The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
HIGHLAND SQUARE NURSING AND REHABILITATION
AKRON, OH · Medicare-certified · 91 beds
Needs attention
Abuse citationFor-profit
2 of 5 overall
Highland Square Nursing and Rehabilitation in Akron, OH has an overall 2-star rating, with 1-star health inspection and staffing ratings, despite a 5-star quality measures score. The facility has a recent abuse citation, $328,242 in fines over the last 24 months, and reported nurse staffing of 3.30 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.3011 hrs/resident/day
Quality measures
Last inspection: September 18, 2025Penalties, last 24 months: $328,242recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3011.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.85
- Nurse aides
- 1.93
- Weekend nursing
- 2.89
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.8%9.4%Improving
Residents with a fall causing major injury
1.9%0%Improving
Residents with pressure ulcers (bedsores)
3.8%1.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%14.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.4%2.4%No change
Residents whose ability to walk got worse
0%0%No change
Long-stay residents on antianxiety or sleep medication
17.8%16.7%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.3%26.5%Worsening
Residents with depressive symptoms
54.5%69%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—91.8%—
Long-stay residents given the pneumonia vaccine
46.2%60.8%Improving
Short-stay residents given the seasonal flu vaccine
—44.4%—
Short-stay residents given the pneumonia vaccine
37.7%64%Improving
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited May 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $295,045 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $16,396 was recorded.
- PENALTY
A federal fine of $16,801 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $403,048 in total fines.
- $295,045
Federal fine
Aug 20, 2025
- $16,396
Federal fine
Apr 9, 2025
- $16,801
Federal fine
May 24, 2024
- $63,783
Federal fine
Jan 18, 2024
- $11,023
Federal fine
Jan 18, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 64.5 residents on an average day (71% of 91 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 51 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.