Buckeye Care And Rehabilitation
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Note: The nursing home is disputing this citation.
FORM CMS-2567 (02/99) Previous Versions Obsolete
sit to stand machine on 11/16/25. There were no interview statements from the two aides who provided the physical assistance with the sit to stand machine to determine how the incident occurred, or if the nurse's notes were an accurate description of what happened. Review of facility reported incidents (FRI), dated 11/01/25 to 11/17/25, revealed no FRI reported regarding this incident. The facility was made aware of the fracture on 11/17/25 at 11:45 A.M., and as of 1:45 P.M., there was no FRI filed as required. Interview with Director of Nursing on 11/17/25 at 2:55 P.M. and 3:35 P.M. confirmed they were made aware of Resident #43's fracture on 11/17/25 at 11:45 A.M. She confirmed they immediately reached out to the physician, and
they got an order to send the resident to the emergency room for further monitoring and observation. The DON confirmed they did not file an FRI, further stating they knew the injury occurred the day before when Resident #43 had an incident they considered a fall, using the sit to stand machine. When asked how she knew this, the DON confirmed there was a nurse's note about the incident and stated she spoke with Resident #43 who stated she felt the injury occurred during the incident with the sit to stand machine. The DON confirmed she had not spoken with the two aides who were assisting Resident #43 with the transfer to determine what happened, and if they had used the sit to stand machine appropriately. She also confirmed
the nurse's notes in the electronic medical records were not written by the two aides who were in the room at the time of the incident. The DON also confirmed the incident report and nurse's notes were not written until nine hours after the incident occurred; confirming the incident occurred on 11/16/25 at 11:40 A.M., and
it was not documented until 8:10 P.M. She confirmed they were planning to interview the two aides later in
the day. Review of facility Reporting and Investigating Abuse, Neglect, Exploitation, or Misappropriation policy, dated September 2022, revealed all reports of abuse, (including injuries of unknown origin), neglect, exploitation, or theft/misappropriation of resident property are reported to local, state, and federal agencies (as required by current regulations) and thoroughly investigated by facility management. The administrator or individual making the allegation immediately reports his or her suspicion to the following persons or agencies: the state licensing/certification agency responsible for surveying/licensing the facility. Immediately is defined as within two hours of an allegation involving abuse or result in serious bodily injury or within 24 hours of an allegation that does not involve abuse or result in serious bodily injury.
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BUCKEYE CARE AND REHABILITATION in LANCASTER, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 LANCASTER, 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 BUCKEYE CARE AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.