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

SHADY LAWN NURSING HOME

DALTON, OH · 98 certified beds · Last Life Safety survey May 12, 2025

CMS Certification Number 365591 · first certified January 1983

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

39
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
11
Tags cited more than once
Across separate surveys
22
Inspection & testing records
Of the citations on file

Position within OH

39 citations — more than 95% 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 18 citations; the earlier surveys in the window averaged 7. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was May 2025. 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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Which alerts

9 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

3 of the 39 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 39 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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.

This facility39OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility39
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
102019-0882022-0832025-01182025-05
Citations at each Life Safety survey
Survey dateCitations
August 15, 201910
August 4, 20228
January 28, 20253
May 12, 202518

Most-cited tags

Most-cited tags at this facility
K-03453K-03723K-03532K-05212K-05112K-07612K-03742K-07412
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.32025-05-12
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.32025-05-12
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-05-12
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22025-05-12
K-0511Have properly installed electrical wiring and gas equipment.22025-05-12
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22025-05-12
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22025-05-12
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22025-05-12

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 18
  • Miscellaneous Deficiencies 7
  • Services Deficiencies 5
  • Egress Deficiencies 3
  • Other 6
Citations by CMS category
CategoryCitations
Smoke Deficiencies18
Miscellaneous Deficiencies7
Services Deficiencies5
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies3

Every citation on file

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

May 12, 2025 — 18 citations

Citations issued on May 12, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (June 6, 2025)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (June 6, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (June 6, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 6, 2025)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (June 6, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Waiver has been granted
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (June 6, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 6, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 6, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 6, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (June 6, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 6, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 6, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 6, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (June 6, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 6, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 6, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 6, 2025)

January 28, 2025 — 3 citations

Citations issued on January 28, 2025
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 21, 2025)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (February 21, 2025)
K-0500Meet other general requirements that are deficient.Waiver has been granted (February 21, 2025)

August 4, 2022 — 8 citations

Citations issued on August 4, 2022
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 23, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 23, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 23, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 23, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 23, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 23, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (September 23, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 23, 2022)

August 15, 2019 — 10 citations

Citations issued on August 15, 2019
TagWhat the surveyor checksStatus
E-0036Establish emergency prep training and testing.Deficient, Provider has plan of correction (October 24, 2019)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 10, 2019)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (October 10, 2019)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (October 10, 2019)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (October 10, 2019)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (October 24, 2019)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (October 10, 2019)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (October 10, 2019)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 10, 2019)
K-0914Ensure 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 (October 10, 2019)

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