Deficiency Index

Ohio Living Mount Pleasant

Monroe, Ohio · CCN 365358

9 surveys since 2011. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
22
Surveys
9
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file7/9

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
32
Ownership
Non profit - Corporation
Chain
OHIO LIVING COMMUNITIES
County
Butler
Medicare-certified since
1977

CMS ratings

Overall
4
Health inspection
3
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Jan 22, 2026

291 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.084.41
Registered-nurse hours per resident day1.04—
Annual nurse turnover30.0%50.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG19.1%H—I—
No harm, potential for more than minimalD327.3%E218.2%F545.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 22 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6971×

    Provide safe, appropriate pain management for a resident who requires such services.

  • F7001×

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  • F7251×

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

In the surveyor’s words

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

  • Actual harm, isolatedF697Aug 1, 2022

    Based on observation, record review and interview, the facility failed to ensure acute pain was adequately monitored for a resident experiencing pain following a fall. Actual harm occurred when Resident #44 complained of pain on 07/26/22 at 7:00 A.M and was not assessed by a nurse and did not receive pain medication until 10:44 A.M. Resident #44 continued to complain of pain until the nurse reassessed for the pain at 2:36 P.M. This affected one (Resident #44) of one resident reviewed for pain management. The facility census was 73. Findings include: Record review revealed Resident #44 was admitted on [DATE]. […]

  • No harm, potential for more than minimal, widespreadF700Jan 22, 2026

    Based on observation, staff interviews, and policy review, the facility failed to assess residents for risk of entrapment and failed to obtain informed consent prior to installation of assist bars on resident beds. This affected all 28 residents identified by the facility with assist bars attached to their bed. The census was 28.Findings include:Observations of resident rooms on 01/21/26 between 4:26 P.M. and 4:53 P.M. revealed assist bars were attached to all beds in occupied resident rooms.Interview on 01/21/26 at 12:13 P.M. […]

  • No harm, potential for more than minimal, widespreadF812Jan 22, 2026

    Based on observation, staff interviews, and policy review, the facility failed to ensure staff with facial hair wore appropriate beard covers during meal preparation. This had the potential to affect all 28 residents the facility identified as receiving food from the kitchen. The census was 28. Findings Include: Observation of the kitchen on 01/20/26 from 11:45 A.M. to 12:00 P.M. revealed Sous Chef #177, Dietary Technician (DT) #245, and [NAME] #228 each had varying lengths of facial hair and assisted with meal preparation without wearing beard covers. During an interview on 01/20/26 at 12:28 P.M., Corporate Culinary Director #251 verified male kitchen staff were preparing food without wearing appropriate beard covers. […]

  • No harm, potential for more than minimal, widespreadF761Aug 1, 2022

    Based on observation, interview, and policy review, the facility failed to ensure insulin and over-the-counter medications were not stored beyond their expiration date. This affected Resident #71 and potentially all residents. The facility census was 73. Findings include: 1. Observation on 07/27/22 at 1:52 P.M. revealed the Skilled Care Unit (SCU) had two opened bottles of insulin that were stored beyond their expiration date. Resident #71 had one bottle of [MEDICATION(S)] ([MEDICATION(S)] insulin) opened 06/19/22 and [MEDICATION(S)] ([MEDICATION(S)] insulin) dated 06/18/22. During an interview at 1:55 P.M. Licensed Practical Nurse (LPN) # 120 verified the SCU med cart held two bottles of insulin for Resident #71 that were stored beyond their expiration date. […]

  • No harm, potential for more than minimal, widespreadF803Aug 1, 2022

    Based on record review, observation and interview, the facility failed to provide food portions and prepare foods as planned by a Registered Dietitian. This directly affected one (Resident #33) but had the potential to affect all 73 residents who received food from the kitchen. The facility census was 73. Findings include: 1. Record review revealed Resident #33 revealed the resident was admitted to the facility on [DATE]. Diagnoses included protein-calorie malnutrition, dementia and cerebral infarction. Review of the Minimum Data Set, (MDS) comprehensive assessment dated [DATE] revealed the resident had severely impaired cognition and was receiving eight ounces of supplement twice a day and pureed diet. […]

Read 20 findings in full →The most serious and the most recent: 20 of 22 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 22, 2026Standard3 findings
  • Dec 1, 2022Complaint2 findings
  • Aug 1, 2022Standard and complaint8 findings · 1 harm
  • Feb 24, 2022Complaint1 finding
  • Jan 9, 2022Complaint1 finding
  • Mar 14, 2019Complaint3 findings
  • Mar 30, 2017Standard2 findings
  • Jul 29, 2013—1 finding
Show the 1 earlier survey
  • Jan 21, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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