Inspection visit
Health inspection
4 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 4 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0688
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM
and/or mobility, unless a decline is for a medical reason.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview, medical record review, and review of facility policy, the facility failed to ensure a restorative
program was established for contracture management as recommended by therapy. This affected one
(#110) of three residents reviewed for contracture management. The facility census was 178.
Findings include:
Review of the medical record for Resident #110 revealed diagnoses including hemiplegia and hemiparesis
following cerebral infarction affecting left non-dominant side, fibromyalgia, scoliosis, limitations of activities
due to disability, and need for assistance with personal care.
Review of physician's order dated 04/10/24 revealed apply left wrist brace at bedtime and remove in the
morning for contracture prevention.
Review of the Medicare Minimum Data Set (MDS) admission assessment dated [DATE] revealed Resident
#110 had severe cognitive impairment and was dependent on staff assistance for toilet hygiene, bathing,
dressing, personal hygiene, and transfers.
Review of the Nurse Practitioner Progress Note dated 04/25/24 revealed Resident #110 was a stroke
patient and was admitted to facility for long term care.
Review of the Occupational Therapy (OT) Evaluation and Plan of Treatment dated 05/16/24 revealed
Resident #110 was started on therapy services for use of left resting hand splint and passive range of
motion exercises. Resident #110 was noted to have left sided contractures of shoulder, elbow, wrist, hand,
fingers, hip, foot, heel, knee, and ankle.
Review of OT Discharge summary dated [DATE] revealed Resident #110 was discharged from therapy
services due to reaching the highest practicable level on skilled services. Discharge recommendations
included restorative range of motion program and restorative splint/brace program. Resident #110's
prognosis to maintain was identified as good with consistent staff follow-through.
Further review of the medical record for Resident #110 revealed no evidence a restorative range of motion
program had been established.
Interview on 06/18/24 at 2:09 P.M. with Therapy Director #463 revealed Resident #110 was on therapy
services for splinting and range of motion exercises. Therapy Director #463 indicated Resident #110's
daughter was educated during therapy sessions on range of motion exercises. Therapy Director #463
(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 6
Event ID:
365757
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
365757
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/24/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Broadview Multi Care Center
5520 Broadview Rd
Parma, OH 44134
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 0688
indicated Resident #110's daughter was at the facility all the time and was doing the exercises.
Level of Harm - Minimal harm
or potential for actual harm
Follow up interview on 06/18/24 at 3:35 P.M. with Therapy Director #463 confirmed there was no restorative
program for range of motion established for Resident #110.
Residents Affected - Few
Interview on 06/20/24 at 11:59 A.M. with Restorative Licensed Practical Nurse (LPN) #348 revealed she
had not received a restorative program from therapy for Resident #110; however, Resident #110 was
appropriate for a program. Restorative LPN #348 indicated she was unsure why it was expected Resident
#110's daughter would complete the exercises. Restorative LPN #348 was not aware of the
recommendations on the OT discharge summary for a range of motion program and restorative splint/brace
program. The Director of Nursing (DON), who was present during interview, indicated it did not make sense
that Resident #110's daughter was responsible for maintaining the range of motion program for Resident
#110 while admitted at the facility.
Review of facility policy Restorative Nursing Policy and Procedure dated 11/30/23 revealed each resident
would be screened for restorative nursing upon admission, readmission, annually, quarterly, and with
significant changes. Restorative programs could be determined as a continuation of care following therapy
services.
This deficiency represents non-compliance investigated under Complaint number OH00154470 and
OH00154244.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365757
If continuation sheet
Page 2 of 6
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
365757
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/24/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Broadview Multi Care Center
5520 Broadview Rd
Parma, OH 44134
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 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate
catheter care, and appropriate care to prevent urinary tract infections.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review the facility failed to ensure adequate and timely incontinence care.
This affected two (#53 and #89) of four residents observed for incontinence care. The facility also failed to
ensure adequate urinary catheter care. This affected two (#9 and #65) of two residents observed for urinary
catheter care. The facility census was 178.
Findings include:
1. Review of Resident #9's medical records revealed an admission date of 01/05/24. Diagnoses included
neuromuscular bladder and stoke with left sided weakness.
Review of Resident #9's Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #9 had
intact cognition, was incontinent of bowel, and had a urinary catheter.
Review of Resident #9's care plan dated 05/09/24 revealed Resident #9 was at risk for infection related to
urinary catheter. Interventions included cleanse suprapubic catheter (catheter placed in the abdomen used
to drain urine from the bladder) site with normal saline, apply mesalt (a dressing for discharging wounds)
and a drain sponge secured with tape daily.
Interview on 06/17/24 at 10:20 A.M. with Licensed Practical Nurse (LPN) #335 confirmed Resident #9 had
a urinary catheter. Observation of Resident #9 with LPN #335 revealed a split gauze dressing around the
insertion site of the suprapubic catheter was saturated with urine and the skin around the insertion site was
reddened. Interview with LPN #335 confirmed the soiled dressing and reddened area. LPN #335 did not
know when catheter care had last been completed. Interview with Resident #9 at time of observation
revealed catheter care had not been performed for several days.
2. Review of Resident #53''s medical records revealed an admission date of 03/23/24. Diagnoses included
chronic kidney disease and muscle weakness.
Review of Resident #53''s care plan dated 03/25/24 revealed Resident #53 was incontinent of bowel and
bladder. Interventions included provide incontinence care as needed.
Review of Resident #53's MDS assessment dated [DATE] revealed Resident #53 had impaired cognition,
required substantial assistance with toileting and was incontinent of bowel and bladder.
Observation on 06/20/24 at 9:28 A.M. revealed a strong pungent odor from Resident #53. Observation of
incontinence care at 9:31 A.M. with State Tested Nurse Aide (STNA) #397 for Resident #53 revealed
Resident #53 had a large amount of foul smelling liquid stool in his groin area. STNA #397 confirmed the
observation and stated it appeared as if Resident #53 had not received proper and adequate cleaning
during incontinence care. Resident #53 was not interviewable.
3. Review of Resident #65's medical records revealed an admission date of 05/16/24. Diagnoses included
spinal cord injury, paraplegia muscle weakness and need for personal care assistance.
Review of the care plan dated 05/17/24 revealed Resident #65 was at risk for infection related to
suprapubic catheter. Interventions included provide catheter care per physician orders.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365757
If continuation sheet
Page 3 of 6
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
365757
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/24/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Broadview Multi Care Center
5520 Broadview Rd
Parma, OH 44134
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 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Review of Resident #65's MDS assessment dated [DATE] revealed Resident #65 had intact cognition.
Resident #65 had a suprapubic catheter and a colostomy.
Review of Resident #65's current physician orders for June 2024 revealed provide catheter care every shift.
Observation of Resident #65 on 06/17/24 at 10:01 A.M. with STNA #421 revealed Resident #65 had a
suprapubic catheter. Further observation revealed a split gauze around the insertion site that was soiled
with dried blood and was sticking to Resident #65's abdomen. The skin around the insertion site was
reddened. Interview with Resident #65 at time of observation revealed staff rarely performed catheter care.
Interview with STNA #421 at time of observation revealed she had not performed catheter care and was
unable to state when it had last been completed.
4. Review of Resident #89's medical records revealed an admission date 03/02/24. Diagnoses included
stroke with right sided weakness and acute kidney injury.
Review of Resident #89's MDS assessment dated [DATE] revealed Resident #89 was rarely understood
and was incontinent of bowel and bladder.
Review of Resident #89's care plan dated 06/07/24 revealed Resident #89 was incontinent of bowel and
bladder. Interventions included check resident for incontinence and provide care as needed.
Interview on 06/17/24 at 6:44 A.M. with Resident #89 revealed he was soiled and had last been changed
before bed the previous evening.
Observation of incontinence care on 06/17/24 at 6:50 A.M. for Resident #89 with STNA #458 revealed
Resident #89 was incontinent of a large amount of urine and liquid stool that had saturated through the
mattress pad and onto the bed. Interview with STNA #458 at time of observation revealed there had been
multiple assignment changes and she was unsure who was assigned to care for Resident #89.
This deficiency represents non-compliance investigated under Complaint Number OH00154470.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365757
If continuation sheet
Page 4 of 6
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
365757
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/24/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Broadview Multi Care Center
5520 Broadview Rd
Parma, OH 44134
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, interview and record review the facility failed to ensure proper infection control techniques
were used for residents on isolation precautions. This affected one (#146) of three residents observed for
isolation precautions. The facility census was 178.
Residents Affected - Few
Findings include:
Review of Resident #146's medical records revealed an admission date of 06/05/24. Diagnoses included
stoke with right sided weakness, need for personal care assistance and cognitive deficits.
Review of Resident #146's care plan dated 06/05/24 revealed Resident #146 was incontinent of bowel and
bladder. Interventions included check resident for incontinence and provide care as needed.
Review of Resident #146's Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #146
had impaired cognition. Resident #146 was incontinent of bowel and bladder.
Review of Resident #146's progress note dated 06/19/24 revealed a stool sample was obtained to test for
Clostridioides difficile (C-diff), a bacterial infection.
Review of the progress note dated 06/20/24 revealed contact isolation precautions were initiated due to
C-diff results were pending.
Observation on 06/20/24 at 7:28 A.M. revealed isolation supplies and signs posted for contact precautions
for Resident #146's room indicating use of gown, gloves and mask. Observation at 8:00 A.M. revealed a
staff member entered Resident #146's room without donning personal protective equipment (PPE).
Continued observation revealed Licensed Practical Nurse (LPN) #319 was in Resident #146's room and
stated she was going to provide Resident #146 with incontinence care. LPN #319 stated she referred to
answer any questions after she completed Resident #146's care. At 8:12 A.M. LPN #319 exited Resident
#146's room and interview with LPN #319 confirmed the isolation supplies and signs posted outside the
resident's room indicated Resident #146 was on contact precautions. LPN #319 stated she was unaware of
why Resident #146 was on contact precautions and she confirmed she had not worn PPE while performing
incontinence care.
Review of facility policy Isolation Precautions revised 11/30/23 revealed a resident could be placed in
Isolation Precautions without a physician orders. Residents with suspected C-diff infections were to be
placed in contact precautions and inform staff members of the need of isolation precautions.
This deficiency represents non-compliance investigated under Complaint Number OH00154470.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365757
If continuation sheet
Page 5 of 6
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
365757
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/24/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Broadview Multi Care Center
5520 Broadview Rd
Parma, OH 44134
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 0921
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and
the public.
Based on observation and interview the facility failed to provide a clean and sanitary environment. This
affected five (#89, #110, #115, #134 and #180) residents and had the potential to affect all residents
residing in the facility. The facility census was 178.
Findings include:
Observation on 06/17/24 at 6:38 A.M. revealed several dirty, moldy towels underneath an ice machine with
puddles of water under the machine. Further observation revealed the floors around the ice machine were
dirty with various debris. This was confirmed at time of observation with Licensed Practical Nurse (LPN)
#465. Interview with LPN #465 at the time of the observation revealed she was aware of concerns related
to housekeeping, especially on the weekends.
On 06/17/24 at 6:44 A.M. a strong foul odor was noted outside of Resident #115's room. The origin of the
odor was not determined; however, observation revealed a food tray on a wheelchair outside of Resident
#134's room from the previous meal service. The floors in this area were dirty with various types of debris
on them. The observations and odor were verified with LPN #465 at time of observation.
Observation on 06/17/24 at 6:58 A.M. revealed Resident #89's tube feeding pole and oxygen concentrator
had a large amount of dried tube feeding formula on them. This observation was confirmed with State
Tested Nursing Assistant (STNA) #458.
Interview on 06/17/24 at 7:24 A.M. with Resident #180 revealed her room was not cleaned daily. Resident
#180 stated her room was last cleaned approximately two weeks ago. Observation revealed the floors were
dirty and there was various food debris on the floor.
Interview on 06/17/24 at 10:55 A.M. with Housekeeper #466 revealed she was aware of concerns related to
housekeeping. Housekeeper #466 had started her employment at the facility about a month ago. The
previous housekeeper was terminated due to not performing his cleaning duties. Housekeeper #466 stated
she had been trying to get things clean since she started. Housekeeper #466 worked every other weekend
and stated she observed dirty rooms when she returned to work after being off for the weekend.
Observation on 06/18/24 at 7:09 A.M. revealed two meal trays on a sink in Resident #110's room from the
previous meal. This observation was confirmed with Registered Nurse (RN) #374 who stated the previous
shift should have removed the meal trays after dinner.
This deficiency represents non-compliance investigated under Complaint Number OH00154244.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365757
If continuation sheet
Page 6 of 6
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Back to topCitations
4 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.
F688 - Mobility
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F690 - Incontinence
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F880 - Infection Control
Provide and implement an infection prevention and control program.
F921 - Other Environmental Conditions
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FAQ · About this visit
Common questions about this visit
What happened during the June 24, 2024 survey of BROADVIEW MULTI CARE CENTER?
This was a inspection survey of BROADVIEW MULTI CARE CENTER on June 24, 2024. The surveyor cited 4 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at BROADVIEW MULTI CARE CENTER on June 24, 2024?
Yes, 4 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, u..."
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
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.