Otterbein Portage Valley

In the surveyor’s words

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

• Actual harm, isolatedF686Nov 28, 2022

  Based on medical record review, review of hospital documentation, observation, staff interview, review of facility policy, and review of the National Pressure Injury Advisory Panel (NPIAP) guidance, the facility failed to complete accurate skin assessments, provide ongoing monitoring of pressure ulcers, failed to obtain treatment orders for pressure ulcers, and failed to provide a treatment to pressure ulcers for one resident (#39). This resulted in actual harm when Resident #39's left heel unstageable pressure ulcer had an increase in the amount of necrotic tissue present from 25% to 100% within eleven days. This affected one (#39) of one resident reviewed for pressure sores. The facility identified three residents with pressure sores. […]

• No harm, potential for more than minimal, widespreadF880Mar 29, 2023

  Based on observation, staff interview, review of policy, and review of Centers for Disease Control and Prevention (CDC) guidance, the facility failed to ensure staff wore their masks and eye protection properly while providing care and services to residents. This affected two (#12 and #33) residents and had the potential to affect all 38 residents residing in the facility. The facility census was 38. Findings include: Review of the Centers for Disease Control and Prevention (CDC) COVID-19 Data Tracker revealed on 03/27/23 and on 03/28/23 the community transmission rate for Wood County was high. Interview on 03/27/23 at 9:30 A.M., with the Administrator revealed staff were currently required to wear a medical/surgical mask and eye protection throughout the facility. […]

• No harm, potential for more than minimal, patternF761Mar 29, 2023

  Based on observation, staff interview, review of facility resident list, and review of the policy, the facility failed to ensure medications were stored securely. This had the potential to affect seven (#4, #11, #16, #17, #23, #24, #26) of seven residents whom the facility identified as cognitively impaired and independently mobile. The facility census was 38. Findings include: Observation on 03/28/23 from 2:35 P.M. to 2:58 P.M., revealed an unlocked medication cart was located in an unsecured, open room next to the facility dining room. […]

• No harm, potential for more than minimal, patternF565Feb 16, 2023

  Based on observations, review of resident council meeting minutes, resident and staff interviews, the facility failed to timely act upon and correct concerns voiced by the resident council regarding call light response times. This affected four (#2, #25, and two anonymous residents) of seven residents interviewed for call light response times. The facility census was 43. Findings include: Review of the resident council meeting minutes dated 11/04/22 revealed the resident's call light wait times continued to be an issue. The resident council minutes dated 12/02/22 revealed a focus on call lights. The minutes dated 01/06/23 revealed the call lights continued to be a discussion. The minutes dated 02/03/23 revealed call lights continued to be monitored. […]

• No harm, potential for more than minimal, patternF919Nov 28, 2022

  Based on observation and staff interview, the facility failed to ensure bathrooms accessible to residents were equipped with a call light. This had the potential to affect seven (Residents #7, #15, #21, #34, #246, #247 and #248) identified by the facility as being independently mobile and residing on the 200 hall. The facility census was 44. Findings include: Observations on 11/20/22 at 10:06 A.M., 11:09 A.M., 1:22 P.M. and 4:25 P.M. and on 11/21/22 at 7:37 A.M. and 10:00 A.M. of a bathroom located off the 200 hall dining room, revealed the bathroom door was open and there was no call light in the bathroom. Interview on 11/21/22 at 10:20 A.M. with the Regional Minimum Data Set Registered Nurse (RN) #313 verified the bathroom door was unlocked and the bathroom did not have a call light. […]