Heather Knoll Retirement Village
HEATHER KNOLL RETIREMENT VILLAGE in TALLMADGE, OH — inspection on August 15, 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure Resident #1's medical record was accurate and complete.
This finding affected one (Resident #1) of three resident records reviewed for accurate documentation.
The facility census was 110.Findings include:Review of Resident #1's medical record revealed the resident was admitted on [DATE] and discharged on 06/02/25 with diagnoses including chronic diastolic congestive heart failure, anxiety disorder and syncope and collapse.Review of Resident #1's admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident exhibited intact cognition, was always incontinent of bowel and bladder and was not on a toileting program.Review of Resident #1's Emergency Department Encounter note dated 06/02/25 revealed the resident presented to the emergency department with a chief complaint of altered mental status.
The emergency medical squad (EMS) reported that the nursing facility called because she was not acting like herself and they found her to be unresponsive when the family arrived.
The husband stated that he visited the nursing home on [DATE] and the resident was acting confused and told the staff, but she had not been evaluated at that time.Interview on 08/15/25 at 12:11 P.M. with Licensed Practical Nurse (LPN) #810 revealed she vaguely remembered Resident #1's husband reporting concerns about confusion and she had assessed the resident on that date. LPN #810 confirmed she did not document the assessment of the resident at that time but did not identify a change in the resident's condition.An additional interview on 08/15/25 at 3:03 P.M. with LPN #810 confirmed she remembered Resident #1's husband coming to her on 06/01/25 around lunchtime with concerns that the resident had a decline. LPN #810 confirmed she assessed the resident and did not find any changes in condition but neglected to document the assessment in the resident's medical record.This deficiency is an incidental finding discovered during the course of the complaint investigation.
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.
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