B+
82/100

GARDENS AT CELINA Inspection Report, Violations & Safety Grade (CELINA, Ohio)

1301 MYERS ROAD, CELINA, Ohio 45822

Phone: 4195840100

CMS Overall:4/5

Overview & Bed Count

Certified Beds
25
Avg Residents/Day
23.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Mercer
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityOhio AvgDifference
RN Hours per Resident per Day1.020.64+0.37
Total Nurse Hours per Resident per Day3.413.71-0.31
CMS Staffing Rating2/52.4/5-
Nursing Staff Turnover64.5%49%-

Health Citation History

21 health citations on record

DateCategoryDescriptionSeverity
2025-12-24Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-12-24Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-11-05Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2022-11-23Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F – Moderate Harm Potential
2022-11-23Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F – Moderate Harm Potential
2022-11-23Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2022-11-23Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2022-11-23Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2022-11-23Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2022-11-23Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2022-11-23Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2022-11-23Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2022-11-23Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2022-11-23Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2022-11-23Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2019-11-21Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2019-11-21Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2019-11-21Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2019-11-21Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2019-11-21Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2019-11-21Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential

Fire Safety Citation History

8 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-24Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2022-11-23Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2022-11-23Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2022-11-23Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential
2022-11-23Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.F – Moderate Harm Potential
2019-11-21Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2019-11-21Services DeficienciesEnsure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.F – Moderate Harm Potential
2019-11-21Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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