Inspection Reports for
National Church Residences of Chillicothe
142 UNIVERSITY DRIVE, CHILLICOTHE, OH, 45601
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
68% occupied
Based on a October 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 34
Deficiencies: 2
Date: Oct 31, 2024
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with regulatory requirements related to medication administration and dental services at the nursing home.
Findings
The facility failed to ensure medications were administered as ordered, resulting in two residents receiving incorrect dosages. Additionally, the facility did not provide needed dental services to one resident as required.
Deficiencies (2)
F 0755: The facility failed to ensure resident medications were administered as ordered by the physician, resulting in Resident #22 receiving excessive doses of Celexa and Resident #28 not receiving an ordered increase in Seroquel dosage.
F 0791: The facility failed to provide or obtain dental services for Resident #26, who had not seen a dentist since admission despite poor dental health.
Report Facts
Residents affected: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Unit Manager #52 | Confirmed medication administration errors for Resident #22 | |
| Director of Nursing (DON) | Confirmed medication administration error for Resident #28 | |
| Social Services Leader (SSL) #54 | Confirmed Resident #26 had not been seen by a dentist since admission |
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 1
Date: Dec 6, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding infection control practices during a COVID-19 outbreak.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00148887.
Findings
The facility failed to ensure staff practiced proper infection control precautions during a COVID-19 outbreak, specifically improper removal and disposal of PPE by staff, potentially exposing 25 residents who were negative for COVID-19.
Deficiencies (1)
F 0880: The facility failed to provide and implement an infection prevention and control program. Staff did not properly remove and dispose of PPE when exiting rooms of residents with COVID-19.
Report Facts
Residents affected: 25
Census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| State Tested Nursing Aide (STNA) #103 | Observed improperly removing and disposing of PPE | |
| Licensed Practical Nurse (LPN) #102 | Interviewed regarding PPE removal procedures |
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 1
Date: Dec 6, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding infection control practices during a COVID-19 outbreak.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00148887.
Findings
The facility failed to ensure staff practiced proper infection control precautions during a COVID-19 outbreak, specifically improper removal and disposal of PPE by staff, potentially exposing 25 residents who were negative for COVID-19.
Deficiencies (1)
F 0880: Provide and implement an infection prevention and control program. The facility failed to ensure staff practiced proper infection control precautions during a COVID-19 outbreak, including improper doffing and disposal of PPE by staff.
Report Facts
Residents affected: 25
Census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| State Tested Nursing Aide (STNA) #103 | Observed improperly removing and disposing of PPE | |
| Licensed Practical Nurse (LPN) #102 | Interviewed regarding PPE removal procedures |
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 2
Date: Nov 6, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to non-compliance with urinary catheter privacy and care standards at the facility.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00147383.
Findings
The facility failed to ensure that the indwelling urinary catheter collection bags of several residents were covered for privacy and properly positioned to facilitate optimal drainage. Observations and interviews confirmed that catheter bags were visible from hallways and improperly hung, violating facility policy.
Deficiencies (2)
F 0550: The facility failed to ensure five residents' indwelling urinary catheter collection bags were covered for privacy, with urine visible from the hallway.
F 0690: The facility failed to ensure three residents' indwelling urinary catheter collection bags were properly positioned to facilitate optimal drainage, with bags laying on the floor or hanging above the bladder.
Report Facts
Residents with indwelling urinary catheters: 7
Residents affected by privacy issue: 5
Residents affected by drainage positioning issue: 3
Facility census: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #109 | Verified indwelling urinary catheter collection bag was not covered for privacy. | |
| State Tested Nursing Assistant (STNA) #102 | Verified indwelling urinary catheter collection bag was not covered for privacy. | |
| Registered Nurse (RN) #116 | Verified catheter bags had no privacy cover and were improperly positioned. | |
| Registered Nurse (RN) #116 | Verified catheter bags hanging above bladder prevented optimal drainage. | |
| Registered Nurse (RN) #116 | Verified catheter bags hanging on bed rail and no privacy cover. |
Inspection Report
Annual Inspection
Census: 32
Deficiencies: 2
Date: May 13, 2022
Visit Reason
The inspection was conducted as an annual survey to assess compliance with care standards related to resident skin conditions and bowel/bladder continence.
Findings
The facility failed to identify and monitor a resident's skin bruising and discoloration and failed to provide appropriate treatment and services to a resident with declining urinary and bowel continence. These issues affected two sampled residents.
Deficiencies (2)
F 0684: The facility failed to identify and monitor a resident's skin bruising and a discolored area, affecting one resident. The resident had a new skin tear and bruises that were not properly documented or addressed.
F 0690: The facility failed to provide appropriate care for a resident with declining urinary and bowel continence. No comprehensive assessment or treatment was provided to restore continence as much as possible.
Report Facts
Facility census: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #141 | Interviewed regarding unawareness of resident's bruise and skin area | |
| State Tested Nursing Assistant (STNA) #100 | Interviewed about resident's continence and care | |
| Registered Nurse (RN) #118 | Interviewed regarding lack of comprehensive assessment and treatment for continence decline |
Inspection Report
Complaint Investigation
Census: 70
Deficiencies: 1
Date: May 16, 2019
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to ensure residents' rights to refuse or request treatment, specifically concerning conflicting resuscitation status documentation for a resident.
Complaint Details
The complaint investigation found that Resident #36 had conflicting code status documentation, which was substantiated by record review and interview with the Director of Nursing.
Findings
The facility failed to ensure that Resident #36's resuscitation status was consistently documented, with conflicting records showing both full code and do not resuscitate status. This discrepancy was confirmed through record review and staff interview.
Deficiencies (1)
F 0578: The facility failed to ensure residents had the right to refuse or request treatment when conflicting resuscitation statuses were documented for Resident #36. The medical record showed both full code and do not resuscitate comfort care status.
Report Facts
Residents reviewed: 24
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding conflicting resuscitation status documentation for Resident #36 |
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