Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

EAST PARK CARE CENTER

BROOK PARK, OH · 57 certified beds · Last Life Safety survey October 28, 2024

CMS Certification Number 365731 · first certified March 1989

Ownership

Operated by LIONSTONE CARE · For profit - Corporation

Ownership changed October 29, 2021 (change of ownership)from EAST PARK RETIREMENT COMMUNITY INC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within OH

43 citations — more than 98% of the 922 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 17 citations; the earlier surveys in the window averaged 13. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to June 2027. This facility’s last Life Safety survey was October 2024. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

9 of the 43 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 43 Life Safety citations above. The Physical Environment Index

F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	43
Median facility in OH	16
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
May 30, 2019	17
May 5, 2022	9
October 28, 2024	17

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2024-10-28
K-0511	Have properly installed electrical wiring and gas equipment.	2	2024-10-28
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2024-10-28
K-0351	Install an approved automatic sprinkler system.	2	2024-10-28
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2024-10-28
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	2	2024-10-28
E-0034	Provide a means of sharing information on occupancy/needs.	1	2019-05-30
E-0036	Establish emergency prep training and testing.	1	2019-05-30

What the citations cover

Citations by CMS category

Smoke Deficiencies 12
Emergency Preparedness Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 7
Miscellaneous Deficiencies 5
Other 10

Citations by CMS category
Category	Citations
Smoke Deficiencies	12
Emergency Preparedness Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	7
Miscellaneous Deficiencies	5
Services Deficiencies	4
Egress Deficiencies	4
Construction Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

October 28, 2024 — 17 citations

Citations issued on October 28, 2024
Tag	What the surveyor checks	Status
K-0222	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.	Deficient, Provider has date of correction (November 21, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (November 21, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (November 21, 2024)
K-0344	Have an alternate power supply for its alarm system.	Deficient, Provider has date of correction (November 21, 2024)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (November 21, 2024)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (November 21, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 21, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (November 21, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 21, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (November 21, 2024)
K-0500	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (November 21, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (November 21, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 21, 2024)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (November 21, 2024)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (November 21, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 21, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 21, 2024)

May 5, 2022 — 9 citations

Citations issued on May 5, 2022
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (May 30, 2022)
K-0132	Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.	Deficient, Provider has date of correction (May 30, 2022)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (May 30, 2022)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (May 30, 2022)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (May 30, 2022)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (May 30, 2022)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (May 30, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (May 30, 2022)
K-0930	Ensure proper storage of liquid oxygen.	Deficient, Provider has date of correction (May 30, 2022)

May 30, 2019 — 17 citations

Citations issued on May 30, 2019
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (August 6, 2019)
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (August 6, 2019)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (August 6, 2019)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (August 6, 2019)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (August 6, 2019)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (August 6, 2019)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (August 6, 2019)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (August 6, 2019)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (August 6, 2019)
K-0227	Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.	Deficient, Provider has date of correction (August 6, 2019)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (August 6, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 6, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (August 6, 2019)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (August 6, 2019)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 6, 2019)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (August 6, 2019)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 6, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.