Inspection Reports for
Ohio Living Westminster – Thurber
717 Neil Ave, Columbus, OH 43215, United States, OH, 43215
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% worse than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
40% occupied
Based on a May 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Census: 29
Deficiencies: 10
Date: May 29, 2025
Visit Reason
Routine inspection of Ohio Living Westminster-Thurber nursing home to assess compliance with healthcare regulations including medication use, abuse reporting, care planning, infection control, and staff training.
Findings
The facility had multiple deficiencies including failure to monitor psychotropic medication effectiveness, delayed reporting of abuse allegations, incomplete care conferences, failure to follow podiatry recommendations, untimely follow-up on pharmacy recommendations, improper food handling, incomplete hospice documentation, unsanitary medication administration practices, failure to follow antibiotic stewardship protocols, and inadequate nurse aide education.
Deficiencies (10)
F 0605: The facility failed to ensure adequate behavioral monitoring for Resident #136 receiving psychotropic medication Seroquel, with no documented monitoring of effectiveness or adverse effects.
F 0609: The facility failed to timely report an allegation of sexual and physical abuse involving Resident #1 to the State agency within required timeframes.
F 0657: The facility failed to complete required quarterly care conferences for Residents #6 and #18, with incomplete documentation and missing conferences.
F 0688: The facility failed to follow podiatry recommendations for Resident #16, who had a worn orthopedic boot and was not provided a new one as recommended.
F 0756: The facility failed to ensure timely follow-up of pharmacy recommendations for Resident #24, resulting in delayed discontinuation of Aspirin.
F 0812: The facility failed to ensure proper food handling techniques when checking food temperatures, using a dry rag instead of alcohol wipes to clean the thermometer.
F 0849: The facility failed to maintain complete hospice communication and documentation for Resident #6, with missing notes from April and May 2025.
F 0880: The facility failed to ensure sanitary practices during medication administration, using a potentially contaminated pen to open single-dose blister pods for Residents #22, #29, and #136.
F 0881: The facility failed to follow its antibiotic stewardship protocol by administering antibiotics to Residents #17 and #32 without meeting established clinical criteria.
F 0947: The facility failed to ensure one Certified Nursing Assistant completed the required 12 hours of education annually, potentially affecting all residents.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 29
Residents affected: 1
Residents affected: 3
Residents affected: 2
Residents affected: 29
Hours of continuing education: 6.25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #14 | Named in findings related to psychotropic medication monitoring, podiatry boot use, and unsanitary medication administration | |
| Director of Nursing | Named in multiple interviews regarding medication monitoring, abuse reporting, podiatry follow-up, pharmacy recommendations, hospice documentation, infection control, antibiotic stewardship, and nurse aide education | |
| Certified Nursing Aide #200 | Named in abuse allegation involving Resident #1 | |
| Social Services Director #38 | Named in interviews regarding care conferences and hospice documentation | |
| Liaison #30 | Named in hospice documentation interview | |
| Hospice Registered Nurse #255 | Named in hospice documentation interview | |
| Human Resources #19 | Named in interview regarding CNA education deficiency | |
| Chef #57 | Named in interview regarding food temperature handling | |
| Physician #500 | Named in interview regarding psychotropic medication prescribing |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 2
Date: Jan 2, 2025
Visit Reason
The inspection was conducted as a complaint investigation under Complaint Number OH00160633, focusing on catheter care and pest control issues.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00160633.
Findings
The facility failed to regularly assess a resident's indwelling catheter according to the care plan, affecting one resident. Additionally, the facility did not properly maintain and promptly dispose of rodent traps in the third floor kitchenette, posing a risk to residents.
Deficiencies (2)
F 0690: The facility failed to regularly assess Resident #4's indwelling urinary catheter as required by the care plan, including monitoring drainage, amount, type, and color of urine output every shift.
F 0925: The facility failed to ensure the kitchenette rodent traps were properly maintained and deceased mice were promptly removed, allowing potential rodent access to food areas.
Report Facts
Facility census: 30
Residents affected by pest control deficiency: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charge Nurse - Licensed Practical Nurse (LPN) #64 | Confirmed nursing staff were required to document catheter assessments every shift | |
| Licensed Practical Nurse (LPN) #77 | Confirmed staff were required to document catheter output, consistency, and color every shift | |
| Director of Nursing (DON) | Confirmed Resident #4's medical record lacked required urinary assessments | |
| Certified Nursing Assistant (CNA) #53 | Confirmed presence of deceased mouse in kitchen and frequent kitchen use | |
| Certified Nursing Assistant (CNA) #67 | Confirmed presence of deceased mouse in kitchen and frequent kitchen use | |
| Licensed Practical Nurse (LPN) #127 | Confirmed presence of deceased mouse and stated she would contact maintenance | |
| Director of Environmental Services (DES) #90 | Confirmed presence of deceased mouse and lack of documentation on daily trap rounds | |
| Local Pest Control Technician #500 | Emphasized need for immediate removal of mice and daily checks of traps |
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 1
Date: Aug 17, 2023
Visit Reason
The inspection was conducted as a complaint investigation following an allegation of neglect involving Resident #01 who was found lying on the floor for approximately five hours without medical attention.
Complaint Details
The complaint was substantiated. Staff failed to complete required two-hour visual checks after Resident #01's fall. The resident was found on the floor after several hours, crying for help and vomiting. Staff involved were suspended and one terminated.
Findings
The facility failed to ensure Resident #01 was free from neglect, resulting in actual harm including multiple fractures and an emergency hospital stay. The neglect was substantiated, and corrective actions including staff suspension, termination, training, and audits were implemented.
Deficiencies (1)
F 0600: The facility failed to protect Resident #01 from neglect after an unwitnessed fall, resulting in the resident lying on the floor for approximately five hours without medical attention and sustaining multiple fractures.
Report Facts
Facility census: 32
Hospital stay duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #43 | Licensed Practical Nurse | Named in neglect finding and received a final warning |
| STNA #70 | State Tested Nursing Assistant | Named in neglect finding and was terminated |
| RN #36 | Registered Nurse | Interviewed regarding staff training on visual checks |
| RN #52 | Registered Nurse | Interviewed regarding staff training on visual checks |
| STNA #40 | State Tested Nursing Assistant | Interviewed regarding staff training on visual checks |
| STNA #41 | State Tested Nursing Assistant | Interviewed regarding staff training on visual checks |
| STNA #57 | State Tested Nursing Assistant | Interviewed regarding staff training on visual checks |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 1
Date: May 24, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to a fall incident involving Resident #50, triggered by Complaint Number OH00142774.
Complaint Details
This deficiency represents noncompliance discovered in Complaint Number OH00142774.
Findings
The facility failed to implement fall prevention measures, resulting in Resident #50 falling from a high-positioned bed and sustaining multiple injuries requiring hospitalization. The investigation found the resident was left in a bed not in the low position, contrary to care plan orders.
Deficiencies (1)
F 0689: The facility failed to ensure a nursing home area was free from accident hazards and did not provide adequate supervision to prevent falls. Resident #50 was left in a high-positioned bed, which led to a fall causing actual harm.
Report Facts
Facility census: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| STNA #130 | State Tested Nursing Assistant | Named in the fall incident and investigation related to Resident #50. |
| LPN #120 | Licensed Practical Nurse | Named in the fall incident and investigation related to Resident #50. |
| Director of Nursing | Director of Nursing | Conducted the fall investigation and interviews. |
Inspection Report
Annual Inspection
Census: 100
Deficiencies: 5
Date: May 31, 2022
Visit Reason
The inspection was conducted as a standard annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found to have multiple deficiencies including failure to provide a homelike environment, improper storage of oxygen cylinders, failure to monitor vital signs prior to medication administration, lack of behavioral monitoring for psychotropic medication, and missed medication doses without proper documentation or physician notification.
Deficiencies (5)
F 0584: The facility failed to ensure Resident #52 was provided a homelike environment; the resident's bed headboard and footboard were off and there were gouges in the wall.
F 0689: The facility failed to properly store an oxygen E cylinder, which was found free standing in the main entryway contrary to facility policy.
F 0755: The facility failed to monitor Resident #23's blood pressure and heart rate prior to administering Carvedilol as ordered.
F 0758: The facility failed to monitor behavioral symptoms for Resident #23 receiving psychotropic medication and lacked a policy for routine behavior monitoring.
F 0760: The facility failed to ensure Resident #46 received Sevelamer carbonate medication as ordered, missing nine doses without documentation or physician notification.
Report Facts
Facility census: 100
Missed medication doses: 9
Oxygen cylinders observed: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #109 | Licensed Practical Nurse | Verified failure to monitor vital signs and behavior monitoring for Resident #23 |
| RN #106 | Unit Manager Registered Nurse | Verified missed medications for Resident #46 and lack of physician notification |
| Housekeeper #100 | Verified Resident #52's headboard had been off the bed for at least a week | |
| Maintenance Associate #101 | Verified headboard was off bed and brackets were bent | |
| Secretary #108 | Verified free standing oxygen E cylinder in main entryway | |
| Director of Nursing | Director of Nursing | Verified lack of routine behavior monitoring for Resident #23 |
Inspection Report
Annual Inspection
Census: 118
Deficiencies: 3
Date: Aug 1, 2019
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to medication use, medication error rates, infection control, and food safety practices.
Findings
The facility was found to have deficiencies including the use of antipsychotic medication without a supporting diagnosis, a medication error rate exceeding 5%, and failure to follow infection control practices in the kitchen, including storage of expired and dented food items and lack of facial hair protection among food preparation staff.
Deficiencies (3)
F 0758: The facility failed to ensure a resident had a supporting diagnosis for use of an antipsychotic medication. Resident #102 was prescribed Zyprexa for bipolar disorder without evidence of that diagnosis.
F 0759: The facility failed to keep medication error rates below 5%. Two medication errors occurred out of 28 opportunities, resulting in a 7.14% error rate during insulin pen use for Resident #64.
F 0812: The facility failed to ensure infection control practices in the kitchen. Observations included dented cans, expired parmesan cheese and skim milk, and staff not wearing facial hair protectors during food preparation.
Report Facts
Medication error rate: 7.14
Facility census: 118
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed verifying no diagnosis of bipolar disorder for Resident #102 | |
| Licensed Practical Nurse (LPN) #207 | Observed preparing insulin injections for Resident #64 | |
| Chef/Production Manager (CPM) #202 | Interviewed verifying observations of food storage and preparation | |
| Dietary Manager (DM) #207 | Interviewed verifying expired skim milk observation |
Viewing
Loading inspection reports...
