Ohio Living Breckenridge Village

In the surveyor’s words

From the most serious findings on record at Ohio Living Breckenridge Village, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 25, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on record review and interview, the facility failed to conduct a safe resident transfer onto a transportation van to prevent a fall with injury for Resident #63. This affected one resident (#63) of three residents reviewed for falls. The facility census was 64. Actual harm occurred on 09/10/25 when Resident #63 fell forward out of his wheelchair onto the concrete ground while being transferred by staff onto a facility transportation van. This resulted in resident complaints of back pain and multiple skin tears and abrasions to the head, left elbow, and multiple fingers of each hand. […]

• No harm, potential for more than minimal, widespreadF880May 15, 2025

  Based on observation, interview, record review, facility policy and staff training review, and review of the Centers for Medicare and Medicaid (CMS) Quality, Safety, and Oversight (QSO) Memo 24-08-NH, the facility failed to use a gown for required enhanced barrier precautions (EBP) while administering medications through a gastric tube for Resident #44, failed to clean a wrist blood pressure monitor between use on Resident's #44 and #52, and failed to maintain a clean wall-mounted fan while in use and directed toward clean linen in the laundry area. This affected two residents (#44 and #52) of 60 residents reviewed for infection control and had the potential to affect all 60 residents residing in the facility. […]

• No harm, potential for more than minimal, isolatedF758Jun 30, 2022

  Based on record reviews and interviews the facility failed to ensure as needed medication orders for [CONDITION(S)] drugs were limited to 14 days. This affected three (Residents #3, #23, and #34) of six residents reviewed for unnecessary medication. The census at the time of the survey was 90 residents. Findings include: 1.Record review for Resident #34 revealed the resident was readmitted to the facility on [DATE]. Pertinent diagnoses for the resident included unspecified dementia, other dissociative and conversion disorders, cognitive communication deficit, chronic pain, anxiety disorder, and major depressive disorder. The brief interview for mental status (BIMS) from MDS dated [DATE] revealed the resident had a score of five indicating severe cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF602Jan 4, 2022

  Based on interview and record review the facility failed to prevent misappropriation for Resident #1 and #2 by agency State tested Nurse Aide (STNA) #3. This affected two of two residents reviewed for misappropriation. Findings include: 1. Resident #1 was admitted to the facility on [DATE] for skilled therapy with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . On 12/02/21 she was admitted to the hospital for complications related to the blood clot and returned to the facility on [DATE]. Review of the admission Minimum Data Set (MDS) 3.0 dated 10/31/21 revealed the resident was alert and oriented and able to make her own decisions. On 12/08/21 she informed her husband she noticed charges she did not make on her credit card made on 12/06/21 and 12/07/21. […]

• No harm, potential for minimal, widespreadF577Jun 30, 2022

  Based on record review and staff interview, the facility failed to ensure the most recent state survey results were readily available for public review. This had the potential to affect all 90 residents residing in the facility. Findings included: Review of the facility folder titled Ohio Department of Health Survey Results located in the main lobby in clear view revealed the last survey in the folder and available to be reviewed by the public was the annual survey conducted on 06/27/19. The Ohio Department of Health conducted a complaint survey at the facility on 01/04/22 resulting in a certification deficiency and licensure violation being issued to the facility: Interview with the Administrator on 06/28/22 at 9:53 A.M. […]