Ohio Valley Manor Care Center

In the surveyor’s words

From the most serious findings on record at Ohio Valley Manor Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 14, 2023

  Based on observations, medical record review, staff interviews, review of the facility's quality assurance investigation, review of hospital documentation and reports, and facility policy review, the facility failed to provide adequate supervision to prevent the elopement of a resident, without staff knowledge, who was cognitively impaired and assessed as being at risk for elopement. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, injury, and/or death on [DATE] when Resident #136 eloped from the facility and the resident was found by a staff family member 600 feet away from the facility near a highway that had a 55 Miles Per Hour (MPH) speed limit. […]

• No harm, potential for more than minimal, widespreadF812Aug 26, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure dented cans were discarded, food items were dated and labeled, and kitchen staff washed their hands utilizing proper technique. These failures had the potential to affect all residents who received meals from the dietary department. Findings included:A facility policy titled, Food Storage, revised 11/2024, indicated, Policy Statement- Food shall be received and stored in a manner that complies with safe food handling practices. The section titled, Policy Interpretation and Implementation revealed, 5. Dry foods will be labeled and dated. Such foods will be rotated using first in - first out system. 6. All foods stored in the refrigerator and freezer will be covered, labeled and dated. […]

• No harm, potential for more than minimal, patternF803Sep 9, 2022

  Based on record review, observation and interview, the facility failed to prepare and serve the puree diet as planned by a Registered Dietitian for Residents #40, #28, # 22, #75, #68, #23, #2, and #20. The facility census was 134. Findings Include: Record review for Resident # 40 revealed admitted [DATE], medical diagnosis of Alzheimer's disease and No Added Salt puree diet order. Record review for Resident #28 revealed admitted [DATE], medical diagnosis of dementia with behavioral disturbance and Regular puree diet order. Record review for Resident # 22 revealed admitted [DATE], medical diagnosis of Alzheimer's Disease and Regular, puree, nectar consistency diet order. […]

• No harm, potential for more than minimal, patternF812Sep 9, 2022

  Based on observation and interview, the facility failed to store foods, discard expired foods and monitor refrigerator temperatures. This had the potential to affect 133 residents who received food from the kitchen. The facility census was 134. Findings include: Observation on [DATE] at 10:05 A.M. revealed following sanitation violations in the main kitchen: 1. Open container of syrup dated [DATE] with no open or use by date in the dry storage area. 2. In the reach in refrigerator, six containers of liquid, identified as juice, with no label or date 3. Three reach-in refrigerators temperature monitoring logs not completed of random dates totaling 85 missing temperature entries. Observation on [DATE] at 10:30 A.M. revealed following sanitation violations in Parkview satellite kitchen: 1. […]

• No harm, potential for more than minimal, isolatedF695Aug 26, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to follow physician's orders for supplemental oxygen administration for 1 (Resident #41) of 5 residents reviewed for oxygen use. Findings included:A facility policy titled, Policy and Procedure for the Administration of Oxygen Therapy, reviewed 11/2024, revealed, Procedure 1. Oxygen will be administered in accordance with physician's order. 2. Nurse should verify order prior to administering oxygen. An admission Record revealed the facility admitted Resident #41 on 03/27/2019. According to the admission Record, the resident had a medical history that included diagnoses of heart disease, mild intermittent asthma, and personal history of COVID-19. […]