Ohio Veterans Home

In the surveyor’s words

From the most serious findings on record at Ohio Veterans Home, in the surveyor’s own words.

• Immediate jeopardy, patternF610Apr 27, 2022

  Based on review of facility documents, review of facility policy, review of a personnel file, review of a Self-Reported Incident (SRI), and staff interview, the facility failed to protect residents from potential further abuse once the facility was made aware that an allegation of staff to resident abuse had occurred. This resulted in Immediate Jeopardy for three (Residents #07, #59, and #89) residents when the facility was notified on 03/25/22 that State tested Nursing Assistant (STNA) #155 was alleged to have taken inappropriate photographs of residents. The facility did not immediately remove STNA #155 from providing direct resident care. […]

• Immediate jeopardy, isolatedF600Nov 6, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on review of the medical record, review of a facility Self-Reported Incident (SRI), review of an SRI investigation, review of staff statements, review of the staffing schedule, review of employee time records, review of a police report, review of video surveillance, review of an incident report, staff interviews, resident interview, family interview, and review of facility policy, the facility staff failed to ensure Resident #241 was free from staff to resident verbal and physical abuse. This resulted in Immediate Jeopardy when Resident #241 was thrown from his wheelchair on 09/16/25 at approximately 7:50 P.M. […]

• Immediate jeopardy, isolatedF600Apr 27, 2022

  Based on review of facility documents, staff and police interviews, policy review, and review of Self-Reported Incidents (SRI), the facility failed to ensure residents were free from sexual abuse by facility staff. This resulted in Immediate Jeopardy for Residents #07, #59, and #89 when State tested Nursing Assistant (STNA) #155 confessed to taking inappropriate pictures of Residents #07 and #59 and sexually assaulting Resident #89 on two separate occasions. This affected three of three residents reviewed for sexual abuse. The facility census was 203. The Administrator was notified on 04/11/22 at 2:20 P.M. […]

• Actual harm, isolatedF689Jun 6, 2025

  Based on medical record review, review of a self-reported incident (SRI) and related investigation documents, review of a hospital record, review of an employee skills checklist, and policy review, the facility failed to complete resident transfers using a mechanical lift with appropriate assistance as care planned and as ordered. Actual Harm occurred on 04/29/25 when Resident #2, who was care planned for two-person assistance with all personal care and had a physician order to always be transferred using two people, was transferred in her room by one staff member using a mechanical lift without assistance. Resident #2 sustained a right femur fracture as a result of the improper transfer. This affected one (#2) of three residents reviewed for accidents. The facility census was 223. […]

• Actual harm, isolatedF697Jan 11, 2024

  Based on observations, medical record review, review of facility policy, and resident and staff interviews, the facility failed to provide adequate pain management which resulted in actual harm to Resident #111 who continued to have uncontrolled pain at a level of 8 out of 10 (with 10 being the highest level). This affected one (#111) of two residents reviewed for pain management. The facility census was 186. Findings include: Review of Resident #111's medical record revealed an admitted [DATE]. Diagnoses included chronic pain, chronic obstructive pulmonary disease (COPD), anxiety, depression, and mental and behavioral disorders. […]