Tallmadge Health & Rehab Center
TALLMADGE HEALTH & REHAB CENTER in TALLMADGE, OH — inspection on October 16, 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
Review of the MARS and TARS for 10/15/25 revealed orders three days after admission to monitor J-Tube site and peri skin every shift.
Special instructions to monitor for redness, tenderness, itching, burning, and/or swelling.
Report changes to provider and document in a note.Interview on 10/15/25 at 6:36 A.M. with Director of Nursing (DON) confirmed there were no orders for Resident #2 for dressing changes for her J-tube site until 10/15/25.
Interview on 10/15/25 at 12:10 P.M. via phone with Physician #301 confirmed Resident 2 should have routine care for the J-tube site.Interview on 10/16/25 at 8:16 A.M. with Licensed Practical Nurse (LPN) #303 confirmed all residents with feeding tubes, to include J-tube should have orders for the care. LPN #303 confirmed after reviewing Resident #2's orders, to include discontinued orders she did not have any orders for the care of her J-tube site on her readmission to facility on 10/12/25, 10/13/25 and 1014/25. LPN #303 reported orders for the J-tube site were put in on 10/15/25.Interview on 10/16/25 at 9:09 A.M. with Assistant Director of Nursing (ADON) #282 confirmed Resident #2 did not have any orders on her readmission for 10/12/25, 10/13/25, and 10/14/25 for her J-tube site care. ADON #282 confirmed an order for Resident #2's J- tube site care was put in on 10/15/25 and she provided the care on that day.Interview on 10/16/25 at 3:22 P.M. with DON confirmed the readmission assessment for Resident #2 was not initiated until 10/13/25 at 5:03 A.M. DON confirmed the reassessment initiated on 10/13/25 at 5:23 A.M. by LPN #232 was mostly incomplete and the section for gastrointestinal system had nothing documented, including nothing for the J-tube site.
Interview on 10/16/25 at 3:28 P.M. with LPN #227 confirmed the admission/readmission is to be initiated promptly by the admitting nurse and completed before leaving work.
Interview on 10/16/25 at 3:28 P.M. with RN #294 confirmed the admission/readmission is to be initiated promptly by the admitting nurse or nurse on next shift and completed before timely. RN #294 confirmed, by pulling up Resident #2's readmission assessment, it was not timely, initiated on 10/13/25 and not completed, with many incomplete sections to include the gastrointestinal system. RN #294 confirmed 4 days later is not timely.
Review of facility policy, Enteral Feeding Tube(s) Policy revised 11/19/24, revealed site care, to include enteral tube entrance sites will be monitored daily and observed for the following, erythema or edema, and drainage: quantity, odor, and appearance.
Review of facility policy, admission re-admission Process, revised 03/19/25, revealed admissions/readmissions will have required assessment/documents initiated promptly.
This deficiency represents non-compliance investigated under Complaint Number OH002638099.
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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.