Chardon Woods Inspection Report, Violations & Safety Grade (CHARDON, Ohio)

12340 BASS LAKE ROAD, CHARDON, Ohio 44024

Phone: 4402854040

CMS Overall:4/5

Overview & Bed Count

Certified Beds

161

Avg Residents/Day

134.8

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

Geauga

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall4/5

Health4/5

Staffing2/5

Quality3/5

Nurse Staffing Check

Metric	This Facility	Ohio Avg	Difference
RN Hours per Resident per Day	0.51	0.64	-0.13
Total Nurse Hours per Resident per Day	3.55	3.71	-0.16
CMS Staffing Rating	2/5	2.4/5	-
Nursing Staff Turnover	44.9%	49%	-

Health Citation History

12 health citations on record

Date	Category	Description	Severity
2025-05-22	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D – Moderate Harm Potential
2025-01-16	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E – Moderate Harm Potential
2025-01-16	Resident Rights Deficiencies	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	D – Moderate Harm Potential
2025-01-16	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2025-01-16	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2025-01-16	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2022-10-06	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2022-10-06	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2022-10-06	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D – Moderate Harm Potential
2019-11-21	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2019-11-21	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D – Moderate Harm Potential
2019-11-21	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D – Moderate Harm Potential

Fire Safety Citation History

29 fire safety citations on record

Date	Category	Description	Severity
2025-05-19	Services Deficiencies	Meet other general requirements that are deficient.	F – Moderate Harm Potential
2025-01-16	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2025-01-16	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2025-01-16	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	F – Moderate Harm Potential
2025-01-16	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2025-01-16	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2025-01-16	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2025-01-16	Egress Deficiencies	Have exits that are accessible at all times.	E – Moderate Harm Potential
2025-01-16	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	E – Moderate Harm Potential
2022-10-06	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	F – Moderate Harm Potential
2022-10-06	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	F – Moderate Harm Potential
2022-10-06	Smoke Deficiencies	Install an approved automatic sprinkler system.	F – Moderate Harm Potential
2022-10-06	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	F – Moderate Harm Potential
2022-10-06	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F – Moderate Harm Potential
2022-10-06	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2022-10-06	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	F – Moderate Harm Potential
2022-10-06	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	F – Moderate Harm Potential
2022-10-06	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper power supply for life support equipment.	F – Moderate Harm Potential
2022-10-06	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2022-10-06	Egress Deficiencies	Meet other general requirements that are deficient.	E – Moderate Harm Potential
2022-10-06	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	E – Moderate Harm Potential
2019-11-21	Smoke Deficiencies	Properly install and monitor supervisory attachments on automatic sprinkler systems.	F – Moderate Harm Potential
2019-11-21	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2019-11-21	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2019-11-21	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2019-11-21	Smoke Deficiencies	Have properly sized and located compartments to protect residents from smoke.	E – Moderate Harm Potential
2019-11-21	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2019-11-21	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper power supply for life support equipment.	E – Moderate Harm Potential
2019-11-21	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper storage of liquid oxygen.	E – Moderate Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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Need Help Finding Safe Care?

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(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

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