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Complaint Investigation

Galion Meadows Skilled Nursing And Rehabilitation

October 27, 2025 · Galion, OH · 935 Rosewood Dr
Citations 2
CMS Rating 1/5
Beds 62
Provider ID 365351
Healthcare Facility
Galion Meadows Skilled Nursing And Rehabilitation
Galion, OH  ·  View full profile →
Inspection Summary

Galion Meadows Skilled Nursing and Rehabilitation in GALION, OH — inspection on October 27, 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

FF0692
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

record at the time nursing staff entered it into the electronic medical record, that she was notified about it.

Dietitian #200 confirmed she would do a full nutritional assessment every six months, annually, and when there was a significant change.

She confirmed there had not been a full nutritional assessment completed since February 2025 for Resident #28.

Review of the facility weight assessment and intervention policy, dated September 2021, revealed the nursing staff will measure resident weights on admission, and at least monthly unless otherwise ordered by the physician.

The dietitian will review the weights to follow individual weight trends over time.

Negative trends will be evaluated by the treatment team whether or not the criteria for significant weight change have been met.

Assessment information shall be analyzed by the multidisciplinary team and conclusions shall be made regarding the resident's target weight range, approximate calorie, protein, and other nutrient needs compared with the resident's current intake, the relationship between current medical condition or clinical situation and recent fluctuations in weight, and whether and to what extent weight stabilization or improvement can be anticipated.

Care planning for weight loss or impairment will be a multidisciplinary effort and will include the interdisciplinary team (IDT).

The dietitian will discuss undesired weight gain with the resident and/or family.

Interventions for undesired weight gain should consider resident preferences and rights. If a resident declines to participate in a weight loss goal, the dietitian will document the resident's wishes, and those wishes will be respected.

This deficiency represents non-compliance investigated under Complaint Number 2643992.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/27/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Signature Healthcare of Galion

935 Rosewood Dr Galion, OH 44833

SUMMARY STATEMENT OF DEFICIENCIES

Review of an admission progress note dated 10/13/25 at 4:45 P.M. revealed Resident #28 returned to the facility on [DATE] at 4:45 P.M.Review of a physician order dated 10/13/25 at 4:20 P.M., created by Regional Director of Nursing #300, revealed Resident #28 was ordered pregabalin (an anticonvulsant medication commonly used to treat nerve pain and certain types of seizures) 75 milligrams (mg) twice a day for neuropathy.

Review of the medication administration record (MAR) revealed Resident #28 did not receive pregabalin 75 mg on 10/13/25 at 8:00 P.M. through 10/20/25 at 8:00 A.M. Resident #28 received pregabalin 75 mg on 10/20/25 at 8:00 P.M. through 10/22/25 at 8:00 A.M. Resident #28 did not receive pregabalin 75 from 10/22/25 at 8:00 P.M. through 10/27/25 at 8:00 A.M.

Review of the resident's progress notes revealed pregabalin was not available on 10/13/25 through 10/20/25 and 10/22/25 through 10/27/25.

Review of a nursing progress note dated 10/19/25 at 4:16 P.M. revealed the pharmacy requested a new prescription for pregabalin 75 mg twice a day.

The pharmacy indicated pregabalin could not be filled without a new prescription.

The on-call certified nurse practitioner (CNP) was contacted, and a three-day supply prescription was sent to pharmacy.

Nursing staff were to follow up with the primary care physician or CNP for the need of a new prescription.

Review of a triage note dated 10/20/25 at 12:59 A.M. revealed Resident #28 was readmitted to the facility.

The resident's pregabalin was changed from 100 mg twice a day to 75 mg twice a day.

The pharmacy had not filled this particular script yet.

The pharmacy indicated they have not received a new prescription to indicate the change in dosage.

The CNP was notified about the dosage change and the need for the new prescription. An interview on 10/27/25 at 1:30 P.M. with Resident #28 stated she did not know why her pain medication was stopped. Resident #28 stated the medication was stopped when she returned from the hospital. An interview on 10/27/25 at 3:16 P.M. with Regional Director of Nursing #300 stated the pharmacy would not send Resident #28's pregabalin without a prescription.

Regional Director of Nursing #300 stated the facility CNP indicated the prescription had been sent but the pharmacy responded they never received the prescription.

Regional Director of Nursing #300 verified Resident #28 received pregabalin on 10/20/25 through 10/22/25 because an on-call CNP ordered the pregabalin.

The on-call doctors/CNPs would only order medications for three days so the facility doctor/CNP could make the decision whether to continue the medication.

Regional Director of Nursing #300 verified Resident #28 did not received pregabalin 75 mg from 10/13/25 at 8:00 P.M. through 10/20/25 at 8:00 A.M. and from 10/22/25 at 8:00 P.M. through 10/27/25 at 8:00 A.M. as ordered.This deficiency represents non-compliance investigated under Complaint Number

  • 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 GALION, 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 Galion Meadows Skilled Nursing and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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