Citations (last 4 years)
Citations (over 4 years)
3.5 citations/year
Citations are regulatory findings recorded during state inspections.
24% better than Ohio average
Ohio average: 4.6 citations/yearCitations per year
12
9
6
3
0
Inspection Report
Census: 35
Citations: 1
Date: Feb 22, 2024
Visit Reason
The inspection was conducted to review compliance with Quality Assessment and Assurance committee membership and meeting requirements.
Findings
The facility failed to ensure that the Medical Director or their designee attended the required quarterly Quality Assessment and Assurance committee meetings on 07/17/23 and 10/09/23. This deficiency had the potential to affect all 35 residents in the facility.
Citations (1)
F 0868: The facility failed to ensure all required members of the Quality Assessment and Assurance committee attended meetings at least quarterly. The Medical Director and designee did not attend meetings on 07/17/23 and 10/09/23 as required.
Report Facts
Residents affected: 35
Inspection Report
Annual Inspection
Citations: 0
Date: Mar 22, 2023
Visit Reason
Annual inspection survey of Ohio Living Llanfair nursing home conducted to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 57
Citations: 9
Date: May 13, 2021
Visit Reason
The inspection was conducted to investigate complaints related to resident care, abuse reporting, medication administration, hygiene, respiratory care, infection control, and other regulatory compliance issues at the nursing home.
Complaint Details
The complaint investigation substantiated issues including failure to provide dignified dining assistance, failure to report and investigate resident-to-resident abuse, failure to provide grooming care, failure to date oxygen tubing, failure to administer medications as ordered, inappropriate use and monitoring of antipsychotic medications, a medication administration error, and failure to perform proper hand hygiene during meals.
Findings
The facility failed to provide dignified dining assistance, timely report and investigate resident-to-resident abuse, ensure dependent residents received grooming care, properly date oxygen tubing, administer medications as ordered, monitor antipsychotic medication use appropriately, prevent medication errors, and ensure staff performed proper hand hygiene during meals.
Citations (9)
F 0550: The facility failed to provide dining services in a dignified manner, affecting residents who required assistance with feeding and cueing.
F 0609: The facility failed to report an allegation of physical abuse between residents to the State Survey Agency and Ohio Department of Health.
F 0610: The facility failed to thoroughly investigate a resident-to-resident physical altercation.
F 0677: The facility failed to ensure dependent residents were shaved during grooming care.
F 0695: The facility failed to date oxygen tubing to indicate when it was changed or initiated.
F 0755: The facility failed to administer insulin and IV antibiotics as ordered and did not notify physicians of missed doses.
F 0758: The facility failed to ensure antipsychotic medications were used appropriately, monitored for behavioral symptoms, and considered for gradual dose reductions.
F 0760: The facility failed to prevent a significant medication error when a resident was given another resident's medications.
F 0880: The facility failed to ensure staff performed appropriate hand hygiene during meals, including hand sanitizing between residents.
Report Facts
Facility census: 57
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 3
Residents on oxygen therapy: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| STNA #455 | State Tested Nursing Assistant | Named in findings related to dignified dining assistance and hand hygiene failures |
| Executive Director #730 | Executive Director | Confirmed failure to report and investigate resident-to-resident abuse |
| STNA #435 | State Tested Nursing Assistant | Confirmed grooming care deficiency for Resident #51 |
| LPN #395 | Licensed Practical Nurse | Confirmed grooming and respiratory care deficiencies for Resident #51 |
| LPN #565 | Licensed Practical Nurse | Confirmed grooming care and antipsychotic medication monitoring deficiencies |
| LPN #530 | Licensed Practical Nurse | Confirmed respiratory care deficiency for Resident #51 |
| RN #835 | Registered Nurse | Confirmed medication administration and antipsychotic medication monitoring deficiencies |
| LPN #55 | Licensed Practical Nurse | Committed medication administration error by giving wrong resident's medications |
| RN #65 | Registered Nurse | Reported medication error and follow-up actions |
Inspection Report
Annual Inspection
Census: 69
Citations: 4
Date: May 2, 2019
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in notifying residents or their representatives about bed hold policies upon hospital transfer, developing comprehensive care plans for anticoagulant use, epilepsy diagnosis, and activities, providing adequate activities consistent with residents' needs, and completing physician-ordered laboratory testing.
Citations (4)
F 0625: The facility failed to notify residents or their representatives in writing about bed hold policies when residents were transferred to the hospital. This affected two residents.
F 0656: The facility failed to develop and implement complete care plans for anticoagulant use, epilepsy diagnosis, and activities. This affected three residents.
F 0679: The facility failed to provide activities consistent with residents' comprehensive assessments and expressed needs. This affected two residents.
F 0773: The facility failed to complete physician-ordered laboratory testing (basic metabolic panel) for a resident receiving Lasix as recommended. This affected one resident.
Report Facts
Residents affected: 2
Residents affected: 3
Residents affected: 2
Residents affected: 1
Facility census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Verified no bed hold notification was given | |
| Registered Nurse (RN) #805 | Verified no care plan for anticoagulant use and epilepsy diagnosis | |
| State Tested Nurse Aide (STNA) #73 | Reported on Resident #36's activity participation | |
| Activities Coordinator (AC) #829 | Reported on Resident #36's activity visits and documentation | |
| Activities Coordinator (AC) #811 | Reported on weekend activity staffing and Resident #39's activity requests | |
| Director of Nursing (DON) | Verified laboratory testing was not completed for Resident #48 |
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