Otterbein Loveland

In the surveyor’s words

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

• Actual harm, isolatedF689May 1, 2023

  Based on record reviews, staff interviews, and review of facility incident log, the facility failed to ensure residents received adequate supervision to prevent a fall with injury. Actual harm occurred when Resident #24 who was assessed and care planned for two staff assistance for toileting fell and sustained a fracture which required hospitalization and surgical intervention after being left unattended while toileting. This affected one resident (#24) out of the three residents reviewed for falls during the annual survey. The facility census was 57. Findings include: 1. […]

• Actual harm, isolatedF686Mar 24, 2021

  Based on record review, observation, interview, policy review and review of the National Pressure Injury Advisory Panel (NPIAP) recommendations, the facility failed to ensure one (Resident #31) of three residents reviewed for pressure injuries received adequate care, monitoring, and treatment to prevent the development of a pressure ulcers. This resulted in actual harm when Resident #31 was discovered with an avoidable Stage III wound to the right heel caused by a walking boot. The facility identified three residents with pressure injuries. The census was 48. Findings included: Record review revealed Resident #31 was admitted on [DATE] and a readmitted on [DATE]. […]

• Actual harm, isolatedF760Mar 24, 2021

  Based on record review, staff interview, and policy review, the facility failed to ensure a resident was free from significant medication errors. This resulted in actual harm when Resident #22 was being administered [MEDICATION(S)], a diuretic, at the incorrect dosage. The resident required emergency treatment at a hospital for a low potassium level. This affected one (Resident #22) of the three residents reviewed for diuretics. The facility census was 46. Findings include: Review of the medical record for Resident #22 revealed an original admitted [DATE]. The resident was discharged with return anticipated on 03/20/21 and readmitted on [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Aug 25, 2025

  Based on observation, staff interview, review of dishwasher, refrigerator, freezer, and food temperature logs, and policy review, the facility failed to ensure foods were stored in a manner to prevent spoilage and contamination and failed to ensure the kitchen and dishware were maintained in a sanitary manner. This had the potential to affect all 58 residents residing in the facility. The census was 58. Findings include: 1. During the initial kitchen tour on 08/18/25 from 8:48 A.M through 10:20 A.M. of each facility house with Dietary Technician (DT) #205 revealed, at 8:48 A.M., there was an open container of sour cream dated 08/04/25 with a used by date of 08/11/25 and an open unmarked package of food, identified by DT #205 to be fish aquarium food. […]

• No harm, potential for more than minimal, widespreadF868Aug 25, 2025

  Based on staff interview, review of Quality Assurance meeting sign-in sheets, and policy review, the facility failed to provide evidence the Medical Director attended and Quality Assurance committee meetings at least quarterly. This had the potential to affect all 58 residents. The census was 58.Findings Include:Review of the sign-in-sheets of the quarterly Quality Assurance (QA) committee meetings dated 09/30/24, 12/20/24, 03/28/25, and 06/19/25 revealed Medical Director #306 did not sign the sign-in attendance paperwork to show attendance.Interview on 08/25/25 at 1:58 P.M. the Administrator verified the MD must attend and participate at each quarterly QA committee meeting. […]