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Complaint Investigation

Northwood Skilled Nursing And Rehabilitation

November 20, 2025 · Springfield, OH · 2000 Villa Road
Citations 4
CMS Rating 2/5
Beds 85
Provider ID 365684
Healthcare Facility
Northwood Skilled Nursing And Rehabilitation
Springfield, OH  ·  View full profile →
Inspection Summary

NORTHWOOD SKILLED NURSING AND REHABILITATION in SPRINGFIELD, OH — inspection on November 20, 2025.

Found 4 citations. 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.

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Inspection Findings

FF0690
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #72 was severely cognitively impaired.

Her functional status was set up or clean-up assistance with eating, dependent for toileting and transfers.

She was substantial/maximal assistance for bed mobility.

She was frequently incontinent for bladder and always incontinent for bowel.

Observation of incontinence care for Resident #72 on 11/19/25 at 6:16 A.M. with Certified Nursing Assistant (CNA) #56 revealed the resident's brief was saturated and had leaked a small amount onto the incontinence pad she was lying on.

The odor was pungent.

Interview with the CNA #56 on 11/19/25 at 6:30 A.M. verified the brief was saturated and leaked onto the pad under the resident.

She said she changed the resident at 2:15 A.M. and didn't know why she would be so wet.

She confirmed the resident should be changed every two hours.

This deficiency represents non-compliance discovered under Complaint Number 2642540.

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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Northwood Skilled Nursing and Rehabilitation

2000 Villa Road Springfield, OH 45503

SUMMARY STATEMENT OF DEFICIENCIES

Review of the quarterly MDS dated [DATE] revealed Resident #39 was severely cognitively impaired.Review of Medication Administration Audit Report dated 11/18/25 revealed the following medications prescribed for 9:00 P.M.

Seroquel (antipsychotic medication) 150 mg two times a day, Melatonin 5 mg one tablet, Mirtazapine (antidepressant medication) 7.5 mg, Depakote 125 mg give three tablets twice a day were given at 10:34 P.M.

Interview with Licensed Practical Nurse (LPN) #116 on 11/19/25 at 6:50 A.M. revealed she was late with giving her medications last night, 11/18/25, because she had two falls.

She stated she had not ask for help from anyone because there was not a unit manager and the other nursing staff had their own medications to pass.

Interview with the Nurse Practitioner (NP) #115 on 11/19/25 at 12:11 P.M. revealed she had not received a call from the facility last night, 11/18/25, concerning late medications and confirmed while she was at the facility she was not informed of any late medications for last night.

Review of the policy titled Administering Medications dated 04/01/19 revealed medications are to be administered in a safe and timely manner, and as prescribed.

Medications are administered in accordance with prescriber orders, including any required time frame.

Medications are to be administered within one (1) hour of their prescribed time, unless otherwise specified (for example, before and after meal orders).This deficiency represents non-compliance investigated under Complaint Number 2642540 and 2642363.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Northwood Skilled Nursing and Rehabilitation

2000 Villa Road Springfield, OH 45503

SUMMARY STATEMENT OF DEFICIENCIES

gloves.

This deficiency represents non-compliance investigated under Complaint Number 2642540.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Northwood Skilled Nursing and Rehabilitation

2000 Villa Road Springfield, OH 45503

SUMMARY STATEMENT OF DEFICIENCIES

Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #72 was severely cognitively impaired.

Her functional status was set up or clean-up assistance with eating, dependent for toileting and transfers.

She was substantial/maximal assistance for bed mobility.

She was frequently incontinent of bladder and always incontinent for bowel.

Review of an invoice from a plumbing company dated 11/11/25 revealed the mixing valve from the hot water had to be replaced.

Review of the temperatures for the water for the 200-hall dated 11/18/25 revealed they were within normal limits.

Review of the invoice dated 11/19/25 after the incontinence care revealed there was a new mixing valve replaced due malfunction of the one placed on 11/11/25.

During an observation of incontinence care on 11/19/25 at 6:16 A.M. with Certified Nursing Assistant (CNA) #117 and CNA #33 revealed CNA #33 went into the bathroom to prepare water for the care but had to leave the room to go to another room to get water that was warm and came back into the room.

During the care resident #72 was uncomfortable with the water temperature and she would pull away from the washcloth when the aides tried to wash under her arms, face and peri-care.

The aides acknowledged the resident was cold from the cold water they were washing her with and continued with the care.

Observation of the water temperature on 11/19/25 at 6:30 A.M. revealed the water temperature was taken by the Director of Nursing (DON) and the thermometer read 93.7 degrees Fahrenheit.

The DON confirmed the water was too cold.

Interview with CNA #33 on 11/19/25 at 6:35 A.M. revealed the water temperature had been a problem lately and the facility had someone out to fix it and it worked for a while and now it was not working anymore.

She stated she tried to get warmer water by leaving the room, but it was only lukewarm.

There wasn't a policy to review and the Administrator said they follow the regulatory guidelines.

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 SPRINGFIELD, 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 NORTHWOOD SKILLED NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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