Otterbein Cortland

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF609Feb 1, 2021

  Based on interview, record review, and review of facility Self-Reported Incidents and facility policy the facility failed to ensure an allegation of misappropriation of resident medications was reported to the state agency. This effected three residents (Resident #42, Resident #44 and Resident #45) of three residents reviewed for reporting of misappropriation. The facility census was 40. Finding include: 1. Review of closed medical records [REDACTED]. On [DATE], Resident #42 died at the facility under hospice care. Review of the quarterly minimum data set (MDS) revealed Resident #42 had severe cognitive impairment. Review of prescriber orders for February 2020 revealed orders for consulting with hospice and MEDICATION ORDERS FOR [REDACTED]. […]

• No harm, potential for more than minimal, isolatedF761Jan 27, 2026

  Based on observation, interview, and facility policy review, the facility failed to ensure medications were stored appropriately and not left at the bed side. This affected two residents (Residents #8 and Resident #44) out of two residents reviewed for medication storage. The facility census was 39. Finding include:1.Review of Resident #8's medical record revealed an admission date of 11/22/24. Diagnosis include unspecified dementia, need for assistance with personal care, cerebral infarction, hypo-osmolality, hyponatremia and cognitive communication deficit.Review of Resident #8's annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed at the time of the assessment the resident had intact cognition. […]

• No harm, potential for more than minimal, isolatedF842Jan 27, 2026

  Based on medical record review, review of facility policy and interviews, the facility failed to ensure resident medical records were documented accurately. This affected one Resident (#39) out of two residents reviewed for closed record review. The facility census was 39.Findings include:Review of the closed medical record for Resident #39 revealed an admission date of 12/21/25. Admitting diagnosis included cardiomegaly, urinary tract infection, acute vaginitis, bradycardia, edema, hypokalemia, and chronic obstructive pulmonary disease (COPD).Review of the Medicare Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #39 had intact cognition.Review of the progress note dated 01/03/26 timed 2:15 P. M. […]

• No harm, potential for more than minimal, isolatedF880Jan 27, 2026

  Based on observation, interview, and facility policy review, the facility failed to maintain proper infection control practices during medication administration. This affected one Resident (Resident #17) out of four residents observed for medication administration. The facility census was 39. Finding include: Review of Resident #17's medical record revealed an admission date of 12/02/25. Diagnosis included congestive heart failure, cystitis, anemia, anxiety disorder, unspecified pain, vitamin deficiency, and chronic respiratory issues. […]

• No harm, potential for more than minimal, isolatedF684Sep 5, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on interview, record review, review of facility policy, review of the Ohio Board of Nursing Registered Nurse scope of practice, and review of facility investigation the facility failed to ensure staff provided care and services according to professional standards of practice/within their scope of practice. This affected one (#146) of five residents (#8, #15, #46, #142, #145) reviewed for medication errors. The facility census was 39. Findings include: Review of the medical record for Resident #146 revealed an admitted [DATE] and a discharge date of [DATE]. Resident #146 was receiving hospice services and expired in the facility. […]