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Complaint Investigation

Cardinal Woods Skilled Nursing & Rehab Ctr

May 28, 2026 · Madison, OH · 6831 Chapel Road
Citations 2
CMS Rating 1/5
Beds 120
Provider ID 365658
Healthcare Facility
Cardinal Woods Skilled Nursing & Rehab Ctr
Madison, OH  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

CARDINAL WOODS SKILLED NURSING & REHAB CTR in MADISON, OH — inspection on May 28, 2026.

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.

Inspection Findings

FF0689
Quality of Life and Care Deficiencies

Number 2710514.

365658 05/28/2026

Cardinal Woods Skilled Nursing & Rehab Ctr 6831 Chapel Road Madison, OH 44057

Observation on 05/20/26 at 1:21 P.M. with FSM #601of a lunch meal test tray revealed the meal was the last tray removed from the cart.

Further observation of the food items, tested with a facility calibrated thermometer, revealed the hot foods maintained a safe temperature.

However, the milk temperature was 48 degrees F.

Concurrent interview with FSM #601 verified the temperature of the milk. FSM #601 stated dietary staff sent milk to the units around 11:30 A.M. on a beverage cart, before the lunch meal trays arrived.

Review of facility policy titled, Food Safety and Sanitation, undated, revealed refrigerated food was to be stored at or below 41 degrees F.3.

Observation on 05/18/26 at 8:37 A.M. of the kitchen ice machine revealed cracked plastic and a frayed seal on the ice machine door.

The filter was observed to be full of dust, and the output vents had a coating of dust.

Concurrent interview with FSM #601 verified the filter was dusty and the output fan had excess dust and stated the filter needed cleaned through the dish machine.

Interview on 05/20/26 at 3:10 P.M. with Maintenance Supervisor (MS) #700 revealed it was maintenance's responsibility to clean the top part of the ice machine, such as the fan and filter, every six months.Review of facility document titled, Machine Activity Log, revealed the last documented ice machine cleaning was on 09/10/25, when the ice machine was sanitized and the descaling cycle was run.

The facility performed a sanitization and descaling on 05/26/26, during the annual survey.This deficiency represents non-compliance investigated under Complaint Number 2710514.

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 MADISON, 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 CARDINAL WOODS SKILLED NURSING & REHAB CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.