F 0679
Provide activities to meet all resident's needs.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, record review, activity calendars review, review of facility policy and interview, the facility failed
to ensure activities were available to meet the needs of the residents and included adequate activity staff
members to assist the residents with activities as needed. This affected three residents (Residents #39,
#50 and #70) of five residents reviewed for activities and three residents (Resident #3, #44 and #67)
observed during a group activity of 20 residents involved in the activity. The facility census was 75.Findings
include: 1. Review of Resident Council meeting minutes from November of 2025 revealed residents
reporting that activities are getting cut short because not enough staff, and residents wanted to know why
the facility was no longer having live entertainers for music. The Administrator's response was that the
facility was not cutting any activity short due to staffing and that the facility policy was to require all
entertainers to have a tax identification number to be issued a 1099 when paid by the facility. The
Administrator further reported no entertainers were willing to do this now.Review of the monthly activity
calendars revealed only one calendar of activities for the entire facility each month with no separation for
activities for residents with cognitive impairments. The activities scheduled lacked variety and included daily
coffee and discussion and passing out of the Daily Chronicle, at 10:00 A.M. There was a bible study every
Tuesday at 2:00 P.M. and Church services every Sunday at 2:00 P.M. Bingo was held every Monday,
Wednesday, and Friday at 2:00 P.M.Review of the monthly activities' calendars for December 2025, January
2026, and February 2026 revealed limited one on one activities. December 2025 revealed only three
scheduled independent activities/room visits with activity cart on 12/05/25, 12/12/25 and 12/26/25. January
2026 revealed only three scheduled independent activities/room visits with activity cart on 01/17/26,
01/23/26, 1/30/26. February 2026 revealed only two scheduled independent activities/room visits with
activity cart on 02/20/26 and 02/27/26.a. Interview on 02/10/26 at 10:05 A.M. Activities #90 stated the
facility use to have pastors come in on Sundays for church services but now they watch a television service.
Interview on 02/10/26 at 10:10 A.M. with Resident #50 revealed Resident #50 would like to have more
religious services offered especially catholic related services. Resident #50 reported that watching services
on television is not interactive.b. Observations on 02/10/26 at 9:47 A.M. revealed an activities assistant
going room to room dropping off the Daily Chronicle newsletter to each resident. Observation further
revealed the activities assistant appear rushed and only spoke good morning to each resident and offering
the newsletter then moving onto the next resident. c. Observations on 02/10/26 between 1:55 P.M. and 3:57
P.M. revealed an activities assistant going room to room filling out menu selections with each resident for
tomorrow's meals. d. Interview on 02/11/26 at 8:50 A.M. with an Anonymous Resident revealed the
activities department lacked sufficient staff and were required to obtain menu selections for all residents
after lunch, taking away an activity assistant to help residents participate in activities.Interview on 02/11/26
at 9:30 A.M. with Activities #127 revealed staff were told by the Administrator not to bring
Residents Affected - Some
(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 8
Event ID:
366052
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
366052
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/11/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Gables Care Center Inc
351 Lahm Drive
Hopedale, OH 43976
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 0679
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
residents to a group activity if they needed help as it was not fair to the other residents. The activity staff
also shared the department was only allowed one activity aide during any activity because the
Administrator utilized an activity aide to help pass snacks in the morning with the Daily Chronicle delivery
and someone has to do the menus (after the lunch meal for the following day's meals) which takes two
hours. Interview on 02/10/26 at 10:34 A.M. with two anonymous employees revealed the Administrator had
changed a lot of things since beginning employment with the facility including only allowing one activity aide
during an activity and using another activity aide to get menu selections from the residents for the next day.
The anonymous employees stated residents not cognitively intact or residents significantly disabled were
not to come to activities, like bingo, if they couldn't do for themselves. The AE also stated there were no in
person religious activities scheduled and the residents have to watch religious programming on TV. The
staff verified it had been approximately two months since pastoral staff had been in the facility. e.
Observation on 02/11/26 between 2:10 P.M. and 2:50 P.M. of the bingo activity revealed twenty residents
seated with bingo cards. There were two activities assistants, one calling the bingo numbers and one
assisting four residents needing help at one table. Observation further revealed Resident #3 sitting at a
table without a activity assistant in a wheelchair with her head down and eyes closed throughout the
activity. There was a bingo card and chips present for Resident #3 but no active participation. During the
activity a certified nursing assistant (CNA) brought in by wheelchair Resident #44, who was noted to be
cognitively impaired per list provided by facility of residents with Brief Interview of Mental Status (BIMS)
score of seven or less. Resident #44 was placed at a table with no activity assistant and no bingo card or
chips. Resident #44 was noted to continuously be chewing on a blanket that was draped over here. No one
assisted Resident #44. The CNA then brought Resident #67, who was noted to have cognitive impairment
per list provided by facility of residents with a BIMS score of seven or less, into to the activity and sat her at
table without an activity assistant. Resident #67 was provided a bingo card and chips and was not able to
follow along with the game. f. Interview on 02/11/26 at 8:50 A.M. with an Anonymous Resident revealed the
activities department lacked sufficient staff and were required to obtain menu selections for all residents
after lunch taking away an activity assistant to help residents participate in activities.g. Interview 02/11/26 at
11:55 A.M. with Employee #26 revealed there was room for improvement in activities. There was recently a
changeover in activities. Employee #26 reported there was not a sufficient number of activities and the
residents were bored. The employee revealed residents had reported to staff they did not feel their
recommendations (for activities) were taken into consideration and they wanted new activities. 2. Review of
the medical record for Resident #39 revealed admission to facility on 10/03/24 with diagnoses including
dementia, severe, with anxiety, depression, insomnia, high blood pressure, and difficulty walking. Review of
Resident #39's plan of care dated 10/14/25 revealed the resident was to have one on one room visits by
activity staff daily to promote socialization and lessen boredom.Review of the quarterly Minimum Data Set
(MDS) assessment dated [DATE] revealed a BIMS score of six (out of 15) reflecting severe cognitive
impairment. The MDS further indicated Resident #39 required a wheelchair for navigation and
substantial/maximum (staff) assistance for dressing, bathing, and transfers.Review of Resident #39's
electronic medical record for tasks completed for November 2025, December 2025, and January 2026
revealed no documentation of one-on-one room visits being completed.3. Review of the medical record for
Resident #70 revealed admission to facility on 02/20/23 with diagnoses including dementia, moderate with
anxiety, difficulty walking, and anorexia (inability to eat).Review of Resident #70 plan of care dated 02/21/23
and revised on 02/10/26 revealed the resident was to have one on one room visits by
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
366052
If continuation sheet
Page 2 of 8
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
366052
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/11/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Gables Care Center Inc
351 Lahm Drive
Hopedale, OH 43976
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 0679
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
FORM CMS-2567 (02/99)
Previous Versions Obsolete
activity staff daily to promote socialization and lessen boredom.Review of the MDS assessment dated
[DATE] revealed a BIMS score of 4 (out of 15) indicating severe cognitive impairment. The MDS further
indicated Resident #70 required (staff) supervision navigation and supervision assistance for dressing,
bathing, and transfers.Review of Resident #70's electronic medical record for task completed for November
2025, December 2025, and January 2026 revealed no documentation of one-on-one room visits
completed.Review of the Activities policy dated 10/23/25 revealed activities would be designed with the
intent to reflect cultural and religious interest of the residents as well development of person appropriate
activities relevant to the specific needs and interest for the residents they were developed for. Further
review revealed, the facility would consider accommodations in schedules, supplies, and timing in order to
optimize a resident's ability to participate in activity of choice.This deficiency represents non-compliance
investigated under Complaint Number 2709902.
Event ID:
Facility ID:
366052
If continuation sheet
Page 3 of 8
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
366052
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/11/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Gables Care Center Inc
351 Lahm Drive
Hopedale, OH 43976
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 0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, record review, review of the administrator job description, review of the resident rights policy
and interviews, the facility failed to be administered in a manner that enabled all residents to attain/maintain
their highest practicable physical, mental and psychosocial well-being. This had the potential to affect all 75
residents residing in the facility.Findings include: Review of the Resident Council Minutes dated 02/11/26
revealed residents want administration to be more present with the residents. Review of the administrator
job description revealed the purpose of the administrator was to lead, guide, and direct the operations of
the healthcare facility in accordance with local, state and federal regulations, standards and establish
facility policies and procedures to provide appropriate care and services to residents period. Duties and
responsibilities of the administrator include ensuring delivery of compassionate quality care and services
across an interdisciplinary team approach as evidenced by adequate, and competent facility staff,
employee turnover, general cleanliness, physical plant condition, and optimal residence functioning
physically and psychosocially. Duties of the administrator include performing rounds to observe residents
and ensure overall needs were being met (expectations were for the administrator to know the residents by
name and site) with practices by walking around and making themselves available to employees at all
levels by participating in an open door policy. Duties of the administrator include managing and minimizing
facility risk through team approach to achieve desired outcomes in customer service, key performance
indicators, and employee retention and other areas as identified. Additional tasks of the administrator were
to treat all residents with dignity and respect. Promote and protect all resident rights; And establish a culture
of compliance by adhering to all facility policies and procedures and complies with standards of business
conduct, and state and federal regulations and guidelines. Expectations for the administrator included
having the ability to deal tactfully with personnel, residents, family members, visitors, government
agencies/personnel and the general public. The administrator must have patience, tact, and willingness to
deal with difficult residents, family, and staff.Review of the facility policy titled Resident Rights reviewed and
revised on 07/30/25 revealed all residents would be treated equally regardless of age, race, ethnicity,
religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or
gender identity or expression. The facility would ensure all direct care staff and indirect care staff members,
including contractors and volunteers were educated on the rights of residents and the responsibility of the
facility to properly care for its residents.Information provided to the State agency revealed the current
administrator had a start date of 02/20/2025.Interview on 02/10/26 at 2:20 P.M. with the Administrator
revealed the facility did have a corporate compliance hotline if the staff wanted to report anything
anonymously.Interview on 02/11/26 at 10:50 A.M. with Corporate Human Resources (HR) #1199 revealed
the facility had multiple complaints called in about the administrator in the past year. Corporate HR #1199
revealed the complaints would have been given to the prior Regional Director, RD #2099 [the building was
sold and the change went into effect on 01/01/26]. Corporate HR #1199 was unable to confirm if there was
ever any official disciplinary action taken on the administrator but believed there was verbal coaching but
the verbal coaching would probably not be in the personnel file [personnel file of the administrator].
Corporate HR #1199 also revealed resident complaints would go to the administrator of the facility. When
staff reported concerns related to the administrator, they would mention residents were affected by the
complaint.Observation of the Corporate Compliance Poster on 02/11/26 at 1:54 PM listed the facility
administrator as the corporate compliance officer. Upon dialing the listed number
Residents Affected - Many
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
366052
If continuation sheet
Page 4 of 8
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
366052
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/11/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Gables Care Center Inc
351 Lahm Drive
Hopedale, OH 43976
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 0835
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
a message revealed anyone calling could leave a detailed message and remain anonymous if wanting. All
concerns would be forwarded to the corporate compliance officer at the facility.Interview on 02/11/26 at
2:43 PM with the Administrator revealed she became the facility compliance officer January 1 (2026) when
the new company took over and there had only been two complaints about her. However, the Administrator
revealed she believed the complaints were actually about another staff member who looked like her. The
Administrator stated if there were complaints about her, someone else would investigate and she would get
an email follow-up with information from the investigation. During the onsite survey the following concerns
were voiced by staff/residents/representatives who wished to remain anonymous due to fear of retaliation
from the Administrator: a. Interview on 02/10/26 8:41 A.M. with Anonymous Employee (AE) #923 revealed
they were fearful of losing their job if the Administrator found out they spoke with the state survey agency
(SSA). The AE revealed since the Administrator took over, a lot of things had changed. Residents weren't
happy, the atmosphere was affecting them. Everyone was afraid to advocate and bring up concerns and
suggestions because of the fear of retaliation. If someone was brave enough to do so [voice concerns and
issues] then you were retaliated against. The administrator was not friendly or approachable, this went for
staff and the residents.b. Interview on 02/10/26 at 10:12 A.M. with Resident Representative (RR) #712
revealed the Administrator of the facility was not approachable. They had witnessed her [the Administrator]
yelling at staff in an area and way that was not professional in a work environment, especially one of this
kind; inside of the residents' home where people were visiting. RR #712 felt they do not have a voice to
advocate for their family. The RR shared it would be nice if the Administrator communicated better with the
families and there were some things they believed the Administrator had said that they felt were not
professional or appropriate. RR #712 shared they feared if they brought these specific things up they would
be retaliated against, or their family [the resident] would be treated differently. c. Interview on 02/10/26 at
10:30 A.M. with Employee #323 revealed there were concerns with the facility Administrator. Employee
#323 had witnessed the Administrator be rude and condescending. The employee revealed there was a
shift awhile back, she came onto the unit and was immediately demanding, yelling, threatening aides if they
did not leave [leave the building on their day shift] and come back later [come back for afternoon shift,
because they were short] then it was going to affect their pay checks. This was done in front of residents,
staff, visitors, and it was not a good look, it was embarrassing for the facility. A lot of those aides have since
left due to the threats and toxic environment. The way she comes, and yells startles the residents, they
deserved a calm- safe environment. The Administrator was still rude to staff, not only staff but the residents
as well, were affected. Facility employee #323 stated there were some residents who were fearful of the
Administrator due to her demeanor [yelling and argumentative] and they voiced she showed favoritism
towards other residents [not saying hello, not interacting, not even making eye contact or small
conversations with the residents]. There was a fear of retaliation from management, this made it difficult to
advocate for yourself or your residents because when you did, your job was hung over your head and you
were scared.d. Interview on 02/10/26 at 3:24 P.M. with AE #1738 revealed several residents had voiced
concerns related to the Administrator and these concerns were regarding favoritism, and resident/staff
treatment. AE #1738 revealed the favoritism was obvious, and it was upsetting to see the residents feeling
the repercussions of this. When residents had concerns, she [the Administrator} was not open to
suggestions or even provide some one on one time to listen to the residents. AE #1738 stated the
Administrator would become defensive and there was a lot of fear of retaliation from staff and residents (no
specific situations identified).e. Interview on 02/10/26 at 4:50 P.M. with AE #193 revealed if
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
366052
If continuation sheet
Page 5 of 8
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
366052
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/11/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Gables Care Center Inc
351 Lahm Drive
Hopedale, OH 43976
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 0835
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
someone felt comfortable enough to bring up concerns or suggestions to the Administrator, they weren't
listened to, and they barely got to speak. The AE said it was her way or no way [the Administrator] and
there was no team collaboration. AE #193 felt there was a lack of support from administration and this was
an issue between her [the Administrator] and the staff, but also the residents. AE #193 shared the residents
(no specific residents identified) didn't feel the Administrator cared for them or had a genuine interest in
their well being, concerns, or ideas. f. Interview on 02/11/26 at 8:13 A.M. with AE #299 revealed the
Administrator had been reported several times to corporate, and nothing seemed to happen, there was no
follow-up. The AE revealed the compliance line poster did say the Administrator was the compliance officer
so maybe that had something to do with it, but the AE was unsure. The Administrator had made scenes at
the nurse's station on more than one occasion. Staff, visitors, families, and residents had been there to
witness the Administrator make scenes at the nurses station. The AE provided an example when one day
the Administrator had a concern about a medication cart, and instead of educating the nurse, ensuring the
issue was corrected, the Administrator began screaming at the nurse, pulled out her cell phone [the
Administrator's cell phone] and began taking photos of something, screaming about the situation. The AE
stated the visitors were astonished. The situation was embarrassing, it was not a good look for [NAME] [the
facility], it was not a good look for the staff, and it was not a good reflection of the care staff provide. The AE
revealed the Administrator was unprofessional, there was no one on one conversation, no privacy, no
warning, no education, just an embarrassing scene leaving the family and residents with several questions
and concerns. AE #299 stated they had never witnessed something like this in healthcare or in any
previous job. The Administrator was rude, and the AE revealed our residents were being directly affected by
this, the residents do not feel safe to report concerns and issues to her [the Administrator]. The
Administrator does not interact with the residents, no hello or good morning. Residents were concerned
about favoritism she [the Administrator] displays towards other residents. Staff fears retaliation from
management and this causes staff and residents to not be able to advocate for the residents. AE #299 does
not feel the Administrator has the resident's needs, care, or interests prioritized.g. Interview on 02/11/26 at
8:30 A.M. with AE #623 revealed they felt a lack of support from the facility Administrator. Since they've
worked at the facility they've watched employees be demoted, retaliated against for speaking up on behalf
of the residents, and yelled at in front of residents and visitors. If the Administrator doesn't like you, your job
is always on the line. Residents felt that she [the Administrator] didn't advocate for their best interest, they
[the residents] felt that they no longer had a voice, she [the Administrator] would immediately shut them [the
residents] down if they brought up any suggestions or problems they had. AE #623 did fear retaliation from
the administrator, and they were sure other staff felt this way. AE #623 posed the question how do you
advocate for the best quality care and quality of life of the residents when you are so fearful of losing your
job?. The work environment is so toxic, this affects the residents, they can see it's tense, they feel the
tension, they witness her [the Administrators] outbursts. h. Interview on 02/11/26 at 8:50 A.M. with
Anonymous Resident (AR) #1522 revealed the new Administrator made it hard for staff to do their jobs
which included aides, activities, nurses. Any issues or concerns reported to her [the Administrator] or
requests from residents, the Administrator always turned them down, she didn't listen to us or take our
concerns into consideration. We [the residents] rarely saw the Administrator, she had her favorite residents
she saw and talked to. She [the Administrator] was nasty to staff; just recently she yelled at one of nurses in
front of the staff and residents at the nurse's station and the resident thought she [the nurse] was going to
quit. AR #1522 stated they would quit a job if
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
366052
If continuation sheet
Page 6 of 8
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
366052
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/11/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Gables Care Center Inc
351 Lahm Drive
Hopedale, OH 43976
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 0835
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
they were treated like that, and the nurse was a good nurse, and cared about the residents. The resident
stated watching and hearing the Administrator yell like that was scary. AR #1522 feared retaliation if they
reported concerns about the Administrator and indicated this would be getting kicked out of the facility.
Lastly, the resident stated things at the facility were much better before this Administrator came to the
facility.On 02/11/26 at 9:20 A.M. AR #1522 was observed crying. The resident was approached and asked
what was wrong and they reported they were really concerned something was going to happen to them
now, and they might get kicked out because they spoke with the SSA. AR #1522 reported they were going
to try to calm down, and they may go do something to distract themselves and relax.i. Interview on 02/11/26
at 9:37 A.M. with AE #199 revealed they felt the Administrator was unprofessional and would scream at
staff in front of other staff members, visitors, and residents. The right way to do it would be moving to a
private space, where residents and their loved ones or whoever were visiting with them would not overhear
and witness the altercation. The times AE #199 stated they had witnessed the Administrator scream at
staff, the environment didn't feel safe or comfortable. The Administrator made small remarks and comments
about other peoples' work or their work ethic to other staff members, which was inappropriate since it
wasn't with the applicable staff member, in private. There was a specific altercation a few weeks ago, a
nurse pulled her mask down to take a drink of water, the Administrator screamed and yelled, belittled and
berated the nurse; in front of visitors and residents and other staff. AE #199 shared they were fearful that
speaking up, and advocating would result in retaliation from management.j. Interview with Resident
Representative #192 on 02/11/26 at 2:03 P.M. revealed the atmosphere at the facility seemed tense. They
had only heard of but not personally witnessed the Administrator yelling at staff members, and treating
them poorly. Resident Representative #192 stated they had talked to the Administrator occasionally but
more often than not she [the administrator] did not get with them regarding concerns, as they seemed to be
forgotten about or brushed under the rug.k. Interview on 02/11/26 at 2:15 P.M. with AE #12 revealed the
Administrator did not handle situations professionally. She would yell and raise her voice louder and louder.
She [the Administrator] would speak to staff and residents poorly. The Administrator does not treat you like
an equal, she was patronizing and condescending. There was an incident, with a nurse, [not wish to name]
and the Administrator. Something happened and the Administrator began yelling at the nurse, in a public
space, with staff, residents, visitors witnessing the situation. The nurse was never taken to a private area,
instead she was belittled by the Administrator with several people seeing and overhearing the scenario
unfold. AE #12 stated staff were fearful, residents said they were not comfortable, and families reported
they were concerned, especially when they witnessed these situations more than once. There was a
corporate compliance line you could call and file complaints. Although it was allegedly anonymous, her
name [the Administrator] was at the bottom of the number as the compliance officer. We [staff] are hesitant
for fear of retaliation. The employee stated the Administrator was not approachable; she doesn't interact
with the residents at all. Several staff members have left employment with the facility due to treatment by
the Administrator. AE #12 shared there had been many residents who have complained about the
Administrator and how they were treated and how the Administrator doesn't interact with them. The
residents have also shared they have witnessed the Administrator yell at staff as well as family members
have said they witnessed altercations between the Administrator and staff, too.l. Interview on 02/11/26 at
2:30 P.M. with AE #414 revealed AR #982 had approached them and was concerned about the
Administrator being present at the resident council meeting that was scheduled with the SSA because the
SSA would be present and the residents couldn't speak freely about their concerns with the Administrator if
she was in the
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
366052
If continuation sheet
Page 7 of 8
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
366052
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/11/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Gables Care Center Inc
351 Lahm Drive
Hopedale, OH 43976
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 0835
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
FORM CMS-2567 (02/99)
Previous Versions Obsolete
meeting due to fear of retaliation. A Resident Council Meeting was held on 02/11/26 with the SSA staff
present. The meeting was called to order by Resident Council President #54. At 3:10 P.M. the Director of
Nursing (DON) and Administrator entered the dining room [where the resident council was being held].
Resident #49 stated their main concern was not have enough aides [certified nursing assistants]. Resident
#54 agreed Resident #49 stated there were enough nurses. The DON and Administrator stated they would
complete audits for staffing. At approximately 3:40 P.M. the DON and Administrator were asked by the
resident council president to exit the dining room so the residents could speak with the SSA privately. Staff
exited the dining room. AR #511 then stated they would like a new Administrator as residents believed the
Administrator did not have their best interests at heart. The resident further shared they were told, when
concerns were shared with the Administrator, the facility doesn't have enough money or provides numbers
to them they don't understand so they can't advocate for themselves. AR #511 reported the Administrator
cuts them off and doesn't do anything to help the residents. AR #511, AR #1522 and AR #205 shared when
they bring up concerns, the administrator becomes defensive and there's no follow-up or change. AR #1522
stated the Administrator made them feel like crap. AR #205 stated they felt the Administrator treated
residents differently and would yell at staff in front of other staff, residents and visitors. AR in the council
meeting also reported they fear more good staff were going to continue to leave due to how the
Administrator speaks to them as the facility has had some good staff already quit. The residents stated the
Administrator makes it hard to keep good staff.m. Interview on 02/11/26 at 3:59 P.M. with AE #58 revealed
they felt they were unable to report concerns without retaliation from the Administrator. Employee #58
stated they did see how certain residents were treated differently by the Administrator. Employee #58
revealed they were fearful of retaliation from the administrator if concerns were voiced.This deficiency
represents non-compliance investigated under Complaint Number 2709902.
Event ID:
Facility ID:
366052
If continuation sheet
Page 8 of 8