Aventura At Assumption Village
Inspection Findings
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
administration on the CDR but not documented as administered on the MAR.-12/07/25 at 12:00 A.M. it was removed for PRN administration on the CDR but not documented as administered on the MAR.-12/07/25 at 5:42 A.M. it was removed for PRN administration on the CDR but not documented as administered on the MAR.Interview with LPN #416 on 12/18/25 at 10:13 A.M. revealed Resident #12 complained LPN #480 did not administer her as needed (PRN) Percocet but, gave her Tylenol instead. LPN# 416 notified corporations and LPN #480 was sent home and investigation was initiated.Interview on 12/22/25 at 9:49 A.M. with the Director of Nursing (DON) verified the above findings, and confirmed the nurses were required to administer and document controlled medications using both the MAR and CDR to prevent medication errors. LPN #480 was terminated on 12/25/25 for violation of the facility's drug policy. LPN #480 tested positive for benzodiazepines without active prescription. A police report was filed with the local police department. Ohio Department of Health, Ohio Board of Nursing and Ohio Board of Pharmacy were notified of investigation findings.Interview with the Administrator on 12/22/25 at 10:10 A.M. revealed LPN #480 had no other violations substantial to medication documentation errors. Resident #12 had complained about LPN #480 taking her medications several months prior after this incident presented itself to facility.Review of the facility policy, Administering Medications, revised April 2019, revealed medication errors are documented, reports, and reviewed by the QAPI committee to inform process changes and or the need for additional staff training and if the drug is withheld, refused, or given at a time other than scheduled time, medication shall be initialed and circled on the MAR. All medications administered shall be documented on
the MAR.This deficiency represents non-compliance investigated under Master Incident Number 2692300.
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AVENTURA AT ASSUMPTION VILLAGE in NORTH LIMA, 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 NORTH LIMA, 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 AVENTURA AT ASSUMPTION VILLAGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.