Kingston of Miamisburg

In the surveyor’s words

From the most serious findings on record at Kingston of Miamisburg, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observation, staff interview, and policy review, the facility failed to ensure food was stored and prepared in a safe and sanitary manner. This had the potential to affect all residents who receive food from the kitchen. The facility census was 85.Findings Included:1.Observation during the initial tour of the main kitchen on 05/04/26 at 8:20 A.M. with the Dietary Manager (DM) #74 revealed the walk-in refrigerator contained 80 slices of cake on dessert plates with no label or date, three large clear bags of waffles with no label or date, nine individual dessert cups with yogurt, two very large containers of pork loin with no label or date, sixty individual fruit cups with no label or date and 20 orange slices in dessert cakes with no label or date. […]

• No harm, potential for more than minimal, patternF689Oct 19, 2023

  Based on medical record review, observations, staff interview, and policy review, the facility failed to ensure the ensure water temperatures in rooms were below 120 degrees Fahrenheit (F). This had the potential to affect 16 (#61, #28, #62, #201, #56, #16, #72, #35, #43, #15, #34, #68, #69, #29, #27 and #64) residents who were observed with high hot water temperatures in their rooms. Additionally, the facility also failed to implement fall precautions for a resident. This affected one (#2), out of two reviewed for falls. The facility census was 100. Findings include: 1. Observations of water temperature checks completed by Maintenance Director (MD) #533 on 10/16/23 from 11:54 A.M. through 3:48 P.M. […]

• No harm, potential for more than minimal, patternF812Oct 19, 2023

  Based on observations, staff interview, and policy review, the facility failed to ensure meal tray delivery was done in a hygienic manner. This affected five (#12, #56, #201, #202 and #207) out of 11 residents observed on the D-Hall for meal service. The facility census was 100. Findings include: Observation of meal tray delivery on 10/18/23 from 11:54 A.M. through 12:04 A.M. revealed the following concerns: State tested Nursing Assistant (STNA) #524 pulled the tray for Resident #201 and entered the room without washing or sanitizing hands prior to entering the room. Upon exiting the room, STNA #524 did not wash her hands or use hand sanitizer. STNA #524 pulled the tray for Resident #56 and entered the room without washing her hands or using hand sanitizer. […]

• No harm, potential for more than minimal, isolatedF684May 7, 2026

  Based on medical record review, observation, staff and resident interview, and policy review, the facility failed to ensure physician ordered monitoring was followed for the side effects of anticoagulant medication use. This affected one (Resident #11) out of six residents reviewed. The facility census was 85.Findings include:Review of the medical record for Resident #11 revealed an admission date of 01/01/25. Diagnoses included Alzheimer's disease, Chronic Obstructive Pulmonary Disease, Diabetes Mellitus Type Two, vascular dementia, myocardial infarction and depression. The quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #11 had a Brief Interview Mental Status (BIMS) score of 13 indicating intact cognition. […]

• No harm, potential for more than minimal, isolatedF761May 7, 2026

  Based on medical record review, observation, and staff interview, the facility failed to ensure medication was stored in a safe manner. This affected one (Resident #07) out of three Residents (#07, #14, #100) reviewed for medication storage. The facility census was 85.Findings Included:Medical record review revealed Resident #07 was admitted to the facility on [DATE]. Diagnoses included polyarthritis, scoliosis, hyperglyceridemia, essential primary hypertension, mixed hyperlipidemia, dysphagia, and constipation. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #07 had impaired cognition. […]