Otterbein at Maineville

In the surveyor’s words

From the most serious findings on record at Otterbein at Maineville, in the surveyor’s own words.

• Immediate jeopardy, patternF689May 16, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, observation, staff and physician interview, review of hospital records, and policy review, the facility failed to ensure the residents environment remained as free from accident hazards as possible when the Heating, Ventilation, and Air Conditioning (HVAC) system malfunctioned causing the temperatures in House 150 to drop, and portable space heaters were placed in four resident rooms, which were prohibited. This resulted in Immediate Jeopardy and serious life-threatening physical harm and/or injuries when on 04/17/25, Resident #47 sustained a full thickness burn to the left outer calf from below the knee to the top of the left foot. […]

• Actual harm, isolatedF805Dec 16, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of facility Self-Reported Incidents (SRIs), staff interview, and policy review, the facility failed to provide a resident's food in the correct texture to meet individual needs per physician's orders for one (Resident #1) resident. This resulted in actual harm when Resident #1 choked on the food of incorrect texture which caused the need for cardiopulmonary Resuscitation (CPR) and hospitalization. This affected one (Resident #1) of three residents reviewed for specialized diets. The facility census was 50. […]

• Actual harm, isolatedF689Feb 6, 2024

  Based on medical record review, resident and staff interviews, and observation, the facility failed to ensure a resident was safely transferred using a mechanical lift (Hoyer). This resulted in Actual Harm when Resident #11 who was a paraplegic (paralysis of the legs), was transferred using the mechanical lift and the resident 's legs were not secured, subsequently hitting her right leg on the Hoyer bar sustaining a right lower leg fracture. This affected one (Resident #11) of three residents reviewed for accidents. The facility census was 50. Findings include: Review of the medical record for Resident #11 revealed an admitted [DATE]. […]

• Actual harm, isolatedF689Mar 20, 2023

  Based on medical record review, staff interview, review of an educational consult, review of the emergency room record, and policy review, the facility failed to ensure care was provided in a manner to prevent an avoidable fall with injury and was not initially thoroughly investigated to determine the root cause analysis to identify potential hazards to reduce and/or eliminate falls with major injury. This resulted in Actual Harm when State tested Nurse Aide (STNA) #43 transferred Resident #55 alone from the toilet to the wheelchair without the use of the required planned interventions. Subsequently, Resident #55 slid down the wheelchair and obtained a laceration to her knee. Resident #55 was sent to the hospital where it was determined the laceration needed sutures. […]

• No harm, potential for more than minimal, widespreadF812Apr 3, 2025

  Based on observation, staff interview, and menu review, the facility failed to have pasteurized eggs available for residents if requested over easy fried eggs. This had the potential to affect all 53 residents residing in the facility. The facility census was 53. Findings include: Observation on 03/31/25 at 11:39 A.M., with Certified Nursing Assistant (CNA) #345 revealed there was a 18 pack of eggs that were not pasteurized. Interview on 03/31/25, during observation, with CNA #345 reported that if a resident request over easy fried eggs then they will make them because it is available all the time item. Observation on 03/31/25 at 11:46 A.M., with CNA #293 revealed there was a three large trays of eggs that were not pasteurized. […]