Ossian Health Care and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Sep 20, 2023

  Based on observation, interview and record review, the facility failed to properly contain the transmission of COVID-19 for 5 of 11 residents reviewed for infection control (Resident E, Resident G, Resident N, Resident O, and Resident Q). Findings include: A list of COVID-19 positive residents was provided by the Administrator on 9/20/23 at 12:54 PM. The list indicated Resident E, Resident G, Resident N, Resident O and Resident Q tested positive for COVID-19. During an observation on 9/20/23 at 10:22 AM, Resident E, Resident G, Resident N, Resident O and Resident Q's rooms had signage to indicate the residents were on red zone precautions (COVID positive). […]

• No harm, potential for more than minimal, isolatedF742Apr 24, 2026

  Based on interview and record review, the facility failed to ensure behavioral health services were provided for 1 of 1 resident reviewed (Resident 11).Findings Include:Resident 11's record was reviewed on 4/20/2026 at 12:21 PM. Diagnoses included bipolar disorder unspecified, anxiety disorder unspecified, post-traumatic stress disorder (PTSD) chronic, and major depressive disorder (MDD) recurrent.A review of Resident 11's current annual MDS indicated their Basic Interview for Mental Status (BIMS) score was 15, cognitively intact.A review of Resident 11's current care plan titled I have a PASRR Level II without specialized services related to mental illness indicated the resident had a problem of receive services as indicated in the PASRR Level II outcome with a goal date of 6/18/2026. […]

• No harm, potential for more than minimal, isolatedF689May 9, 2025

  Based on interview and record review, the facility failed to ensure accident risks were identified and interventions put into place to prevent accidents for 1 of 1 resident reviewed (Resident 388). Findings include: In an interview, on 5/5/25 at 1:24 PM, Resident 78 indicated Resident 388 had entered their room multiple times asking for their family. Resident 78 indicated Resident 388 had entered their bathroom on 2 different occasions and rummaged through Resident 78's personal belongings. Resident 78 indicated they had activated their call light for staff to assist Resident 388 back to their own room. A Quarterly Risk Evaluation, dated 4/23/25, indicated Resident 388 had the ability to walk around the facility independently. […]

• No harm, potential for more than minimal, isolatedF699May 9, 2025

  Based on record review and interview the facility failed to ensure trauma informed care was implemented for 1 of 2 residents reviewed. (Resident 53) Findings include: Resident 53's record review began on 05/05/25 at 10:46 AM. The record indicated diagnosis included major depressive disorder, past traumatic stress disorder (PTSD), and anxiety disorder. Resident 53's care plan had a problem related to past trauma as evidenced by angry outbursts, anxiety, changes in sleeping patterns, depression, emotional swings, history of past traumatic events and refusing care. The goal of Resident 53's care plan was I will not display angry outburst or sadness through the next review. […]

• No harm, potential for more than minimal, isolatedF684Jun 28, 2024

  Based on interview, observation, and record review the facility failed to ensure an intrathecal pump (ITP) (surgically implanted device that delivers medication directly to the fluid surrounding the spinal cord) had orders and directions for use for 1 of 7 residents reviewed (Resident 337). Findings include: In an interview on 6/25/24 at 12:06 PM, Resident 337 indicated she had a morphine pain pump in her abdomen for back and foot pain. She indicated the pump had been in place for about one year. Resident 337's record was reviewed on 06/26/24 at 11:27 AM. […]