Ovid Healthcare Center

In the surveyor’s words

From the most serious findings on record at Ovid Healthcare Center, in the surveyor’s own words.

• Actual harm, patternF600Jul 24, 2024

  This citation pertains to intake MI00145732. Based on observations, interviews, and record reviews, the facility failed to protect the residents' right to be free from mental abuse/verbal abuse (Resident #5), sexual abuse (Resident #1 and Resident #2) and deprivation of goods and services (Resident #6 and Resident #7) by staff and protect Resident #6, Resident #3, and Resident #4. Findings Include: Resident #6 (R6) and Resident #2 (R2) Incident and Investigation Report dated 6/27/24 at 2:39 PM indicated R2 and R6 were found in the dining room participating in sexual behaviors; both residents were touching each other in their perineal areas. […]

• Actual harm, isolatedF686Sep 16, 2022

  Based on observation, interview and record review, the facility failed to implement interventions to promote pressure ulcer healing and prevent worsening of pressure ulcers and prevent and identify a pressure ulcer for one (Resident #14) of one reviewed for pressure ulcers, resulting in stage three facility-acquired pressure ulcer, delay in pressure ulcer identification and the increased likelihood for delayed wound healing and/or worsening of wounds. Findings include: Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R14 was a [AGE] year old male admitted to the facility on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF689Sep 16, 2022

  Based on observation, interview and record review, the facility failed to implement effective interventions to prevent falls for two (Resident #16 and #29) of five reviewed for falls, resulting in falls with major injury (fractures). Findings include: Resident #29 (R29): Review of the medical record reflected R29 admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses that included [CONDITION(S)], post-traumatic stress disorder, hallucinations, muscle weakness, unsteadiness on feet, unspecified lack of coordination and difficulty walking. The Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 7/28/22, reflected R29 scored 11 out of 15 (moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). […]

• Actual harm, isolatedF686Feb 2, 2021

  Based on observation, interview and record review, the facility failed to: (1) prevent a facility acquired stage 2 (partial-thickness skin loss with exposed dermis) left heel pressure injury from worsening to an unstageable (obscured full-thickness skin and tissue loss) pressure injury and prevent the development of an infection; (2) prevent a facility acquired stage 2 left lateral foot pressure injury from worsening to an unstageable pressure injury; and, (3) implement preventative measures to prevent the development of pressure injuries for one (R27) of four residents reviewed for pressure injury in the sample of 33. […]

• No harm, potential for more than minimal, widespreadF812Apr 3, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings include: On 04/01/2026 at 8:47am observed overhead spray nozzle hanging below the flood rim of the garbage disposal. During this observation, Dietary Manager E stated she was aware that the spray nozzle needs to be above the sink and maintenance knew about it as well. There was a zip tie around the hose, attempting to hold it up. On 04/01/2026 at 9:36am observed the drain line to the ice machine routed directly into drain in the nourishment room. […]