O'neill Healthcare Lakewood
O'NEILL HEALTHCARE LAKEWOOD in LAKEWOOD, OH — inspection on August 27, 2025.
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
Review of the minimum data set 3.0 assessment dated [DATE] revealed she had significant cognitive impairment, was always incontinent, had no listed allergies and no orders or care plan indicating specific alterations to common incontinence care practices.
Observation of an incontinence care procedure for Resident #87 on 08/25/25 at 8:43 A.M. by Certified Nurse Aide (CNA) #501 revealed CNA #501 prepared for the procedure by wetting half of two towels with water.
She wiped the resident’s front perineal area twice with one wetted towel, used the dry half of the same towel to dry it, then repeated the process on the resident’s backside. No soap or other peri-care area approved cleaning product was used during the process.
Interview with CNA #501 on 08/25/25 at 8:56 A.M. confirmed the above observations.
She said she believed Resident #87 had allergies and could not use soap.
The surveyor brought up the resident’s chart on their laptop at this time and confirmed with CNA #501 the resident had no listed allergies and no orders against using soap for incontinence care.
Record review of the facility’s incontinence care policy dated 01/2024 revealed staff were to give appropriate care after each incontinence episode, including washing affected areas with body wash, cleanser, or soap and water.
This deficiency represents noncompliance investigated under Complaint Number 2577547.
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.