Ohio Living Sarah Moore

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 19, 2026

  Based on observation, staff interview, and policy review, the facility failed to maintain a sanitary kitchen. This had the potential to affect all 42 residents who receive food from the kitchen.Findings include:Observation of the kitchen during the initial tour on 03/16/26 at 8:02 A.M. revealed the ice machine had a brown spots and calcium buildup locates inside and above the ice. Additionally, the floors had a buildup of dirt behind the soda machine and the area behind the dishwasher revealed a black substance which appeared to be mold behind the dishwash area and by the soda dispenser. Dust buildup with a black substance was observed over the food heater located on the area on the ceiling.Interview on 03/16/26 at 8:24 A.M. […]

• No harm, potential for more than minimal, widespreadF812Apr 18, 2024

  Based on observations, staff interview, and facility policy review, the facility failed to follow proper handwashing and glove use during lunch meal service. This had the potential to affect all 45 residents in the facility who receive food from the kitchen. The facility did not have any residents with a physician ordered nothing by mouth (NPO) diet. Findings include: Observation of lunch meal service on 04/17/24 from 11:34 A.M. to 11:55 A.M. revealed Cook #273 completed food temperatures. After obtaining food temperatures, with bare hands, Cook #273 lifted the metal lid that was covering the zucchini casserole dish on the steam table. Cook #273 donned clean gloves. The cook did not wash her hands with soap and water before donning the clean gloves. […]

• No harm, potential for more than minimal, patternF805Apr 18, 2024

  Based on observations, review of menu, review of resident diets, review of recipes, staff interviews, and facility policy review, the facility failed to ensure pureed foods and mechanical soft foods were prepared in an appropriate consistency. This affect three residents (#14, 15, and 22) on a pureed diet and two residents (Residents #30 and #32) on a mechanical soft diet. The facility census was 45. Findings include: 1. Review of the menu for the lunch meal on 04/17/24 revealed the planned meal was zucchini casserole or barbecue ribs with baked sweet potatoes, peas, and assorted cookies or sugar-free cookies. Review of the list of residents with current diet orders revealed Residents #14, #15, and #22 had an ordered pureed diet. […]

• No harm, potential for more than minimal, patternF880Apr 18, 2024

  Based on observations, record review, staff interview, review of the facility policy, and review of the Centers for Disease Control and Prevention (CDC) guidance, the facility failed to wear appropriate personal protective equipment and perform proper hand hygiene during care of a resident under transmission-based precautions. This had the potential to affect 27 residents (#1, #6, #8, #9, #16, #17, #18, #19, #20, #23, #25, #28, #30, #31, #33, #34, #90, #92, #93, #94, #95, #96, #240, #241, #242, #243, and #244) receiving care on the second-floor rehab unit and healthcare two. The facility census was 45. Findings include: Review of medical chart for Resident #91 revealed an admitted [DATE]. Diagnoses included enterocolitis due to Clostridioides difficile (C. diff). […]

• No harm, potential for more than minimal, isolatedF656Mar 19, 2026

  Based on staff interview, medical record review and facility policy review, the facility failed to ensure a care plan was updated for Resident #20 when she began to exhibit behaviors. This affected one (#20) of 16 residents reviewed for care plans. The facility census was 42.Findings include:Review of Resident #20's medical record revealed an admission date of [DATE]. Diagnoses included vascular dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety.Review of Resident #20's progress notes dated [DATE] revealed during a quarterly care conference with Resident #20, Resident #20 has moments of confusion looking for her deceased husband and thinking other residents were her husband, but was easily directed.The progress note dated [DATE] revealed Resident… […]