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Blue Stream Rehab And Nursing

📍 4360 Brecksville Rd, Richfield, OH 44286 📞 (330) 659-6166 🛏️ 92 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 5 penalties totaling $71,934

$1,300
Jul 19, 2021

Fine

$983
May 17, 2021

Fine

$655
May 10, 2021

Fine

$68,996
Jan 7, 2021

Fine

$0
Jan 7, 2021

Payment Denial

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Health Violations by Year

2025 40 violations

Tag 0567 D Mar 31, 2025

Honor the resident's right to manage his or her financial affairs.

✓ Corrected: Jun 11, 2025
Tag 0569 D Mar 31, 2025

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

✓ Corrected: Jun 11, 2025
Tag 0576 D Mar 31, 2025

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Jun 11, 2025
Tag 0578 E Mar 31, 2025

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Apr 28, 2025
Tag 0584 F Mar 31, 2025

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Apr 28, 2025
Tag 0600 D Mar 31, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 11, 2025
Tag 0609 D Mar 31, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 11, 2025
Tag 0610 D Mar 31, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Jun 11, 2025
Tag 0636 D Mar 31, 2025

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Jun 11, 2025
Tag 0641 E Mar 31, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 11, 2025
Tag 0655 D Mar 31, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 11, 2025
Tag 0656 E Mar 31, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 28, 2025
Tag 0657 D Mar 31, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jun 11, 2025
Tag 0676 D Mar 31, 2025

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Jun 11, 2025
Tag 0677 E Mar 31, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 11, 2025
Tag 0684 G Mar 31, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 11, 2025
Tag 0686 G Mar 31, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 11, 2025
Tag 0689 E Mar 31, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 11, 2025
Tag 0690 D Mar 31, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 11, 2025
Tag 0698 D Mar 31, 2025

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jun 11, 2025

2024 26 violations

Tag 0609 D Aug 30, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 17, 2024
Tag 0550 D Jul 8, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 16, 2024
Tag 0609 D Jul 8, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 16, 2024
Tag 0610 D Jul 8, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Aug 16, 2024
Tag 0690 D Jul 8, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Aug 16, 2024
Tag 0692 D Jul 8, 2024

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Aug 16, 2024
Tag 0760 D Jul 8, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Aug 16, 2024
Tag 0921 F Jul 8, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Aug 16, 2024
Tag 0812 F May 28, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 12, 2024
Tag 0814 F May 28, 2024

Dispose of garbage and refuse properly.

✓ Corrected: Jun 12, 2024
Tag 0550 E Feb 27, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 9, 2024
Tag 0576 E Feb 27, 2024

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Apr 9, 2024
Tag 0580 D Feb 27, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 9, 2024
Tag 0584 E Feb 27, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Apr 9, 2024
Tag 0609 D Feb 27, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 9, 2024
Tag 0610 D Feb 27, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Apr 9, 2024
Tag 0677 D Feb 27, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 9, 2024
Tag 0679 E Feb 27, 2024

Provide activities to meet all resident's needs.

✓ Corrected: Apr 9, 2024
Tag 0684 D Feb 27, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 9, 2024
Tag 0689 E Feb 27, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 9, 2024
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2023 7 violations

Tag 0584 D Sep 26, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Oct 12, 2023
Tag 0677 D Sep 26, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Oct 12, 2023
Tag 0684 G Sep 26, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 12, 2023
Tag 0686 D Sep 26, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 12, 2023
Tag 0842 D Sep 26, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Oct 12, 2023
Tag 0921 E Sep 26, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Oct 12, 2023
Tag 0550 D Aug 3, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 21, 2023

2022 21 violations

Tag 0565 E Nov 22, 2022

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Dec 28, 2022
Tag 0569 D Nov 22, 2022

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

✓ Corrected: Dec 28, 2022
Tag 0576 C Nov 22, 2022

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Dec 28, 2022
Tag 0578 D Nov 22, 2022

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Dec 28, 2022
Tag 0580 D Nov 22, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Dec 28, 2022
Tag 0677 D Nov 22, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 28, 2022
Tag 0679 D Nov 22, 2022

Provide activities to meet all resident's needs.

✓ Corrected: Dec 28, 2022
Tag 0693 D Nov 22, 2022

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Dec 28, 2022
Tag 0695 D Nov 22, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Dec 28, 2022
Tag 0697 D Nov 22, 2022

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Dec 28, 2022
Tag 0727 F Nov 22, 2022

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Dec 28, 2022
Tag 0755 D Nov 22, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Dec 28, 2022
Tag 0761 D Nov 22, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Dec 28, 2022
Tag 0800 F Nov 22, 2022

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

✓ Corrected: Dec 28, 2022
Tag 0804 F Nov 22, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Dec 28, 2022
Tag 0805 D Nov 22, 2022

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Dec 28, 2022
Tag 0812 F Nov 22, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Dec 28, 2022
Tag 0609 D May 6, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 15, 2022
Tag 0610 D May 6, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Jun 15, 2022
Tag 0622 D May 6, 2022

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Jun 15, 2022
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2021 8 violations

Tag 0585 F Dec 21, 2021

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Jan 21, 2022
Tag 0804 F Dec 21, 2021

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jan 21, 2022
Tag 0880 F Mar 4, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 24, 2021
Tag 0684 D Jan 7, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 24, 2021
Tag 0726 F Jan 7, 2021

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Tag 0809 F Jan 7, 2021

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

✓ Corrected: Mar 24, 2021
Tag 0880 L Jan 7, 2021

Provide and implement an infection prevention and control program.

Tag 0886 F Jan 7, 2021

Perform COVID19 testing on residents and staff.

2020 12 violations

Tag 0558 D Oct 5, 2020

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Oct 23, 2020
Tag 0689 E Oct 5, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 23, 2020
Tag 0773 D Oct 5, 2020

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Oct 23, 2020
Tag 0756 E Jan 23, 2020

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Feb 24, 2020
Tag 0758 E Jan 23, 2020

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Feb 24, 2020
Tag 0803 D Jan 23, 2020

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Feb 24, 2020
Tag 0809 F Jan 23, 2020

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

✓ Corrected: Feb 24, 2020
Tag 0812 E Jan 23, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 24, 2020
Tag 0880 E Jan 23, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 24, 2020
Tag 0921 E Jan 23, 2020

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Feb 24, 2020
Tag 0732 C Jan 6, 2020

Post nurse staffing information every day.

✓ Corrected: Jan 23, 2020
Tag 0921 D Jan 6, 2020

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Feb 24, 2020
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2019 4 violations

Tag 0623 D Nov 8, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Nov 21, 2019
Tag 0842 D Nov 8, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Nov 21, 2019
Tag 0607 D Jul 9, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Aug 5, 2019
Tag 0610 D Jul 9, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Aug 5, 2019

2018 8 violations

Tag 0584 E Nov 20, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Dec 14, 2018
Tag 0623 E Nov 20, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Dec 14, 2018
Tag 0641 E Nov 20, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Dec 14, 2018
Tag 0656 D Nov 20, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 14, 2018
Tag 0761 E Nov 20, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Dec 14, 2018
Tag 0600 D Jan 25, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Feb 21, 2018
Tag 0610 D Jan 25, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Feb 21, 2018
Tag 0761 D Jan 25, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Feb 21, 2018
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2017 11 violations

Tag 0156 D Sep 14, 2017

Give residents a notice of rights, rules, services and charges.

✓ Corrected: Oct 9, 2017
Tag 0241 D Sep 14, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Oct 9, 2017
Tag 0244 E Sep 14, 2017

Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.

✓ Corrected: Oct 9, 2017
Tag 0253 E Sep 14, 2017

Provide housekeeping and maintenance services.

✓ Corrected: Oct 9, 2017
Tag 0278 E Sep 14, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Oct 9, 2017
Tag 0280 D Sep 14, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Oct 9, 2017
Tag 0312 D Sep 14, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Oct 9, 2017
Tag 0334 D Sep 14, 2017

Develop policies and procedures for influenza and pneumococcal immunizations.

✓ Corrected: Oct 9, 2017
Tag 0428 D Sep 14, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

✓ Corrected: Oct 9, 2017
Tag 0441 E Sep 14, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Oct 9, 2017
Tag 0514 D Sep 14, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Oct 9, 2017
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