Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
SEASONS NURSING AND REHAB
STOW, OH · 50 certified beds · Last Life Safety survey May 24, 2023
CMS Certification Number 366183 · first certified December 1999
Ownership
Operated by EMBASSY HEALTHCARE · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within OH
27 citations — more than 81% 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
The latest survey found 7 citations; the earlier surveys in the window averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (January 2025 to January 2026), and past the point by which nine in ten OH facilities have been surveyed. This facility’s last Life Safety survey was May 2023. 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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Emergency preparedness
4 of the 27 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)
9 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 27 Life Safety citations above. The Physical Environment Index
- F-0908 Keep all essential equipment working safely.
- F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 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.
How that compares
Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 27 |
| Median facility in OH | 16 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 13, 2019 | 16 |
| March 12, 2020 | 4 |
| May 24, 2023 | 7 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0241 | Have correct number of accessible exits for each story. | 3 | 2023-05-24 |
| K-0233 | Install resident room doors of proper design and width. | 3 | 2023-05-24 |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 3 | 2023-05-24 |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | 3 | 2023-05-24 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 2 | 2023-05-24 |
| E-0026 | Establish roles under a Waiver declared by secretary. | 1 | 2019-02-13 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2019-02-13 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2019-02-13 |
What the citations cover
- Egress Deficiencies 14
- Emergency Preparedness Deficiencies 4
- Smoke Deficiencies 4
- Miscellaneous Deficiencies 2
- Other 3
| Category | Citations |
|---|---|
| Egress Deficiencies | 14 |
| Emergency Preparedness Deficiencies | 4 |
| Smoke Deficiencies | 4 |
| Miscellaneous Deficiencies | 2 |
| Services Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 24, 2023 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has plan of correction (June 30, 2023) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Deficient, Provider has plan of correction (June 30, 2023) |
| K-0233 | Install resident room doors of proper design and width. | Deficient, Provider has plan of correction (June 30, 2023) |
| K-0241 | Have correct number of accessible exits for each story. | Deficient, Provider has plan of correction (June 30, 2023) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (June 30, 2023) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (June 30, 2023) |
| 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 (June 30, 2023) |
March 12, 2020 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety Evaluation Survey (April 13, 2020) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety Evaluation Survey (April 13, 2020) |
| K-0233 | Install resident room doors of proper design and width. | Fire Safety Evaluation Survey (April 13, 2020) |
| K-0241 | Have correct number of accessible exits for each story. | Fire Safety Evaluation Survey (April 13, 2020) |
February 13, 2019 — 16 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has plan of correction |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has plan of correction |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has plan of correction |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has plan of correction |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety Evaluation Survey |
| 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 (April 5, 2019) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety Evaluation Survey |
| K-0233 | Install resident room doors of proper design and width. | Fire Safety Evaluation Survey |
| K-0241 | Have correct number of accessible exits for each story. | Fire Safety Evaluation Survey |
| K-0321 | Ensure 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 (April 5, 2019) |
| K-0331 | Construct fire resistant interior walls. | Deficient, Provider has date of correction (April 5, 2019) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (April 5, 2019) |
| K-0363 | Install corridor and hallway doors that block smoke. | Waiver has been granted (May 31, 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 (April 5, 2019) |
| 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 (April 5, 2019) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (April 5, 2019) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.