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Complaint Investigation

Norwalk Memorial Home

Inspection Date: December 30, 2025
Total Violations 1
Facility ID 365668
Location NORWALK, OH
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Inspection Findings

F-Tag F0729

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0729 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on personnel file review, online State of Ohio State Tested Nursing Aide Registry review, staff interview and

review of facility policy, the facility failed to ensure a current/active license for one, Certified Nursing Assistant #117, of five employees reviewed for current/active licensure. This had the potential to affect all residents. The facility census was 54. Review of Certified Nursing Assistant (CNA) #117's personnel file revealed a hire date of [DATE REDACTED].Review of the Ohio Department of Health State Tested Nursing Aide registry

review dated [DATE REDACTED] at 2:58 P.M. revealed CNA #117's registry had expired on [DATE REDACTED] and she was not eligible to work.Review of the facility staffing schedule revealed CNA #117 worked in the capacity of a state tested nursing assistant on [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], and [DATE REDACTED].Interview with Human Resources Coordinator #150 on [DATE REDACTED] at 1:15 P.M. revealed CNA #117 had submitted her resignation on [DATE REDACTED] so her registration renewal information was removed from the computer system. On [DATE REDACTED] CNA #117 notified Human Resources that she would like to remain employed at the facility. Human Resources Coordinator #150 stated CNA #117's renewal information was not re-entered and therefore CNA #117's registration expired on [DATE REDACTED]. Review of the facility policy titled Human Resources Licensure and Certification dated 11/2025 revealed failure by the employee to renew required license, certification and/or registration or to allow required licensure/certification to expire without renewal will result in the employee being removed from the work schedule as of midnight of the expiration date and suspension without pay until a valid license/certification is provided. Continued inability to provide verification of license/certification will place the employee's employment in jeopardy.This violation represents non-compliance investigated under Master Complaint Number 2695554.

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:

📋 Inspection Summary

NORWALK MEMORIAL HOME in NORWALK, OH inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 NORWALK, 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 NORWALK MEMORIAL HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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