Ohio Living Cape May

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 9, 2026

  Based on observation, staff interview and review of the facility policy, the facility failed to ensure kitchen equipment and food items were maintained and handled in a sanitary manner to prevent foodborne illness. This had the potential to affect all of the residents in the facility with the exception of one facility-identified (Resident #31) that received no food by mouth. The facility census was 21 residents. Findings include: 1. Observation on 07/06/26 at 8:10 A.M. revealed there was a ham undated and open to air in the prep table cooler. The following opened and undated items were in the reach in freezer: a bag of onion straws, a bag of fries, a bag of chicken tenders. There was brown debris in the oil of the fryer. […]

• No harm, potential for more than minimal, patternF880Jul 9, 2026

  Based on observation, staff interview, and review of the facility policy, the facility failed to ensure staff used appropriate hand hygiene and infection control practices when administering medications. This affected four (Residents #1, #8, #13, and #20) of four residents reviewed for medication administration. The facility census was 21 residents.Findings include: Observation on 07/08/26 at 7:11 A.M. of medication administration revealed Registered Nurse (RN) #342 dropped Resident #13's Lasix and potassium chloride directly onto the medication cart. After dropping each medication on the medication cart RN #342 used her hands to place the medications into the resident #13's medication cup. RN #342 did not perform hand hygiene before entering Resident #13's room to administer medications. […]

• No harm, potential for more than minimal, patternF610Apr 10, 2026

  Based on staff interviews, policy review, and review of the facilities Self-Reported Incidents (SRI) and investigations, the facility failed to complete thorough investigations into allegations of sexual and physical abuse of residents. This affected four residents (#8, #17, #67, and #68) of seven SRIs reviewed. Findings include:1. Review of the facility's SRI number 252610 dated 10/04/24 revealed an allegation of physical abuse between Residents #17 and #68. Certified Nursing Assistant (CNA) #101 was at the nursing station and heard get out, get out from a resident room. CNA #101 immediately went to Resident #17's room and Resident #17 had his fist raised to Resident #68 asking him if he wanted hit. Resident #68 wandered into Resident #17's room. […]

• No harm, potential for more than minimal, patternF919Sep 30, 2021

  Based on staff interview, policy review, and observation the facility failed to have a resident call system that was adequately equipped to allow residents to call for assistance when a State tested Nurse Aide and Licensed Practical Nurse did not have pagers that informed them of Residents using their call lights or pendants. This had the potential to affect 13 Residents (#1, #2, #3, #4, #5, #11, #12, #13, #14, #15, #16, #17, and #18) on the healthcare hallway. The facility census was 23. Findings include: Observation on 09/27/21 at 10:55 A.M. of Licensed Practical Nurse (LPN) #11 revealed he does not have a pager that notifies him of resident call lights or pendants going off on his person. Interview on 09/27/21 at 10:55 A.M. […]

• No harm, potential for more than minimal, patternF919Sep 28, 2021

  Based on staff interview, policy review, and observation the facility failed to have a Resident call system that was adequately equipped to allow Residents to call for assistance when a State tested Nurse Aide and Licensed Practical Nurse did not have pagers that informed them of Residents using their call lights or pendants. This had the potential to affect 13 Residents (#1, #2, #3, #4, #5, #11, #12, #13, #14, #15, #16, #17, and #18) on the healthcare hallway. The facility census was 23. Findings include: Observation on 09/27/21 at 10:55 A.M. of Licensed Practical Nurse (LPN) #11 revealed he does not have a pager that notifies him of Resident call lights or pendants going off on his person. Interview on 09/27/21 at 10:55 A.M. […]