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Complaint Investigation

Shelby Skilled Nursing And Rehabilitation

December 1, 2025 · Sidney, OH · 705 Fulton Street
Citations 1
CMS Rating 3/5
Beds 50
Provider ID 365297
Healthcare Facility
Shelby Skilled Nursing And Rehabilitation
Sidney, 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

SHELBY SKILLED NURSING AND REHABILITATION in SIDNEY, OH — inspection on December 1, 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

FF0689
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of the facility policy titled, Neurological Assessment, stated the purpose of the procedure was to provide guidelines for a neurological assessment: 1) upon physician order; 2) when following an unwitnessed fall; 3) subsequent to a fall with a suspected head injury; or 4) when indicated by resident condition.

The deficient practice was corrected on 10/20/25, when the facility implemented the following corrective actions: On 10/16/25, Unit Manager #145 assessed Resident #02 and was found to be absent from any adverse effects related to fall.

On 10/16/25, Unit Manager #145 notified Resident #02's responsible party of the concern. On 10/16/25, Unit Manager #145 notified the facility Nurse Practitioner of delay in the initiation of proper neurological checks following the fall on 10/16/25 and gave directions to initiate neurological checks at the beginning interval, per protocol, at the time of notification. On 10/16/25, Administrator suspended LPN #110 upon identification of delay in initiating appropriate neurological check post fall for Resident #02 on 10/16/25. On 10/17/25, LPN #110's employment was terminated. On 10/17/25, Director of Nursing (DON) completed medical record audit of current facility residents who had fallen in the past 60 days to ensure neurological checks were initiated promptly as per protocol and documentation was complete and accurate.

There were no variances as a result of the audit. On 10/17/25, DON or designee would audit all falls for head strike to ensure neurological checks were started as required five times per week for four weeks to ensure nurses are following post fall protocol. On 10/20/25, Unit Manager #145 educated the facility STNAs and nurses on fall management and neurological check policies. On 11/17/25, the results of audits will be reported to the Quality Assurance (QA) Committee.

This deficiency represents non-compliance investigated under Complaint Number 2624383.

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 SIDNEY, 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 SHELBY SKILLED NURSING AND REHABILITATION 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.