Othello Post Acute

In the surveyor’s words

From the most serious findings on record at Othello Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 12, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision and use of assistance devices when consuming hot beverages, and to consistently assess hot beverage temperatures for safety prior to serving to prevent accidents for 1 of 3 sample residents (Resident 1). Resident 1, who was severely cognitively impaired, experienced harm when they were provided a cup containing a hot beverage that had not been checked for temperature without a lid and unsupervised which the resident spilled in their lap and resulting in a third-degree burn.According to the American Burn Association, thinner skin of older adults burns faster and deeper, and a serious burn can occur within five seconds of exposure to a liquid at a temperature of 140… […]

• Actual harm, isolatedF687May 21, 2024

  Based on interview and record review, the facility failed to ensure a physician ordered foot care referral for a podiatrist was followed up on, and a change in foot wound condition was reported to the medical provider for 1 of 3 sampled residents (Resident 1), reviewed for wound care. Resident 1 experienced harm when they required additional surgery and amputations to their foot. These failures constituted Past Non-Compliance (the facility was not in compliance at the time the situations occurred; however, there was sufficient evidence that the facility corrected the non-compliance after they were identified) at harm level. The facility immediately implemented and completed a plan of correction which was verified by surveyors. […]

• Actual harm, isolatedF689Dec 19, 2023

  Based on observation, interview, and record review, the facility failed to thoroughly investigate the cause(s) of falls and assess the need for additional effective interventions for 2 of 3 sampled residents (Resident 1 and 3), reviewed for accident hazards. This failed practice resulted in actual harm to Resident 3 who was not provided supervision following a decline in health status and experienced a hip/pelvic and coccyx (tailbone) fracture that required hospitalization and surgery, and placed Resident 1 at risk for additional falls, injury secondary to falls, and diminished quality of life. […]

• Actual harm, isolatedF776Dec 19, 2023

  Based on observation, interview, and record review the facility failed to timely obtain and implement a physician order for X-ray services for 1 of 3 sampled residents (Resident 3), reviewed for diagnostic testing. This failure resulted in actual harm for Resident 3, who sustained a blood clot secondary to a fracture, which required medical intervention. Findings included . Review of the facility's Mandated Reporting Log from 10/19/2023 to 12/19/2023 showed Resident 3 experienced five falls during the month of November. Review of the November 2023 progress notes showed the following: - On 11/24/2023 Resident 3 had an unwitnessed fall in their room. The resident complained of pain to their right hip following the fall but had no other signs of injury. […]

• No harm, potential for more than minimal, widespreadF761Oct 11, 2024

  Based on observation, interview, and record review, the facility failed to ensure expired medications were disposed of timely, in accordance with currently accepted professional standards, in 1 of 1 medication storage rooms. The facility further failed to maintain temperatures to ensure medications were properly stored. This failure placed residents at risk for receiving compromised or ineffective medication. Findings included . During an observation of the medication room on 10/10/2024 at 7:18 AM, with Staff I, Registered Nurse, revealed a vial of hepatitis vaccine that had expired on 08/24/2024. […]