Ashtabula County Nursing Home
ASHTABULA COUNTY NURSING HOME in KINGSVILLE, OH — inspection on February 25, 2026.
Found 1 citation. 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
facility list. On 01/12/26, MD #676 implemented and conducted an audit of shower equipment that
junctures to make sure pipe and fittings did not pull apart and checked tightness of fasteners.
This
previous shower beds/chairs monthly maintenance and safety checklist. On 01/12/26, the Administrator, DON, ADON/RN #601, and MD #676 completed a re-enactment of the incident for an investigation of the root cause of the incident. On 01/12/26, a risk management meeting was held with Administrator, DON, ADON/RN #601, MD #676, Unit Manager/RN #602, Unit Manager/LPN #680, LPN #681, and MDS/RN #600 to discuss the incident, root cause, and interventions.On 01/12/26, the Administrator and DON met with Resident #77's granddaughter to review the investigation/re-enactment. On 01/13/26, MD #676 ordered new shower gurneys. On 01/15/26, the DON reviewed the facility investigation with PCP/MD #723.On 01/15/26, the Administrator updated Resident #77's daughter on the investigation.On 01/16/26, the Administrator and DON reviewed the facility policies including Accidents and Incidents last revised 05/22/24, and Shower/Tub Bath undated. On 01/20/26, the Administrator updated Resident #77's daughter to discuss Resident #77's return to the facility and interventions to be implemented. On 01/21/26, a Physical Therapy (PT) evaluation was completed by PT #729 and Occupational Therapy (OT) evaluation was completed by OT #728 for Resident #77.On 01/21/26, Unit Manager/LPN #680 changed Resident #77 to be a two-person gurney shower on weekdays.On 01/21/26, a risk management meeting was held with Administrator, DON, ADON/RN #601, MD #676, Unit Manager/RN #602, Unit Manager/LPN #680, LPN #681, and MDS/RN #600 to discuss the incident, interventions, changing gurney showers to weekdays with some exclusions, and discussed an upcoming staff in-service meeting scheduled 01/27/26. On 01/21/26, the Unit Manager/RN #602, Unit Manager/LPN #680 and LPN #681 updated the facility shower schedule to change all gurney showers with some exclusions to weekdays.On 01/26/26, ADON #601 updated the interview data sheets/incident/accident reports to provide more details to assist in finding the root cause of an incident.On 01/27/26 and on 01/29/26, an in-service with all nurses and CNAs was conducted by DON and ADON/RN #601 to review fall policy, bathing policy, safety including not rolling a resident away from staff only towards staff unless another staff member was on the other side, have a second staff member assist with gurney showers when needed, updated interview data sheets/incident/accident reports, change in shower schedules, and reporting any maintenance issues including on gurneys. On 01/29/26, MD #676 ordered new shower chairs.On 02/13/26, Interdisciplinary Team Meeting was held with Resident #77's daughter and granddaughter to discuss overall care.On 02/17/26, a risk management meeting was held with Administrator, DON, ADON #601, MD #676, Unit Manager/RN #602, Unit Manager/LPN #680, LPN #681, and MDS/RN #600 to discuss any feedback from in-service and review of all current interventions. On 02/20/26, the Administrator updated PCP/MD #723.
This deficiency represents non-compliance investigated under Complaint Number 2730416.