Otterbein Springboro

In the surveyor’s words

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

• Immediate jeopardy, isolatedF888Mar 17, 2022

  Based on review of Centers for Medicare and Medicaid Services (CMS) Quality Safety & Oversight (QSO) Memo ,d+[DATE]-ALL Attachment A for Long Term Care (LTC) Facilities issued [DATE], medical record review, review of a Coronavirus Disease 2019 (COVID-19) line listing, interview with staff, review of the COVID-19 vaccination matrix, review of staff schedules, observations, review of a facility floor plan, review of information from CMS and review of a facility policy and procedure, the facility failed to ensure 100% of their staff had received at least one dose of the COVID-19 vaccine or had a pending request for, or had been granted a qualifying exemption, or were identified as having had a temporary delay as recommended by the Centers for Disease Control (CDC). […]

• No harm, potential for more than minimal, widespreadF812Oct 18, 2022

  Based on observation, staff interview, and review of facility policy, the facility failed to ensure foods were stored properly to potentially prevent spoilage. This had the potential to affect 24 (Residents #19, #5, #46, #32, #11, #16, #48, #30, #54, #50, #25, #38, #40, #23, #37, #6, #49, #33, #12, #47, #21, #9, #35, and #155) who resided in House #49 and House #35. The facility's census was 57. Findings include: Observation on 10/11/22 at 10:32 A.M. in House #49's kitchen revealed following sanitation violations: 1. Open container of juice was unlabeled 2. Pitcher of dark liquid was unlabeled and undated 3. Opened package of cream cheese with no date 4. Container of bacon and turkey with no open date Interview on 10/11/22 at 10:32 A.M. […]

• No harm, potential for more than minimal, patternF761Apr 30, 2026

  Based on observation, staff interview, and policy review, the facility failed to ensure medication carts were locked. This affected one of four medication carts observed and had the potential to affect 11 Residents (#5, #7, #14, #15, #18, #33, #34, #52, #54, #55, and #57) whose medications were stored in the cart. The facility census was 57.Findings include: Observation of the 300 cottage medication cart on 04/30/26 at 8:10 A.M. revealed it was unlocked and a nurse was not visible near the unsecured medication cart. Interview and observation on 04/30/26 at 8:12 A.M., the Administrator verified the 300 cottage medication cart was unlocked and a nurse was not present in the cottage. […]

• No harm, potential for more than minimal, patternF803Apr 30, 2026

  Based on observation, staff interview and review of the week at a glance menu, the facility failed to ensure the menu portion sizes were followed. This affected twelve (Resident #09, #10, #16, #19, #20, #32, #35, #37, #39, #40, #41 and #51) out of 57 residents that resided in the facility. The facility census was 57. Findings Include:Review of the facility's a week at a glance menu for house 9349 dated 04/27/26 revealed residents on a regular and bite sized diets were to receive five ounces of grilled chicken, four ounces of broccoli, a half of a cup of rice pilaf and one breadstick for lunch on 04/27/26.Observation of the kitchen in house 9349 on 04/27/26 at 12:36 P.M. […]

• No harm, potential for more than minimal, patternF812Apr 30, 2026

  Based on observations, staff interviews, facility documentation, review of manufacturers recommendations, and policy review, the facility failed to serve food in a manner that protected against cross-contamination. This affected 21 (Residents #5, #7, #14, #15, #18, #27, #33, #34, #52, #54, #55, #56, #57, #64, #65, #66, #68, #69, #70, #71, and #72) residents. Additionally, the facility failed to maintain appropriate dishwashing equipment. This had the potential to affect 12 (Residents #2, #6, #8, #22, #23, #28, #30, #31, #46, #48, #49, and #50) residents in unit 9335. The facility census was 57.Findings include: 1. Observation on 04/27/26 from 12:13 P.M. to 12:23 P.M. […]