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Complaint Investigation

Winchester Terrace

December 31, 2025 · Mansfield, OH · 70 Winchester Rd
Citations 1
CMS Rating 2/5
Beds 83
Provider ID 365911
Healthcare Facility
Winchester Terrace
Mansfield, 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

WINCHESTER TERRACE in MANSFIELD, OH — inspection on December 31, 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

FF0689
Quality of Life and Care Deficiencies

Review of the annual Minimum Data Set (MDS) assessment, dated 11/01/25, revealed Resident #21 was cognitively impaired and required total (staff) assistance with Activities of Daily Living (ADLs). Resident #21 utilized a mechanical lift for transfers.

Review of the care plan dated 10/23/19 revealed Resident #21 had an ADL deficit related to dementia and hemiplegia.

Interventions included using a mechanical lift with two staff to transfer Resident #21 in and out of bed.

Review of the physician orders revealed an order dated 12/20/22 for Hoyer (mechanical) lift for all transfers.Observation on 12/30/25 at 11:39 A.M. revealed Certified Nursing Assistant (CNA) #200 entered Resident #21's room with a mechanical lift. No other staff were present.

Further observation on 12/30/25 at 11:59 A.M. revealed CNA #200 exited Resident #21's room with the mechanical lift. No other staff were present in the room.

Interview on 12/30/25 at 11:59 A.M. with CNA #200 verified she transferred Resident #21 utilizing a mechanical lift without a second staff person present.

Further interview with CNA #200 confirmed Resident #21 was to be transferred utilizing a mechanical lift with two staff person assistance. CNA #200 confirmed she was trained on how to transfer a resident utilizing a mechanical lift and knew two staff were to assist with the transfer.

Review of the facility policy titled, Hoyer Lift Education-Long Term Care, dated 08/20/25, revealed to always use two staff members when transferring a resident using a mechanical lift.

This was an incidental finding discovered during the complaint investigation.

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.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

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 MANSFIELD, 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 WINCHESTER TERRACE 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.