Ohio Eastern Star HLTH Care CTR the

In the surveyor’s words

From the most serious findings on record at Ohio Eastern Star HLTH Care CTR the, in the surveyor’s own words.

• Immediate jeopardy, isolatedF697Nov 23, 2021

  Based on medical record review, review of a fall investigation, review of hospital records, staff interview, resident representative interview, and review of the facility policies, the facility failed to thoroughly assess and timely treat Resident #74's complaints of severe leg pain following a fall. This resulted in Immediate Jeopardy when Resident #74 experienced an unwitnessed fall while self-transferring on 08/16/21, complained of leg pain for a period of five days from 08/16/21 through 08/21/21, was found to have a right femoral shaft fracture on 08/21/21, and was sent to the hospital on 08/21/21 where she subsequently passed away on 08/23/21. This affected one Resident (#74) of three residents (#11, #36, and #74) reviewed for pain. The census was 73. On 11/16/21 at 3:06 P.M. […]

• Actual harm, isolatedF760Feb 27, 2025

  Based on closed medical record review, review of medication prescribing information, facility policy and procedure review and interview, the facility failed to prevent a significant medication error from occurring involving Resident #75 related to the administration of prescribed narcotic pain medication. Actual Harm occurred on 01/13/25 at 12:25 A.M. when Registered Nurse (RN) #201 administered Morphine Concentrate Solution, with a concentration strength of 100 milligrams (mg) per five milliliters (ml) (100 mg/5 ml), five milliliters (100 mg) to Resident #75, who had an order to receive 15 mg every eight hours. Following the identification of the significant medication error, the on-call physician was notified and Narcan (reversal agent) nasal spray was administered. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observation, interview, and facility policy review, the facility failed to store food in a sanitary manner and failed to maintain sanitary conditions while serving food. This deficient practice had the potential to affect all residents residing in the facility, who received meals from the kitchen. The facility census was 70.Findings Include:1. An observation on 02/10/26 at 7:57 A.M. revealed in the reach-in freezer there was an opened cardboard box of exposed frozen egg patties in an opened plastic bag, an opened cardboard box of exposed frozen pre-made biscuits in an opened plastic bag, and an opened cardboard box of exposed beef patties in an opened plastic bag. An interview on 02/10/26 at 7:45 A.M. […]

• No harm, potential for more than minimal, widespreadF812May 2, 2024

  Based on observation, staff interview, review of an owner's manual, and review of the facility policy, the facility failed to maintain the kitchen in a clean condition and failed to maintain kitchen equipment in proper working condition to prevent contamination and/or food borne illness. The had the potential to affect all residents in the facility. The facility census was 68. Findings include: 1.Observation on 04/29/24 at 10:47 A.M. with Cook #169 revealed the bottom of two hot holding units were covered in food debris. Interview on 04/29/24 at 10:47 A.M. with Cook #169 confirmed the bottoms of both units were not clean and they should be cleaned every two to three weeks. Observation on 04/29/24 at 10:53 A.M. […]

• No harm, potential for more than minimal, widespreadF607Mar 7, 2023

  Based on interview, record review, and review of the facility abuse policy the facility failed to ensure all employees were checked against the Nurse Aide Registry (NAR) for findings concerning abuse, neglect, exploitation, mistreatment of residents, or misappropriation of resident property. This affected four employees (Controller #217, Activities Assistant #234, Human Resources Director (HR) #235, and Dietary Aide (DA) #338) out of ten employees reviewed for proper screening procedures. This had the potential to affect all 59 residents residing at the facility. […]