Stonebridge Chillicothe

In the surveyor’s words

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

• Actual harm, isolatedF600Apr 14, 2025

  Based on interview and record review, the facility failed to protect one resident's right to be free from physical abuse when Resident #1 swatted (hit swiftly with a sharp slap or blow) Resident #2 on the arm. Resident #2 sustained a red mark on his/her left arm. The facility census was 55. Review of the facility policy titled, Abuse, Neglect, and Exploitation, Program Responsibilities, dated September 2022, showed: -Each resident has the right to be free from abuse; - Abuse means the willful infliction of injury and intimidation resulting in physical harm, pain or mental anguish; - Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish; - Willful means the individual deliberately, not that the individual must… […]

• No harm, potential for more than minimal, patternF812Apr 24, 2026

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety when staff stored two clear plastic bags of raw chicken on the second from the top shelf of the freezer with two boxes of garlic bread stored on the shelf underneath the raw chicken, failed to identify seven packages of hamburger and four bags of hotdog buns that contained mold and failed to maintain the ice machine to avoid condensation and ice buildup. […]

• No harm, potential for more than minimal, patternF655Jun 2, 2023

  Based on observation, interviews and record review, the facility failed to ensure base line care plans were completed within 48 hours of admission for two residents (Resident #23 and Resident #41) out of sixteen sampled residents. The facility census was 62. There was no facility policy provided for base line care plans. Review of Resident #23 Prospective Payment Schedule 5 day Minimum Data Set (PPS MDS a federally mandated assessment tool completed by facility staff. ) showed: -Brief Interview of Mental Status (BIMS) of 13 which indicated minimal cognitive loss. -Limited assistance from staff for Activities of Daily Living (ADL's: the tasks of everyday life. […]

• No harm, potential for more than minimal, patternF656Jun 2, 2023

  Based on observation, interview, and record review, the facility failed to ensure they developed a comprehensive person-centered plan of care consistent with measurable objectives and timeframe to meet the residents medical, nursing, mental, and psychosocial needs for four (Resident #12,#23,#27, and #41) of 16 sampled residents. The facility census was 62. Review of the facility's Care Plan Policy, dated September 2022., showed: - It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and time frames to meet a resident's medical, nursing, and mental as well as psychosocial needs that are identified in the resident's comprehensive assessment. 1. […]

• No harm, potential for more than minimal, patternF755Jun 2, 2023

  Based on observation, interview, record review, the facility failed to provide reliable pharmaceutical services to establish and maintain a system to ensure medications were available for the licensed and certified nursing staff to provide to the residents and according to the physician orders. This affected four Residents ( #4, #13, #18, #210) out of the 16 sampled residents. This additionally placed other residents at risk of not receiving medications as ordered. The facility census was 62. There was no medication or pharmacy policy provided. 1. […]