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Complaint Investigation

Versailles Rehabilitation And Health Care Center

Inspection Date: August 28, 2025
Total Violations 1
Facility ID 365900
Location VERSAILLES, OH
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

department were notified. Interview on 08/28/25 at 11:12 A.M. with Administrator and DON confirmed they were notified on 08/13/25 around 11:00 P.M. of an allegation of sexual abuse involving Resident #26 and #90. DON stated she arrived at the facility and initiated an investigation which included staff and resident interviews, notifying the police department, families, and physician. Administrator stated neither Resident #26 nor Resident #90 had ever shown sexually aggressive behavior prior to the incident. Administrator stated Resident #90 remained on one-on-one supervision until her discharge on [DATE REDACTED]. The Administrator and DON confirmed Resident #26 and #90 had cognitive impairment, resided on a secured/locked unit and were unable to provide consent to the sexual encounter. Interview on 08/28/25 at 2:44 P.M. with STNA #210 confirmed she was walking in the hallway and observed Resident #90 sitting on the couch in the common area with Resident #26 standing in front of her and his penis was in her mouth. STNA #210 stated she immediately separated the residents and called for help. STNA #210 stated she never left the residents alone at any time after her observation. STNA #210 confirmed both Resident #26 and #90 had severely impaired cognition and could not consent to sexual encounter. Review of the facility policy titled, Abuse Prevention, dated September 2021, stated the residents have the right to be free from abuse, neglect, misappropriation of resident property, and exploitation. This included but was not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual, or physical abuse, and physical or chemical restraint not required to treat the resident's symptoms. The policy stated as part of the abuse prevention, the administration would protect residents from abuse by anyone including but not necessarily limited to facility staff, other residents, consultants, volunteers, staff from agencies, family members, legal representatives, friends, visitors, or any other individual. This deficiency represents non-compliance investigated under Complaint Number 2597903.

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📋 Inspection Summary

VERSAILLES REHABILITATION AND HEALTH CARE CENTER in VERSAILLES, OH inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 VERSAILLES, 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 VERSAILLES REHABILITATION AND HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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