and symptoms which included acute dysuria or fever or leukocytosis plus one ore more of: suprapubic pain, costovertebral pain/tenderness, gross hematuria, new/increased urgency, frequency. If there is no fever/leukocytosis then two of the above symptoms must be met.
The second criteria was microbiological evidence which included greater than 10 colony-forming units per milliliter (CFU/mL) in voided urine or catheter specimen.1.
Review of the medical record for Resident #2 revealed an admission date of 12/13/24 and a readmission date of 09/20/25.
Diagnoses included heart failure, chronic obstructive pulmonary disease, and diabetes mellitus.
Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #2 had intact cognition and was dependent on staff for activities of daily living (ADLs).Resident #2's medical record did not include any documentation of signs and symptoms for a UTI.
Review of the facility's infection control log for the month of January 2026 revealed Resident #2 acquired an in-house UTI and was on an antibiotic from 01/27/26 to 02/03/26.
The infection control log indicated that McGeer's criteria was met for a UTI.Interview on 02/25/26 at 11:47 A.M. with Director of Nursing (DON) verified there was no documentation of any signs or symptoms of a UTI in Resident #2's medical record. Resident #2 had lab work completed for a urinalysis ordered on 01/19/26 but did not find any documentation of signs and symptoms in Resident #2's medical record or the McGeer's assessment was completed for a UTI.2.
Review of the medical record for Resident #24 revealed an admission date of 08/04/23 and a readmission date of 03/26/24.
Diagnoses included chronic kidney disease, major depressive disorder, and anxiety disorder.
Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #24 had intact cognition and was dependent on staff for activities of daily living (ADLs).Resident #24's medical record did not include any documentation of signs and symptoms for a UTI.
Review of the facility's infection control log for the month of February 2026 revealed Resident #24 acquired an in-house UTI and was on an antibiotic from 02/01/26 to 02/06/26.
The infection control log indicated the McGeer's criteria was met for a UTI.Interview on 02/25/26 at 11:47 A.M. with the Director of Nursing (DON) verified there was no documentation of any signs or symptoms of a UTI in Resident #24's medical record.
The DON verified there were was no McGeer's assessment completed for the UTI.
Review of the undated facility policy titled Antibiotic Stewardship Program revealed the infection control nurse and/or designee will continue infection control line listing and review facility antibiotic utilization to ensure appropriate prescribing and use of antibiotics.This deficiency represents non-compliance investigated under Master Complaint Number 2743736.
365990 02/26/2026
New Dawn Rehabilitation and Healthcare Center 865 East Iron Avenue Dover, OH 44622
Review of Resident #19's medical record revealed the resident was admitted to the facility on [DATE].
Diagnoses included Alzheimer's disease, schizophrenia, and major depressive disorder.
Review of the care plan dated 07/09/20 revealed Resident #19 was at risk for falls related to diagnoses.
Interventions included to be sure the resident's call light was within reach and have a sign in place in sight to remind Resident #19 to use her call light for assistance.
Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #19 was moderately cognitively impaired and was dependent on staff for activities of daily living (ADLs).Observation and interview on 02/23/26 at 10:09 A.M. and 11:10 A.M. revealed Resident #19's call light was on the floor beside the bed. Resident #19 was sitting in her Broda chair which was placed next to bed.This was verified by Certified Nursing Assistant (CNA) #253 at 11:10 A.M. and verified the call light was not within Resident #19's reach. CNA #253 stated the loop around the call light cord was because she was blind and they put it around her wrist.2.
Review of Resident #30's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including dementia, chronic kidney disease, and diabetes mellitus.
Review of the care plan dated 07/16/24 revealed Resident #30 was at risk for falls related to diagnoses.
Interventions included to be sure the resident's call light was within reach.
Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #30 was severely cognitively impaired and was dependent on staff for activities of daily living (ADLs).Observation on 02/24/26 at 11:05 A.M. revealed Resident #30's call light was behind her refrigerator and the resident was lying in bed.
This was verified by Certified Nursing Assistant (CNA) #292 on 02/24/26 at 11:07 A.M. and verified the call light was not within Resident #30's reach.Review of the facility policy titled Answering the Call Light dated 2001 revealed that when the resident is in bed or confined to a chair, be sure that the call light is within easy reach of the resident.This was an incidental finding discovered during the course of the complaint investigation.