F 0725
Level of Harm - Minimal harm
or potential for actual harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in
charge on each shift.
THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS
SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.
Residents Affected - Many
Based on record review and interview, the facility failed to ensure adequate weekend staffing. This finding
had the potential to affect all 89 residents residing in the building. The facility census was 89.
Findings include:
Review of the Staffing Data Report information for the fourth quarter (07/01/24 to 09/30/24) revealed the
facility triggered for excessively low weekend staffing.
Interview on 04/04/25 at 9:33 A.M. with the Administrator confirmed the facility triggered for excessively low
weekend staffing for the fourth quarter on the Staffing Data Report form. The Administrator indicated this
staffing issue was fixed when the facility hired new staff for the building.
Interview on 04/04/25 at 10:09 A.M. with Regional Human Resources (HR) Director #950 indicated the
facility had reported the accurate hours for the Staffing Data Report form for the fourth quarter but the
facility had hired additional staff to correct the issue and added 24-hour nursing staff.
Interview on 04/04/25 at 10:55 A.M. with the Administrator revealed the facility had adequate staffing but
the acuity increased due to the additional residents in the vent unit which triggered the low weekend
staffing on the Staffing Data Report for the fourth quarter.
The deficient practice was corrected on 01/15/25 when the facility implemented the following corrective
actions:
•
On 07/01/24, the Administrator added 24 additional hours of nursing staff (2 extra nurses, one on nightshift
and one on dayshift for 12-hour shifts).
•
The facility received the Staffing Data Report form in 01/2025.
•
(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 2
Event ID:
366459
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
366459
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Brunswick Pointe Transitional Care
4355 Laurel Road
Brunswick, OH 44212
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 0725
Level of Harm - Minimal harm
or potential for actual harm
On 01/15/25, the Administrator, Director of Nursing (DON), Assistant Director of Nursing (ADON) #829 and
HR Director #901 started to conduct meetings every Monday to review the master schedule and daily
staffing schedules to make sure they were accurate, filling gaps in the schedule, sending out shifts for staff
to pick up shifts and making plans to fill shifts.
Residents Affected - Many
•
On 01/15/25, the Administrator, DON, and ADON #829 began to complete weekly audits on the staffing
schedules to ensure adequate staffing.
•
The Administrator and Regional HR Director #950 confirmed the facility hired 16 additional staff members
from 10/18/24 to 03/26/25 including Registered Nurse (RN) #827 on 10/18/24, RN #920 on 01/31/25, RN
#896 on 02/04/25, RN #924 on 02/12/25, RN #840 on 03/14/25; Licensed Practical Nurse (LPN) #871 on
12/12/24; Certified Nursing Assistant (CNA) #810 on 12/09/24, CNA #892 on 02/12/25, CNA #856 on
02/26/25, CNA #865 on 03/03/25; CNA #923 on 03/06/25, CNA #850 on 03/07/25, CNA #807 on 03/10/25,
CNA #820 on 03/14/25, CNA #838 on 03/14/25, and CNA #908 on 03/26/25.
•
Per the Administrator, LPN #801 was promoted to nightshift supervisor on 01/31/25 and she would work the
floor depending on the day. On other days, LPN #801 would be a free-floating supervisor to work the floor
as a support and to audit and assist the CNA's with their work and the nurses with their work including
admissions.
This deficiency represents non-compliance investigated under Complaint Number OH00162469.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
366459
If continuation sheet
Page 2 of 2
