Altercare of Bucyrus Center Fo

In the surveyor’s words

From the most serious findings on record at Altercare of Bucyrus Center Fo, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 28, 2025

  Based on record review, resident interview, staff interview, review of the facility investigation, and policy review, the facility failed to ensure Resident #18 was provided adequate supervision to prevent an elopement without staff knowledge. This resulted in Actual harm on 10/22/25 at 2:00 A.M. when Resident #18 was left unattended, eloped from the facility, fell in the parking lot, required Emergency Medical Service (EMS) transport to the hospital, and was diagnosed with a nondisplaced fracture of the nasal bones and a right humerus fracture. This affected one (#18) of three residents reviewed for elopement and falls. The facility census was 71.Review of Resident #18 ' s medical record revealed an admission date of 09/19/22. […]

• Actual harm, isolatedF689Apr 8, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interview, review of the fall investigation and witness statements, review of the hospital records, review of facility lift inspections, review of the manufacturer recommendations for use, and review of facility policy, the facility failed to ensure a resident was safely transferred by a mechanical lift that was not inspected per manufactures instructions or identified as defective by facility staff. […]

• No harm, potential for more than minimal, widespreadF926Jul 31, 2025

  Based on observation, staff interview and facility policy review, the facility failed to provide a safe smoking area for all residents. This affected all residents in the facility. The census was 66.Observation on 07/30/25 at 10:55 A.M. revealed smoking shack did not have designed smoking times posted to enable nonsmokers to avoid the area during the posted times. There were also numerous cigarette butts on the ground outside the smoke shack, on the concrete and in the landscaping mulch, and one half smoked cigarette beside the ashtray receptacle in the smoke shack. Interview with Director of Nursing (DON) on 07/30/25 at 11:00 A.M. […]

• No harm, potential for more than minimal, widespreadF812Jan 29, 2024

  Based on observation, staff interview, and policy review, the facility failed to store refrigerated food properly. This had the potential to affect all 69 residents in the facility who received food from the kitchen. Findings include: Observation of the walk-in refrigerator on 01/22/24 at 8:00 A.M. revealed there was a large metal tray labeled meat loaf that was uncooked on the top shelf over the drinks stored in carafes. There was also observed a small metal rectangle pan of brown liquid that was unlabeled and undated, a small metal rectangle pan of what appeared to be cooked meat with grease on top that was not dated or labeled, and a large metal tray of what appeared to be meatloaf that had been served but was not labeled or dated. […]

• No harm, potential for more than minimal, patternF689Jul 31, 2025

  Based on observation, staff interview, review of facility water temperature logs, and review of the facility policy, the facility failed to maintain safe water temperatures. This had the potential to affect all residents residing on the 300-hall (Resident #6, #8, #9, #19, #21, #22, #26, #30, #34, #35, #50, #55, #56, #58, #60, #62, #65, #67, and #71), all residents residing on the 400-hall (#5, #12, #13, #14, #20, #23, #27, #32, #68, and #69) and residents residing in room [ROOM NUMBER]. […]