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Complaint Investigation

Astoria Place Of Waterville

Inspection Date: September 30, 2025
Total Violations 1
Facility ID 365747
Location WATERVILLE, OH
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Actual Harm

F 0600 Level of Harm - Actual harm Residents Affected - Few

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

strangulation. Narrative notes documented when the officer arrived on scene, he saw a group of nurses and aids in Resident #55's room. Upon entering the room Resident #53 was unresponsive, lying face down on

the floor, with a towel wrapped around her neck. The nurse told officers the room where the incident happened belonged to Resident #55. Resident #55 was not in the room at the time of the incident. She said

the door was closed and when the nurses opened it, Resident #29 was standing in the room rocking back and forth. They pulled back the privacy curtains and found Resident #53 unresponsive on the floor. The suspect, Resident #29, was sitting with one of the nurse aides and a resident at a table in the lounge area.

The officer asked Resident #29 what happened today and he responded, I don't know, she was down and choked me, stabbed me, then took off. The officer repeated Resident #29's statement questioning who choked and stabbed him. Resident #29 stated, No she didn't choke me, he choked me and stuck me. I don't know his name. The officer asked him if he was hurt at all. Resident #29 said No I'm alright, she was breathing when I was in there. I couldn't do anything to her. One of the residents sitting at the table asked Resident #29 if he was going home after this. Resident #29 responded No, I am going to prison, death row.

The officer asked him why Resident #53 was on the floor right now. Resident #29 said She's dead, I guess.

She wasn't dead. The officer questioned Resident #29 if he touched Resident #53. He responded, Oh yeah.

The officer asked him where and Resident #29 said Around the neck. The DON walked into the room and introduced herself to the officer. Resident #29 turned around and said to the DON You see, I killed her. The DON mentioned to me that Resident #29 was in jail for a long time, but she didn't know for what kind of crime. Review of the local county coroner case summary of death of Resident #53 dated 09/24/25 revealed anatomic diagnoses included: petechial hemorrhages involving the face and forehead, bilateral upper and lower petechial conjunctival hemorrhages, facial congestion, faint shallow ligature [NAME] on the anterior neck consistent with cloth ligature, deep right-sided strap muscle hemorrhage, anterior cervical soft tissue hemorrhage, cerebral vascular congestion, and faint purple contusion on right anterolateral neck, distally.

Cause of death: Strangulation (minutes). Cause of injury noted as strangled with cloth ligature. Manner of death Homicide. Review of the facility policy titled Abuse, Mistreatment, Neglect, Exploitation and Misappropriation of Resident Property, last reviewed 05/2025, revealed residents have the right to be free from abuse. The policy defines abuse as the willful infliction of injury resulting in physical harm. The policy defines serious bodily injury as an injury involving extreme ph

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📋 Inspection Summary

ASTORIA PLACE OF WATERVILLE in WATERVILLE, 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 WATERVILLE, 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 ASTORIA PLACE OF WATERVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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