Safety Report: Twinsburg Post Acute
Official ratings
Medicare's star ratings compare nursing homes within the same state for health inspections. A 5-star facility performed better than most in its state; a 1-star facility performed worse than most.
Stars are calculated by CMS, not by us. We do not create our own safety score.
Serious documented violations
Citations by topic
Topics use CMS's own deficiency categories; “accidents & supervision” counts tag F689 (free of accident hazards / adequate supervision). Counts cover the last three inspection cycles, including complaint investigations.
Is it getting better or worse?
Fewer citations in the most recent cycle (24) than in the cycle before (29).
An inspection cycle is roughly one year and includes the standard inspection plus complaint investigations. Counts depend partly on how many complaint investigations occurred, so treat small changes with caution. Red bars include at least one serious citation.
Staffing and rating trends will appear as we collect monthly CMS releases. We have one month so far, so a staffing trend cannot yet be determined.
Repeat findings
These requirements were cited on more than one inspection date in the last three cycles.
| Requirement | Times cited | Inspection dates |
|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F689) | 8 | February 10, 2026; August 14, 2025; June 25, 2025; January 30, 2025; November 13, 2024; January 31, 2024; April 7, 2022; April 4, 2019 |
| Provide and implement an infection prevention and control program. (F880) | 7 | January 5, 2026; August 14, 2025; January 30, 2025; May 16, 2024; March 21, 2024; April 7, 2022; April 4, 2019 |
| Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F684) | 6 | August 19, 2026; January 5, 2026; August 14, 2025; June 25, 2025; September 26, 2024; April 7, 2022 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F842) | 5 | August 19, 2026; February 10, 2026; January 30, 2025; July 16, 2024; May 16, 2024 |
| Ensure that residents are free from significant medication errors. (F760) | 5 | February 10, 2026; August 14, 2025; January 30, 2025; June 10, 2024; December 18, 2023 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (F677) | 4 | August 19, 2026; January 5, 2026; March 21, 2024; April 4, 2019 |
| Ensure medication error rates are not 5 percent or greater. (F759) | 4 | February 10, 2026; January 30, 2025; May 16, 2024; March 21, 2024 |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F804) | 4 | March 21, 2024; February 21, 2024; November 7, 2023; April 7, 2022 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F690) | 3 | February 10, 2026; August 14, 2025; September 26, 2024 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F580) | 3 | August 14, 2025; January 30, 2025; July 16, 2024 |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (F803) | 3 | February 21, 2024; April 7, 2022; April 4, 2019 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F686) | 2 | January 5, 2026; August 14, 2025 |
| 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. (F578) | 2 | January 5, 2026; March 21, 2024 |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F756) | 2 | August 14, 2025; April 7, 2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F656) | 2 | January 30, 2025; April 7, 2022 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F550) | 2 | November 13, 2024; April 4, 2019 |
| 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. (F761) | 2 | March 21, 2024; April 4, 2019 |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F805) | 2 | March 21, 2024; February 21, 2024 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F755) | 2 | April 7, 2022; April 4, 2019 |
Fines and enforcement
| Date | Type | Amount / length |
|---|---|---|
| January 5, 2026 | Payment Denial | Payment denial for 35 days, starting January 27, 2026 |
| January 5, 2026 | Fine | $132,650 |
| June 25, 2025 | Fine | $70,756 |
| May 16, 2024 | Payment Denial | Payment denial for 8 days, starting July 9, 2024 |
Federal civil money penalties and Medicare/Medicaid payment denials. State-level penalties may not be included.
Complete inspection history
August 19, 2026 — 3 citations · complaint investigation
February 10, 2026 — 5 citations (includes serious) · complaint investigation
January 5, 2026 — 5 citations (includes serious) · complaint investigation
August 14, 2025 — 9 citations (includes serious) · complaint investigation
June 25, 2025 — 2 citations (includes serious) · complaint investigation
January 30, 2025 — 8 citations · complaint investigation
November 13, 2024 — 2 citations · complaint investigation
September 26, 2024 — 2 citations · complaint investigation
July 16, 2024 — 3 citations · complaint investigation
June 10, 2024 — 1 citation (includes serious) · complaint investigation
May 16, 2024 — 3 citations · complaint investigation
March 21, 2024 — 11 citations
February 21, 2024 — 3 citations · complaint investigation
January 31, 2024 — 1 citation · complaint investigation
December 18, 2023 — 1 citation (includes serious) · complaint investigation
November 7, 2023 — 1 citation · complaint investigation
April 7, 2022 — 8 citations
April 4, 2019 — 8 citations
Source: CMS Health Deficiencies dataset (data as of October 1, 2026); full inspection narratives on Medicare Care Compare