Suburban Healthcare And Rehabilitation
Inspection Findings
F-Tag F0760
F 0760
Ensure that residents are free from significant medication errors.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, and policy review, the facility failed to administer medications as ordered. This affected one (#10) of three residents reviewed for medications. The census was 115.Findings include:Record review for Resident #10 revealed the resident was admitted to the facility on [DATE REDACTED] with diagnoses including dysphagia, dysarthria, end stage renal disease, diabetes, and hypothyroidism. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE REDACTED] revealed Resident #10 had impaired cognition evidenced by a Brief Interview for Mental Status (BIMS) score of 99. The resident was assessed to require staff assistance with personal care, bathing, and dressing.Review of Resident #10 ' s hospital Discharge summary dated [DATE REDACTED] in her medical record revealed an order for levothyroxine 175 micrograms (mcg) once per day to treat hypothyroidism and an order for aspirin 81 milligrams (mg) once daily to decrease the risk of a subsequent stroke occurring. Review of Resident #10 ' s medication administration records (MARs) since admission revealed Resident #10 did not receive the prescribed aspirin 81 mg until 10/20/24 because they were not properly added to her orders at the time of admission intake. Further review of the MARs revealed Resident #10 did not receive the prescribed levothyroxine until 06/25/25, also due to an oversight during admission intake.Interview with the Director of Nursing (DON) on 08/15/25 at 3:50 P.M. confirmed the facility failed to administer Resident #10's levothyroxine and aspirin as ordered at the time of admission. Review of the facility ' s policy titled, Administering Medications, dated 04/18, revealed medications must be administered in accordance with the orders, including any required timeframe.This deficiency represents non-compliance investigated under Complaint Number 2562828.
Residents Affected - Few
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
SUBURBAN HEALTHCARE AND REHABILITATION in NORTH RANDALL, 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 RANDALL, 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 SUBURBAN HEALTHCARE AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.