Otterbein Middletown

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 17, 2022

  Based on observations, staff interviews, review of facility policies, record review, the facility failed to ensure food was stored, prepared and distributed in safe manner and in accordance with professional standards for food service safety. This affected all 49 residents who resided in the facility. The facility census was 49. Findings included: During observations of the House #102 kitchen area on 05/09/22 at 12:02 P.M., with Elder Assistant (EA) #100 revealed the following: a. Chicken thawing on the third shelf down from top and situated on same shelf with raw vegetables and above numerous other food items. b. A large silver bowl of fruit cocktail undated as well as numerous other opened and undated items in the refrigerator. c. […]

• No harm, potential for more than minimal, patternF689Jan 8, 2026

  Based on observation, staff interview, and policy review, the facility failed to ensure potentially hazardous chemicals were not accessible to residents. This had the potential to affect 12 (#01, #05, #06, #07, #09, #10, #12, #27, #50, #51, #60, and #68) cognitively impaired and independently mobile residents who resided in Houses #106 and #109. The facility census was 50.Findings include: 1. Observation on 01/05/26 at 9:26 A.M. in House #109, revealed an unlocked cabinet below the sink, which contained 2 containers, one gallon each, of liquid dish machine detergent. Each container of liquid dish machine detergent contained the following warning: Danger: causes severe skin burns and serious eye damage. Harmful if swallowed and Keep out of reach of children. […]

• No harm, potential for more than minimal, patternF812Jan 8, 2026

  Based on observation, staff interview, and policy review, the facility failed to ensure food was stored and prepared in a manner to prevent the potential spread of foodborne illness. The facility also failed to ensure kitchen equipment was maintained in a clean and sanitary manner. This had the potential to affect 31 residents (#01, #04, #05, #06, #07, #09, #10, #12, #14, #17, #20, #22, #27, #30, #33, #35, #47, #50, #51, #52, #53, #57, #60, #65, #67, #68, #75, #76, #77, #78, and #79) who resided in Houses #105, #106, and #109. The facility census was 50.Findings include: 1. Observation on 01/05/26 at 9:21 A.M. in House #109, revealed a bag of salad mix in the bottom drawer of the refrigerator, with an open date of 01/01/26, was unsealed. […]

• No harm, potential for more than minimal, patternF880Jan 8, 2026

  Based on record review, observations, interviews, and policy review, the facility failed to follow appropriate infection control practices. This affected three residents (#19, #48, and #80) and had the potential to affect all nine residents (#19, #24, #26, #32, #48, #59, #66, and #74) who reside in House #102. The facility census was 50.Findings include:1. Review of the medical record for Resident #19 revealed an admission date of 12/18/25. Diagnoses included bacterial infection, bacteremia, paroxysmal atrial fibrillation, alcoholic cirrhosis of liver with ascites, type two diabetes mellitus with diabetic neuropathy, hypertension, heart failure, other low back pain, hyperlipidemia, gout, and congestive heart failure.Review of the admission Minimum Data Set (MDS) assessment dated [DATE]… […]

• No harm, potential for more than minimal, patternF880Sep 21, 2022

  Based on medical record review, observation, staff interview, and policy review, the facility failed to ensure staff wore personal protective equipment (PPE) in a manner to prevent the potential spread of COVID-19. This impacted one (#102) of five residents reviewed for infection control procedures and had the potential to affect all 12 residents residing in House #105 (#12, #11, #10, #09, #08, #07, #06, #05, #04, #103, #102 and #101). The facility identified one resident (#22) who was currently in isolation for positive COVID-19. The facility census was 58. Findings include: Review of the medical record of Resident #102 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]