Galion Meadows Skilled Nursing And Rehabilitation
Galion Meadows Skilled Nursing and Rehabilitation in GALION, OH — inspection on September 16, 2025.
Found 5 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 Resident #44's dental form dated 03/17/25 revealed the dentist examined the resident.
Interview on 09/16/25 at 12:40 P.M., with the Administrator verified an updated informed consent form had not been obtained after Resident #44 switched to private pay.
She reported billing occurred through the ancillary services themselves and not the facility.
This deficiency represents noncompliance investigated under Complaint Number 1314302.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Signature Healthcare of Galion
935 Rosewood Dr Galion, OH 44833
SUMMARY STATEMENT OF DEFICIENCIES
Review of the modification of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #1 had severe cognitive impairment, no behaviors, no impairment to upper or lower, used a wheelchair, and was dependent on staff for care.
The MDS also revealed Resident #1 received anticoagulant medication.
Interview on [DATE] at 12:22 A.M., with the Director of Nursing (DON) verified the neurological checks were not completed as indicated on the neurological form for Resident #1. DON verified Resident #1 was on Eliquis and it was concerning that vital signs were completed on [DATE] at 2:25 P.M. but Resident #1 was not able to be aroused to complete the neurological assessment. DON verified the documentation revealed Resident #'1's family and MA were not notified until later in the day that Resident #1 had a fall with injury.
DON verified the MA no longer worked for the facility and was not available to be questioned about the time of the notification and if they were aware Resident #1 was ordered Eliquis. DON provided scheduling and clock in and out times to verify there were two nurses working during the time the neurological assessment was not completed for Resident #1.
Interview on [DATE] at 3:55 P.M., with Licensed Practical Nurse (LPN) #261 verified she was working on [DATE]. LPN #261 verified she did not complete the neurological assessments on [DATE] at 1:25 P.M. and 1:55 P.M. LPN #261 verified she also did not assess Resident #1's pupils, consciousness, speech, and responsiveness at 2:25 P.M. LPN #261 verified she wrote on the neurological assessment that she was passing medications on another hall when the assessments needed completed.
This deficiency represents non-compliance investigated under Complaint Number 1314302 and
- Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Signature Healthcare of Galion
935 Rosewood Dr Galion, OH 44833
SUMMARY STATEMENT OF DEFICIENCIES
Review of the modification of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #1 had severe cognitive impairment.
Review of physician orders revealed on [DATE] Resident #1 was ordered midodrine five milligram (mg) three times a day for hypotension.
Midodrine was to be held for systolic blood pressure (SBP) greater than 120 millimeters of mercury (mmHg).
Review of medication administration records (MAR) from [DATE] through [DATE] revealed Resident #1 received 47 doses of midodrine with SBP greater than 120 mmHg.
The highest blood pressure recorded when midodrine was administered was 169/103 mmHg on [DATE] at 11:00 A.M.
Interview on [DATE] at 1:31 P.M., with the Director of Nursing (DON) verified the instructions to hold midodrine for SBP greater than 120 mmHg was on the order but did not show up on the MAR. DON verified Resident #1 received midodrine multiple times with the SBP was greater than 120 mmHg.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Signature Healthcare of Galion
935 Rosewood Dr Galion, OH 44833
SUMMARY STATEMENT OF DEFICIENCIES
Review of Resident #17's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severely impaired cognition.
Review of Resident #17's progress note dated 01/20/25 revealed she returned from a nephrology appointment with a follow up appointment to take place on 07/20/25.
The physician requested laboratory tests be drawn on 07/14/25 prior to the appointment.
Review of Resident #17's physician order dated 01/20/25 revealed on 07/14/25 laboratory test were to be completed.
The laboratory test included a complete blood count (CBC), hepatic function panel, magnesium, microalbumin/create ratio, renal function panel, sodium, protein/creatinine ration, and an urinary analysis.
Review of Resident #17's medical record from 07/14/25 to 07/21/25 revealed no evidence the laboratory test were completed.
Interview on 09/11/25 at 1:20 P.M. and 09/16/25 at 11:44 A.M. with Resident #17's family revealed the facility had not completed ordered test prior to appointments resulting in rescheduled or missing appointments.
Interview on 09/15/25 at 11:39 A.M. with the Director of Nursing (DON) verified Resident #17's laboratory test were not completed as ordered.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Signature Healthcare of Galion
935 Rosewood Dr Galion, OH 44833
SUMMARY STATEMENT OF DEFICIENCIES
Review of the significant change Minimum Data Set, dated [DATE] revealed Resident #28 had severe cognitive impairment.
Review of a wound evaluation note dated 09/08/25 at 2:01 P.M. revealed Resident #28 had a skin tear to the right lower leg.
The skin tear measured 2.5 centimeters (cm) long and 0.8 cm wide and was 0.1 cm deep.
Review of the new order, received on 09/11/25 ,to cleanse the skin tear to Resident #28's right lower leg with normal saline or wound cleanser, apply Vitamin A and D ointment and cover with Dermaview II (a moisture-vapor permeable transparent dressing that aids in the prevention of bacterial contamination) island dressing every three days and as needed.
Observation on 09/15/25 at 11:07 A.M., revealed the Assistant Director of Nursing (ADON) #260 applied gloves and removed the dressing to Resident #28's right lower leg. ADON #260 placed the soiled dressing on a paper towel on an over the bed table. ADON #260 then cleansed the wound, placed the A and D ointment on the tip of her index finger and applied the ointment to the wound, and then covered the wound with Dermaview II.
Interview, at the time of the observation, ADON #260 verified she did not remove her gloves after removing the soiled dressing, perform any hand hygiene, and used her finger, covered with the possibly contaminated glove, to apply the ointment.
Review of the policy titled Wound Care dated September 2021, revealed the purpose of the procedure was to provide guidelines for the care of wounds to promote healing.
Steps in the procedure included to wash and dry hands thoroughly and put on exam gloves.
The tape to the dressing should be loosen and the dressing removed.
Pull the glove over the dressing and discard into appropriate receptacle.
Wash and dry hands thoroughly and put on gloves.
The wound should be cleaned and treatments applied as ordered by the physician.
Facility ID: