Inspection visit
Inspection
10 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 10 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0558
Reasonably accommodate the needs and preferences of each resident.
Level of Harm - Minimal harm
or potential for actual harm
Based on observation, staff and resident interviews, and record review the facility failed to provide
reasonable accommodation of needs and preferences when a bedside chair, a bedside nightstand, and a
call light were not within reach. This affected one of 108 residents (#26). The facility census was 108.
Residents Affected - Few
Findings Include:
Record review revealed Resident #26 had an admission date of 05/19/23 with diagnoses including: Type
two diabetes, displaced intertrochanteric fracture of left femur, cervical disc degeneration, coronary artery
bypass graft without angina, chronic atrial fibrillation, systolic congestive heart failure, muscle wasting
multiple sites, posthemorrhagic anemia, Alzheimer's disease, major depressive disorder, dementia without
behavioral disturbance, unsteadiness on feet, abnormalities of gait and mobility, hyperlipidemia,
hypertension, venous insufficiency, cognitive communication deficit, wrist drop left wrist, lymphedema,
hypertension, urinary tract infection, full incontinence of feces, urinary incontinence, retention of urine,
cardiac pacemaker, and history of covid-19.
Interview and observation on 02/10/25 at 7:39 P.M. with Resident #26 confirmed that he would prefer to get
out of bed and sit in a chair to watch television, and would like to be able to access his personal belongings
without requiring staff assistance to do so. At the time of the interview, observation revealed no bedside
chair or bedside nightstand in the room for Resident #26. A bedside table was observed on the wall
opposite of the foot of the bed and out of reach. Personal belongings were on the floor beside the bed
stored in shopping bags and were out of reach.
Observation on 02/11/25 at 9:13 A.M. revealed the call light for Resident #26 hanging off the right side of
the bed out of his reach. Resident #26 attempted to retrieve the call light unassisted and was unable to do
so.
Interview on 02/11/25 at 9:18 A.M. with Licensed Practical Nurse (LPN) #280 confirmed that the call light
for Resident #26 was hanging off the right side of the bed out of reach. LPN #280 confirmed that Resident
#26 was unable to retrieve the call light, and required staff assistance to do so.
Interview on 02/13/25 at 8:37 A.M. with Staff #305 confirmed that the facility did not provide bedside chairs
for residents and if residents wanted a bedside chair, resident's families were responsible to provide them.
Interview on 02/18/25 at 9:16 A.M. with Activities Staff #246 confirmed that Resident #26 enjoyed watching
television in his room and in the common areas as one of his independent activities. Activities Staff #246
confirmed that Resident #26 did not have access to a bedside chair in his room.
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 10
Event ID:
365394
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365394
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare at Adams Lane
1856 Adams Lane
Zanesville, OH 43701
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0558
Level of Harm - Minimal harm
or potential for actual harm
Review of the activities care plan for Resident #26 with a revision date of 02/11/24 revealed Resident #26
enjoyed Independent, self- directed leisure time activities, and functioned at an independent level in his
leisure pursuits. Resident #26 was alert and oriented and able to express his needs, desires and opinions,
and frequently engaged in the following leisure pursuits: Watching TV, listening to music, reading
magazines, and visits with staff and other residents.
Residents Affected - Few
Review of the activities of daily living (ADL) care plan for Resident #26 with a revision date of 02/11/24
revealed the resident requires extensive to total assist for most all care due to impaired mobility, impaired
cognition, impaired balance and overall decline in functional status.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365394
If continuation sheet
Page 2 of 10
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365394
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare at Adams Lane
1856 Adams Lane
Zanesville, OH 43701
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, observation, staff and resident interviews, the facility failed to provide a safe, clean,
comfortable and homelike environment for two residents which allowed them to use their personal
belongings to the extent possible This affected three residents (#33, #40, #75) of 108 residents residing in
the facility. The census was 108.
Findings Include:
1. Record review revealed Resident #40 had an admission date of 03/30/18 with diagnoses including:
Cerebral infarction, dysphagia, influenza, chronic obstructive pulmonary disease, morbid obesity,
diverticulosis, muscle wasting and atrophy, intervertebral disc degeneration of the lumbar region, type two
diabetes mellitus, chronic respiratory failure with hypoxia, major depressive disorder, cardiac pacemaker,
voice and resonance disorder, low back pain, abnormalities of gait and mobility, anemia, hyperlipidemia,
anxiety disorder, left bundle branch block, constipation, gastroesophageal reflux disease, difficulty in
walking, history of covid-19, urge incontinence, venous thrombosis and embolism, hypertension, abnormal
posture, and unsteadiness on feet.
Observation on 02/11/25 at 9:26 A.M. revealed the following items on the bathroom sink: Mouthwash,
shampoo, toothbrush, toothpaste, shave cream, surgical mask, comb, disposable razors, denture cup, and
denture adhesive. None of the items were labeled for ownership.
Interview with Resident #40 on 02/11/25 at 9:26 A.M. confirmed that the bathroom is shared between three
residents and the sink was always a big mess. Resident #40 confirmed that she didn't store or use her
personal toiletries in the bathroom, she used her toiletries at her bedside table each day because the sink
was not clean.
Interview on 02/11/25 at 9:59 A.M. with Certified Nurse Aide (CNA) #295 confirmed the bathroom is shared
between two resident rooms or three residents, and that the items on the bathroom sink were unlabeled for
ownership and should not be laying out on the bathroom sink. CNA #295 was unable to confirm which
items belonged to which of the three residents who shared the bathroom.
2. Record review revealed Resident #75 had an admission date of 09/13/24 with diagnoses including:
Chronic Kidney Disease stage three, sacrolitis, major depressive disorder, exudative age-related macular
degeneration left eye, atherosclerosis of aorta, spondylosis without myelopathy or radiculopathy, pruritus,
hypertension, anxiety disorder, osteoporosis, hypercholesterolemia, bilateral primary osteoarthritis of knee,
and neuralgia and neuritis unspecified.
Observation on 02/11/25 at 10:21 A.M. revealed the following items on the bathroom sink: Body wash,
lotion, a basin with a toothbrush, toothpaste, a loose toothbrush, dentures in a cup covered with water and
without a lid, body spray, deodorant, an electric toothbrush (uncovered) and plugged in. None of the items
were labeled for ownership. A pair of pants and a pair of underwear with a soiled incontinence pad in them
were on the bathroom floor, and the pants appeared to be wet. Also on the floor was a bag of incontinence
briefs unlabeled for ownership with another pair of pants sitting on top of it.
Interview on 02/11/25 at 10:21 A.M. with Resident #75 confirmed the bathroom was shared between two
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365394
If continuation sheet
Page 3 of 10
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365394
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare at Adams Lane
1856 Adams Lane
Zanesville, OH 43701
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
resident rooms, for a total of four residents and stated the other residents in the next room were
disrespectful for leaving their things on the sink. Resident #75 confirmed that she kept her personal
toiletries in a basket and used the toiletries in her room because the bathroom and the bathroom sink were
not clean.
Interview on 02/11/25 at 10:40 A.M. with Licensed Practical Nurse (LPN) #270 confirmed that the bathroom
was shared between two resident rooms, or four residents and that soiled clothing shouldn't be on the
bathroom floor, and unlabeled items shouldn't be on the bathroom sink. LPN #270 was unable to confirm
which items on the sink belonged to which of the four residents who shared the bathroom.
3. Review of Resident #33's medical record revealed an admission date of 11/04/21 and diagnoses
including chronic obstructive pulmonary disease, diabetes, peripheral vascular disease, and hypertension.
Review of Resident #33's quarterly minimum data set (MDS) dated [DATE] revealed a brief interview for
mental status (BIMS) score of 13, indicating the resident was cognitively intact. further review of the MDS
revealed Resident #33 was independent with toileting tasks and was occasionally incontinent of urine.
An observation made on 02/11/25 at 11:29 A.M. revealed Resident #33's bathroom had a strong odor and
dirty linen was noted to be on the floor around the front of the toilet. A second observation made on
02/13/25 at 4:20 P.M. revealed the odor continued and a towel was on the floor in front of the toilet.
In an interview on 02/13/25 at 4:20 P.M. Licensed Practical Nurse (LPN) #206 verified there was an odor in
the bathroom and removed the towel from the floor in front of the toilet. LPN #206 stated the Certified
Nurses Aides had put the towel down to soak up urine from the floor but the should have removed the towel
after the task was completed.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365394
If continuation sheet
Page 4 of 10
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365394
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare at Adams Lane
1856 Adams Lane
Zanesville, OH 43701
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0625
Level of Harm - Potential for
minimal harm
Residents Affected - Some
Notify the resident or the resident’s representative in writing how long the nursing home will hold the
resident’s bed in cases of transfer to a hospital or therapeutic leave.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
medical record review and staff interview, the facility failed to ensure written information prior to transfer to
the hospital of the bed hold notice. This affected three residents (#61, #71 and #106) of three residents
reviewed for hospitalization. The census was 108.
Findings included:
1. Review of Resident #71's medical record revealed he was admitted to the facility on [DATE]. Diagnoses
included diabetes, encephalopathy, Down's syndrome, dysphagia, chronic kidney disease, and high blood
pressure. Review of the quarterly minimum data set assessment (MDS) dated [DATE] revealed his
cognition was not intact (BIM's-3). He required setup or clean-up assistance with oral hygiene, is dependent
upon staff for toileting, dressing and personal hygiene and substantial/maximal assistance for shower
bathing. The resident has an indwelling urinary catheter and is frequently incontinent of bowel.
Review of the nursing progress notes revealed on 12/26/24 at 11:54 P.M. Resident #71 was mouth
breathing, and an oxygen face mask was put on the resident. Monitored oxygen, it was at 70% again.
Increased oxygen to 4 liters (L), and his oxygen would not go above 88% on 4L. Resident #71 was sent to
the hospital and admitted on [DATE]. On 12/29/24 at 1:39 P.M. Resident #71 was readmitted to the facility
from the hospital.
Further review revealed Resident #71 has a Guardian/Resident Representative.
Review of the bed hold notice revealed it was was not signed until after Resident #71 returned to the facility
on [DATE]. This was verified during interview with the Director of Nursing on 02/18/25 at 3:38 P.M.
2. Review of Resident #61's medical record revealed an admission date of 03/09/21 and a reentry date of
12/02/24. Further review revealed diagnoses including chronic obstructive pulmonary disease, diabetes,
obstructive uropathy, anxiety, paranoid schizophrenia, major depressive disorder, and extrapyramidal and
movement disorder.
Review of the annual minimum data set (MDS) dated [DATE] revealed Resident #61 had a brief interview
for mental status (BIMS) score of 13 indicating the resident was cognitively intact. Further review of the
MDS revealed Resident #61 wore a hearing aide, was able to understand person to person communication
and was able to make himself understood during person to person communication.
Review of Resident # 61's progress note dated 11/28/24 at 1:17 PM revealed Resident #61 was having
pain and swelling to his lower extremities. Further review of Resident #61's progress notes on 11/28/24 at
2:28 PM revealed Resident #61 requested to go to the emergency room because of the pain. Review of
Resident #61's progress note dated 12/02/24 at 3:07 PM revealed Resident #61 returned to the facility after
completing his hospital course of treatment.
Review of the facility Notice of Bed Hold Policy revealed the notice, given to the resident to allow him to
decide if he wanted to hold his bed so that he could return from the hospital to the same room and bed,
was to cover Resident #61's hospital stay that started on 11/28/24 and ended on
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365394
If continuation sheet
Page 5 of 10
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365394
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare at Adams Lane
1856 Adams Lane
Zanesville, OH 43701
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0625
Level of Harm - Potential for
minimal harm
12/02/24. Further review of the Notice of Bed Hold Policy revealed it was signed by Resident #61 on
12/03/24.
In an interview on 02/18/25 at 3:38 P.M. the Director of Nursing (DON) verified the Notice of Bed Hold
Policy was signed on 12/03/24 after Resident #61's return to the facility.
Residents Affected - Some
Review of the Notice of Bed Hold Policy (undated) revealed it was to be signed by the resident upon
discharge to the hospital or if the resident was unable to sign verbal notification from the resident or
resident's representative was to be documented.
3. Review of the medical record for Resident #106 revealed an admission date of 09/12/24. Diagnoses
include acute on chronic respiratory failure, chronic diastolic heart failure, chronic obstructive pulmonary
disease, bacterial pneumonia, depression, diabetes mellitus, type two, diabetic peripheral neuropathy,
acute on chronic anemia and Upper GI bleed.
Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental
Status (BIMS) of 14 out of 15 indicating intact cognition. The resident required minimal assistance for all
activities of daily living.
Review of the transfer form dated 11/06/24 revealed Resident #106 had a change in condition and was sent
to the hospital.
Review of the notice of bed hold letter revealed the letter was not signed by the resident until 11/19/24 on
her return to facility.
On 02/19/25 at 7:40 A.M., interview with Assistant Director of Nursing (ADON) #283 verified the bed hold
letter dated 11/06/24 was not signed by the resident until 11/19/24. Further interview verified the letters are
to be signed acknowledging the facility bed hold policy.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365394
If continuation sheet
Page 6 of 10
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365394
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare at Adams Lane
1856 Adams Lane
Zanesville, OH 43701
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0644
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Coordinate assessments with the pre-admission screening and resident review program; and referring for
services as needed.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
medical record review and staff interview, the facility failed to ensure pre-admission screening and resident
reviews (PASSAR) were accurately completed. This affected one resident (#43) of two review for PASSAR
accuracy. The census was 108.
Findings include:
Review of Resident #43's medical record revealed he was admitted to the facility on [DATE]. Diagnoses
included Ogilvie syndrome ( acute colonic pseudo-obstruction, is the acute dilatation of the colon in the
absence of any mechanical obstruction), colostomy, gastrostomy, nausea and vomiting, schizoaffective
disorder , depression and anxiety.
Review of the quarterly minimum data set (MDS) assessment dated [DATE] revealed his cognition was
intact. He required partial/moderate assistance for oral hygiene, personal hygiene, and turning and
repositioning, dependent for toileting and substantial/maximal assist for showers/bathing, lower body
dressing and application of footwear. Resident #43 had an indwelling catheter and a colostomy. Receives
antipsychotic's and antidepressants.
Review of the PASSAR dated 07/28/24 failed to identify Schizoaffective disorder, depression and anxiety.
Mood disorder was the only thing identified under indication of serious mental illness.
On 02/13/25 3:26 P.M. interview with Social Worker Designee #311 verified the depression, schizoaffective
disorder and anxiety were not included on the PASSAR and a new one had not been completed.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365394
If continuation sheet
Page 7 of 10
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365394
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare at Adams Lane
1856 Adams Lane
Zanesville, OH 43701
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0656
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and
actions that can be measured.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review and interview the facility failed to develop and implement a comprehensive person centered
care plan for diuretic medication for Resident #60. This affected one resident (#60) of five residents
sampled for unnecessary medications. The facility census was 108.
Findings include:
Review of Resident #60's medical record revealed an admission date of 10/03/20 and a reentry date of
01/13/22. Further review revealed diagnoses including malignant neoplasm of overlapping sites of rectum,
anus and anal canal, secondary malignant neoplasm of large intestine and rectum, diabetes, chronic
respiratory failure, morbid obesity, heart failure, and hypertension.
Review of Resident #60's quarterly minimum data set (MDS) dated [DATE] revealed the resident had a brief
interview for mental status (BIMS) score of 15 indicating that she is cognitively intact. Further review of the
MDS revealed Resident #60 was receiving diuretic medication.
Review of Resident #60's physician's orders revealed an order with a start date of 04/02/24 for furosemide
40 mg give one tablet in the morning for heart failure.
Review of Resident #60's plan of care revealed no care plan for diuretic medication.
In an interview on 02/18/25 at 4:34 P.M. MDS nurse Licensed Practical Nurse (LPN) #350 verified there
was not a diuretic medication care plan in Resident #60's plan of care.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365394
If continuation sheet
Page 8 of 10
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365394
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare at Adams Lane
1856 Adams Lane
Zanesville, OH 43701
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, staff interview and review of facility policy and procedure, the facility failed to ensure
medications were locked against unauthorized access. This had the potential to affect one resident (#97) of
10 residents on the 200 hallway identified as cognitively impaired and independently mobile. The census
was 108.
Findings include:
Observation on 02/12/25 at 10:39 A.M. revealed the medication cart in the hallway unlocked outside of
room [ROOM NUMBER]-A with the door closed and no nurse in attendance of the cart. At 10:41 A.M.
Registered Nurse #251 came out from the room and verified during interview she had left the medication
cart unlocked and unattended in the hallway.
Review of the facility Medication Storage policy and procedure (dated 04/18 and updated 01/03/25)
revealed compartment (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts and
boxes) containing drugs and biological's shall be locked when not in use, and trays or carts used to
transport such items shall not be left unattended if open or otherwise potentially available to others.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365394
If continuation sheet
Page 9 of 10
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365394
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare at Adams Lane
1856 Adams Lane
Zanesville, OH 43701
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, medical record review, and staff interview the facility failed to maintain infection control with
urinary catheters. This affected one resident (#3) of four residents reviewed for urinary catheters. The
census was 108.
Residents Affected - Few
Findings include
Review of Resident #3's medical record revealed she was admitted to the facility on [DATE]. Diagnoses
included metabolic encephalopathy, morbid obesity, heart failure, diabetes, atrial fibrillation, major
depression, chronic kidney disease and anxiety.
Review of the admission minimum data set (MDS) dated [DATE] revealed her cognition was intact. She
required set up or clean-up assistance for eating, oral hygiene, is dependent for toileting, and
substantial/maximal assistance with shower/bathing, partial/moderate assistance for personal hygiene,
dressing and turning and repositioning. The resident had a urinary catheter and was frequently incontinent
of bowel.
On 02/11/25 at 11:47 A.M. observation revealed the urinary catheter tubing was observed on the floor. At
12:05 P.M. the urinary catheter tubing remained on the floor. At 12:07 P.M. interview with Registered Nurse
(RN) #251 verified the urinary catheter tubing was on the floor. On 02/11/25 at 12:41 P.M. Licensed
Practical Nurse (LPN) Supervisor #277 revealed she had changed the resident's urinary catheter bag and
tubing.
On 02/12/25 at 10:38 A.M. observation revealed Resident #3 revealed she was up in the wheelchair with
therapy staff in her room. The resident's urinary catheter tubing was observed on floor and the bag was in a
wash basin.
On 02/13/25 at 2:57 P.M. Resident #3 was observed up in her wheelchair, with her urinary catheter tubing
on the floor, red colored sediment in tubing . On 02/13/25 at 3:03 P.M. interview with LPN #233 verified the
urinary catheter tubing was on the floor
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365394
If continuation sheet
Page 10 of 10
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Back to topCitations
10 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0222GeneralS&S Epotential for harm
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.
- 0345GeneralS&S Fpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
F558 - The right to reside and receive services in the facility with reasonable
Reasonably accommodate the needs and preferences of each resident.
- 0353GeneralS&S Fpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
F584 - Safe Environment
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.
F625 - Transfer and discharge-
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F644 - Coordination
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F656 - Comprehensive Care Plans
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F761 - Labeling of Drugs and Biologicals
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.
F880 - Infection Control
Provide and implement an infection prevention and control program.
FAQ · About this visit
Common questions about this visit
What happened during the February 19, 2025 survey of Adams Lane Healthcare and Rehabilitation Center?
This was a inspection survey of Adams Lane Healthcare and Rehabilitation Center on February 19, 2025. The surveyor cited 10 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Adams Lane Healthcare and Rehabilitation Center on February 19, 2025?
Yes, 10 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "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 arra..."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.