Shelby Skilled Nursing And Rehabilitation
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
nursing staff that Resident #02 had been lowered to the floor and may have hit her head. Unit Manager #145 confirmed the staff had not initiated neuro checks. Unit Manager #145 stated an order was received to start neuro checks at that time. Unit Manager #145 confirmed the facility nurses should initiate neurological checks for any resident falls that are unwitnessed or if the resident hits their head. 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.
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SHELBY SKILLED NURSING AND REHABILITATION in SIDNEY, 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 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.