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Complaint Investigation

Country Lane Gardens Rehab & Nursing Ctr

October 28, 2025 · Pleasantville, OH · 7820 Pleasantville Road
Citations 1
CMS Rating 2/5
Beds 99
Provider ID 366199
Healthcare Facility
Country Lane Gardens Rehab & Nursing Ctr
Pleasantville, 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

COUNTRY LANE GARDENS REHAB & NURSING CTR in PLEASANTVILLE, OH — inspection on October 28, 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

FF0726
Nursing and Physician Services Deficiencies
Potential for More Than Minimal Harm

Review of the policy titled Removal of a Peripheral IV (Over the Needle, Peripheral Short) Catheter dated 09/2011 revealed a peripheral IV catheter is defined as a catheter that is less than three inches (seven point five centimeters (cm)) in length. It is also referred to as a peripheral shorth catheter, an over the needle catheter, saline lock, and angiocath.

The policy titled Removal of Central Line and Midline Catheters dated 01/17/19 revealed to verify the state nurse practice act for RN/LPN scope of practice and function.

Review of the article titled LPN IV Therapy Updates and FAQs-Updated Accordance with HB 509, effective 04/06/23 revealed that LPNs who have the required skills, knowledge and ability are authorized to perform limited adult IV therapy as authorized by Sections 4723.18 and 4723.181, Ohio Revised Code (ORC), and current Rules 4723-17-03(A), (B), and (C), Ohio Administrative Code.

Review of Rules 4723-17-03(A), (B), and (C), Ohio Administrative Code effective 02/01/20 revealed except as provided in paragraph (B) of this rule, a LPN shall not perform any of the following intravenous therapy procedures: initiate or discontinue a peripherally inserted central catheter, or any catheter that is longer that three inches.

This deficiency represents non-compliance investigated under Complaint Number 2650792.

Facility ID:

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 PLEASANTVILLE, 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 COUNTRY LANE GARDENS REHAB & NURSING CTR 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.