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

MEADOWS OF DELPHOS THE

DELPHOS, OH · 54 certified beds · Last Life Safety survey August 20, 2026

CMS Certification Number 365405 · first certified January 1979

Ownership

Operated by TRILOGY HEALTH SERVICES · For profit - Limited Liability company

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

8
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
2
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within OH

8 citations — more than 15% of the 924 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

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 2 citations; the earlier surveys on file averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2028 — about 16 months from now. This facility’s last Life Safety survey was August 2026. Facilities in OH are typically surveyed 19–32 months after the last one (median 26), measured over 985 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 about three years in Virginia. How the window is measured

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Which alerts

1 inspection-and-testing tag has 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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 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 8 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-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations in CMS's current file

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

This facility8OH median16National median11
Citations in CMS's current file, compared
MeasureCitations
This facility8
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-0832025-0122026-08
Citations at each Life Safety survey
Survey dateCitations
August 25, 20223
January 16, 20253
August 20, 20262

Most-cited tags

Most-cited tags at this facility
K-07122K-02222K-09161K-03531K-03451K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.22026-08-20
K-0222Add 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.22025-01-16
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12022-08-25
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-08-20
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12022-08-25
K-0324Provide properly protected cooking facilities.12025-01-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Miscellaneous Deficiencies2
Egress Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

August 20, 2026 — 2 citations

Citations issued on August 20, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 9, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 9, 2026)

January 16, 2025 — 3 citations

Citations issued on January 16, 2025
TagWhat the surveyor checksStatus
K-0222Add 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 (January 31, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 31, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 31, 2025)

August 25, 2022 — 3 citations

Citations issued on August 25, 2022
TagWhat the surveyor checksStatus
K-0222Add 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 (October 10, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 10, 2022)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (October 10, 2022)

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