Otterbein Union Township

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 15, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on record review, staff interview, review of self-reported incidents (SRI), review of witness statements, review of personnel files, review of X-ray results, and review of facility policy, the facility failed to ensure Resident #32 was transferred per physician orders and in a manner consistent with her plan of care. This resulted in Actual Harm on 06/22/25 at 4:01 P.M. when Certified Nursing Assistant (CNA) #168 attempted to transfer Resident #32 from the bed to a wheelchair by carrying her without additional staff and without the use of a mechanical Hoyer lift. […]

• Actual harm, isolatedF760Aug 12, 2022

  Based on medical record review, staff interview, and review of facility policy, the facility failed to verify a resident's (Resident #55) identity prior to medication administration, resulting in Resident #55 being given another resident's medication. This resulted in actual harm when Resident #55 had a subsequent episode of vomiting and lethargy, leading to the resident being transferred to the emergency room . Additionally, the facility failed to administer pain medication in a timely manner and as ordered by the physician for Resident #107. This affected two (Residents #55 and #107) of six residents reviewed for medication administration. […]

• No harm, potential for more than minimal, widespreadF812Aug 12, 2022

  Based on observation, staff interviews, review of manufacture directions, and review of facility policy, the facility failed to store foods in a safe and sanitary manner. This had the potential to affect all 58 residents who received food from the kitchen. The facility census was 58. Findings include: Observation on 08/01/22 at 8:30 A.M. with Diet Technician #31 revealed the following concerns in House #16's kitchen. 1. Two containers of unidentifiable food, unlabeled and undated. 2. Three quarters of a chocolate pie in a pie pan uncovered and undated. 3. Opened potato salad, undated. 4. Container of opened applesauce, undated. 5. Open container of pineapple undated. 6. Container of opened chicken broth, undated. 7. No thermometer in reach of the refrigerator. 8. […]

• No harm, potential for more than minimal, patternF657Jan 15, 2026

  Based on Interview and Record Review, the facility failed to ensure resident care conferences were held quarterly for all residents. This affected Residents #1, #4, #5, #7, #9, #10, #36, and #51. The facility census was 51 at the time of survey. Findings include: 1.Review of the medical record revealed Resident #4 was admitted to the facility on [DATE]. Diagnoses included multiple sclerosis, type II diabetes mellitus, essential hypertension, and acute kidney failure. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident was cognitively intact, had no behaviors, did not reject care, and did not wander. […]

• No harm, potential for more than minimal, patternF679Jan 15, 2026

  Based on medical record review, observation, staff interview, and review of facility policy, the facility failed to provide an ongoing activities program. This affected four residents,(Residents #42, #15, #39 and #16) of four residents reviewed for activities. The facility census was 51.Findings Include: 1.Review of the medical record revealed Resident #16 was admitted to the facility on [DATE] with diagnoses of myocardial infarction, chronic obstructive pulmonary disease, congestive heart failure, hypertension and diabetes mellitus type II, Resident #16 currently serves as the House Council President. […]