LIBERTY NURSING CENTER OF MANSFIELD Inspection Report, Violations & Safety Grade (MANSFIELD, Ohio)

535 LEXINGTON AVENUE, MANSFIELD, Ohio 44907

Phone: 4197567111

CMS Overall:1/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

53.4

Ownership

For profit - Individual

Provider Type

Medicare and Medicaid

County

Richland

Sprinkler Systems

Yes

Special Focus

None

Abuse Citation

CMS Star Ratings

Overall1/5

Health2/5

Staffing4/5

Quality1/5

Nurse Staffing Check

Metric	This Facility	Ohio Avg	Difference
RN Hours per Resident per Day	0.93	0.64	+0.28
Total Nurse Hours per Resident per Day	3.69	3.71	-0.02
CMS Staffing Rating	4/5	2.4/5	-
Nursing Staff Turnover	40.0%	49%	-

Health Citation History

35 health citations on record

Date	Category	Description	Severity
2025-05-13	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G – Actual Harm
2025-05-13	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2025-05-13	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	F – Moderate Harm Potential
2025-05-13	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	E – Moderate Harm Potential
2025-05-13	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D – Moderate Harm Potential
2025-05-13	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2025-05-13	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D – Moderate Harm Potential
2025-05-13	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2025-05-13	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D – Moderate Harm Potential
2025-05-13	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2025-05-13	Administration Deficiencies	Provide a neutral and fair arbitration process and agree to arbitrator and venue.	D – Moderate Harm Potential
2025-05-13	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2025-05-13	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D – Moderate Harm Potential
2023-12-19	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2023-12-19	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2023-12-19	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2023-11-01	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D – Moderate Harm Potential
2022-09-07	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G – Actual Harm
2022-09-07	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E – Moderate Harm Potential
2022-09-07	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2022-09-07	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E – Moderate Harm Potential
2022-09-07	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2022-09-07	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2022-09-07	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D – Moderate Harm Potential
2022-09-07	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D – Moderate Harm Potential
2022-09-07	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D – Moderate Harm Potential
2019-09-12	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G – Actual Harm
2019-09-12	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G – Actual Harm
2019-09-12	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E – Moderate Harm Potential
2019-09-12	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E – Moderate Harm Potential
2019-09-12	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D – Moderate Harm Potential
2019-09-12	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D – Moderate Harm Potential
2019-09-12	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2019-09-12	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D – Moderate Harm Potential
2019-09-12	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	C – Minimal Harm Potential

Fire Safety Citation History

27 fire safety citations on record

Date	Category	Description	Severity
2025-05-13	Emergency Preparedness Deficiencies	Develop and maintain an Emergency Preparedness Program (EP).	F – Moderate Harm Potential
2025-05-13	Emergency Preparedness Deficiencies	Address subsistence needs for staff and patients.	F – Moderate Harm Potential
2025-05-13	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2025-05-13	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2025-05-13	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	F – Moderate Harm Potential
2025-05-13	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2025-05-13	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
2025-05-13	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2025-05-13	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2025-05-13	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2025-05-13	Emergency Preparedness Deficiencies	Establish procedures for tracking staff and patients during an emergency.	C – Minimal Harm Potential
2025-05-13	Emergency Preparedness Deficiencies	Establish policies and procedures including evacuation.	C – Minimal Harm Potential
2025-05-13	Emergency Preparedness Deficiencies	Establish policies and procedures for sheltering.	C – Minimal Harm Potential
2025-05-13	Emergency Preparedness Deficiencies	Establish policies and procedures for medical documentation.	C – Minimal Harm Potential
2025-05-13	Emergency Preparedness Deficiencies	Create arrangements with other facilities to receive patients.	C – Minimal Harm Potential
2025-05-13	Emergency Preparedness Deficiencies	Provide family notifications of emergency plan.	C – Minimal Harm Potential
2025-05-13	Emergency Preparedness Deficiencies	Establish emergency prep training and testing.	C – Minimal Harm Potential
2025-05-13	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	C – Minimal Harm Potential
2022-09-07	Construction Deficiencies	Use approved construction type or materials.	E – Moderate Harm Potential
2022-09-07	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2019-09-12	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2019-09-12	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F – Moderate Harm Potential
2019-09-12	Egress Deficiencies	Have exits that are accessible at all times.	E – Moderate Harm Potential
2019-09-12	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2019-09-12	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2019-09-12	Emergency Preparedness Deficiencies	Establish policies and procedures for volunteers.	C – Minimal Harm Potential
2019-09-12	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	C – Minimal Harm Potential

Total Penalties & Fines

$41,243

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2025-05-13	Fine	$41,243	-

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Verified Helpline

Care & Coverage Review

Researching facilities in MANSFIELD, Ohio? Speak with a licensed specialist to review your Medicare or health insurance benefits at no cost.

📞 Call (866) 227-7595
Medicare & Benefits Review
(Ages 64.5+)📞 Call (866) 228-4856
Health Insurance Helpline
(Ages 26–64)

Free, confidential consultation. We may receive referral compensation.