Ossian Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 21, 2024

  Based on observation, document review, manufacturer information, and staff interview the facility failed to have a proper system in place to ensure proper sanitation of all dishware. The facility identified a census of 37 residents. Findings include: Upon entrance to the facility on [DATE] at 10:00 AM the Administrator reported the facility had a COVID 19 outbreak with 9 residents positive for COVID 19. Observation on 11/18/24 at 10:26 AM revealed the dishwasher running with a wash temperature of 150 degrees and a rinse temperature of 151 degrees. Further observation revealed a Lo Temp Sanitizer chemical system in place running to the dishwasher. Staff K, Dietary reported they had changed the system over to a chemical sanitation system. […]

• No harm, potential for more than minimal, widespreadF812Oct 12, 2023

  Based on observation, policy review, and staff interview the facility failed to properly label and date opened food prior to storage. The facility identified a census of 38 residents. Findings include: During an initial tour of the kitchen on 10/09/23 at 2:45 PM the following food items were observed not labeled and dated in the food storage areas: a. 1 package of hamburger buns with 3 1/2 buns left in the package b. 1 bag gluten free bread with 5 slices of bread in the bag c. 1/2 package of open coconut flakes d. 1 package 1/4 full of butterscotch baking chips e. 1/2 bag of mixed nuts f. 1/2 loaf of raisin bread g. 3/4 package of raspberry gelatin h. One 12 pack of Cream of Wheat with 7 packages left in the box i. One 12 pack of Cream of Wheat with 11 packages left in the box j. […]

• No harm, potential for more than minimal, patternF552Jan 22, 2026

  Based on record review, staff interviews, and policy review the facility failed to obtain informed consent prior to starting psychotropic medications that have black box warnings (the most serious safety warning used by the Food and Drug Administration (FDA) and requires the healthcare provider to have a comprehensive discussion with the resident about the risks, benefits, and alternatives for use) for 5 of 5 residents reviewed for psychotropic medications (Resident #33, #2, #14, #4, and #3). The facility reported a census of 37 residents. Findings include: 1.Resident #33's 10/23/25 Minimum Data Set (MDS) Assessment documented a Brief Interview for Mental Status (BIMS) score of 9 out of 15 indicating a moderate cognitive loss. […]

• No harm, potential for more than minimal, patternF812Jan 22, 2026

  Based on observations, staff interviews and facility cleaning checklists, the facility failed to maintain sanitary practices by improperly storing clean dishes and maintaining a clean kitchen. The facility reported a census of 37 residents. Findings include:During initial kitchen observation on 1/20/2026 at 9:10 AM, the following findings were identified: dried food and liquid splatter on the refrigerator in the main kitchen area, convection oven thick dust on top with dried food splatter, sugar and flour storage bins with dried food particle inside and outside of containers, open shelving where dishes are stored dusty and dried dark liquid noted, pans stored on open shelves not inverted, floors throughout kitchen, ceiling vents with thick grease and dust, fan in clean dish area blowing on… […]

• No harm, potential for more than minimal, patternF880Nov 21, 2024

  Based on observation, clinical record review, Center for Disease Control and Prevention (CDC) Infection Control Guidance: Sudden Acute Respiratory Syndrome (SARS) COVID 2 Guidelines, COVID 19 Clinical Guidance Summary Review and staff interviews, the facility failed to follow CDC COVID 19 guidance and utilize personal protective equipment (PPE) to prevent the potential spread of COVID 19 affecting 7 of 10 resident in the CCDI (chronic confusion or dementing illness) unit (Resident #4, #10, #13, #25, #21, #36 and #38). The facility reported a census of 37 residents. Findings include: Upon entrance to the facility on [DATE] at 10:00 AM the Administrator reported the facility had 9 residents on isolation for COVID 19. […]