Winchester Terrace
WINCHESTER TERRACE in MANSFIELD, OH — inspection on September 18, 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.
Inspection Findings
Review of the facility policy titled Activities of Daily Living (ADLs)/ Maintain Abilities, dated 09/03/24, revealed the facility would provide care and services for mobility, transfers and ambulation.The deficiency was corrected on 09/16/25 when the facility implemented the following corrective actions: On 08/20/25 at approximately 6:30 A.M., RN #252 assessed Resident #03 for injury. Resident #03 was transferred to the hospital for further evaluation and treatment. On 08/20/25, Maintenance Director (MD) #244 completed an inspection of all Hoyer lifts, with no concerns identified.
Verification was received confirming the inspection was completed.
Beginning on 08/26/25, the DON or designee will audit four Hoyer lift transfers weekly for four weeks, then bi-weekly for one month, and then monthly for two months.
Results of the audits will be reviewed by the Quality Assurance and Performance Improvement (QAPI) committee to ensure on-going compliance.
Review of audit documentation from 08/26/25 through 09/16/25 verified completion of the audits, with no negative findings. On 08/26/25, the DON educated all direct care staff on the safe use of Hoyer lifts.
Verification was received verifying the education was completed. On 08/28/25, the DON completed a Hoyer lift competency with all direct care staff to ensure safe use of the lifts.
Verification was received verifying the competencies were completed.
Interviews on 09/17/25 from 2:38 P.M. through 2:56 P.M. with CNA #230 and CNA #234 confirmed education and competencies were completed on the safe use of Hoyer lifts.
Review of two (Residents #6 and #10) additional open residents records, reviewed for Hoyer lift transfers, revealed no related concerns.This deficiency represents non-compliance investigated under Complaint Number 2601158.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Winchester Terrace
70 Winchester Rd Mansfield, OH 44907
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility policy titled, Resident Right- Safe/Clean/Comfortable/Homelike Environment, dated 09/03/24, revealed the facility must provide a safe, clean, comfortable, and homelike environment.
Review of the facility policy titled, Safe Environment dated 09/03/24, revealed the facility will maintain the facility premises and conducts its operations in a safe and sanitary manor.This deficiency represents non-compliance investigated under Complaint Number 2601158.
Facility ID:
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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.