Inspection Reports for Ohio Valley Health Care

An unannounced revisit was conducted at Ohio Valley Healthcare Center from 10/22/24 to 10/23/24 for the annual survey concluding on 08/28/24 to verify compliance with previously cited deficiencies.

The facility was found to remain out of compliance with deficiency F947 related to required in-service training for nurse aides. The remainder of the citations were corrected. The facility failed to ensure four nurse aides had completed 12 hours of annual education and consistent competencies.

The document is a Statement of Deficiencies and Plan of Correction related to a facility survey conducted to assess compliance with federal, state, and local Emergency Preparedness requirements.

The facility was found in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced Annual and Complaint survey was conducted at Ohio Valley Healthcare from 08/25/24 to 08/28/24. The survey included review of complaints and facility reported incidents.

The facility was found deficient in multiple areas including failure to comply with Medical Power of Attorney wishes regarding immunizations, medication administration errors, failure to maintain nutritional recommendations, inadequate monitoring of medication refrigerator temperatures, call light accessibility, PASARR screening accuracy, environmental safety issues such as torn wallpaper, missing annual nurse aide performance reviews, unsafe disposal of razors, failure to monitor behaviors for residents on psychotropic medications, and incomplete required in-service training for nurse aides.

Complaint #32927 was unsubstantiated. Facility Reported Incident (FRI) #33321 was unsubstantiated.

The inspection was conducted as an investigation survey triggered by a complaint, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Ohio Valley Health Care is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules. The facility is in substantial compliance with previously cited deficient practices.

Investigation survey concluding on 08/28/24 with acceptance of plans of correction and credible evidence instead of onsite revisit.

The inspection was conducted to assess compliance with fire safety, electrical equipment maintenance, and other facility safety standards as part of a routine regulatory oversight visit.

The facility was found deficient in multiple areas including failure to provide documentation for semi-annual range hood extinguishing system testing, failure to maintain and test fire alarm systems, improper use of extension cords, lack of documentation for electrical equipment testing, and failure to maintain fire doors properly. These deficiencies could affect all residents, staff, and visitors.

The inspection was conducted to review the facility's compliance with Federal, State, and local Emergency Preparedness requirements.

Based on review of facility documentation, staff interviews, and observations, the facility was found to be in compliance with all applicable Emergency Preparedness requirements.

An unannounced annual recertification and relicensure survey was conducted at Ohio Valley Health Care from January 3-5, 2023.

The facility was found deficient in multiple areas including failure to provide restorative nursing services as ordered, inadequate pain management documentation, lack of qualified dietary staff, failure to timely notify physicians of significant weight loss, failure to obtain physician orders for treatments, improper food labeling and storage, and failure to report a serious bodily injury to state authorities.

The visit was conducted as an annual recertification and annual relicensure survey to assess compliance with regulatory requirements.

Ohio Valley Health Care is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. The facility is in substantial compliance with previously cited deficient practices based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The inspection was conducted as a comprehensive annual survey to assess compliance with federal and state regulations, including fire safety, electrical systems, and resident rights.

The facility was found deficient in multiple areas including corridor door gaps exceeding allowed limits, failure to conduct fire drills at unexpected times, inadequate maintenance and testing of emergency generators, and lack of proper inspection and testing of electrical patient-care equipment. The facility was found in compliance with Emergency Preparedness requirements.

The inspection was conducted as an annual survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

Ohio Valley Health Care was found to be in substantial compliance with the applicable federal and state regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The inspection was conducted to assess the facility's compliance with the NFPA 101 Life Safety Code, specifically focusing on the emergency preparedness plan and risk assessment.

The facility failed to maintain a comprehensive emergency preparedness program compliant with federal, state, and local requirements. Specifically, the emergency preparedness plan was not based on a documented facility-based and community-based risk assessment utilizing an all-hazards approach, including missing clients, and did not include strategies for addressing emergency events identified by the risk assessment.

An unannounced annual re-certification and annual re-licensure survey was conducted at Ohio Valley Health Care from September 13-15, 2021.

The facility was in substantial compliance with federal and state requirements but had several deficiencies including failure to maintain resident privacy, failure to notify the State Ombudsman of a resident transfer, inaccurate MDS assessments, unsecured medications, improper respiratory equipment storage, improper drug storage temperatures, undated opened food items, and infection control issues related to water pitcher distribution and PPE compliance.

Complaint #24915 was unsubstantiated with no related or unrelated deficiencies cited. Complaint #25809 was unsubstantiated with no related or unrelated deficiencies cited.

The visit was a Focused Infection Control survey related to compliance with infection control regulations and COVID-19 preparedness.

The facility was found to be in substantial compliance with infection control regulations and CDC recommended practices for COVID-19, based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced focused infection control survey was conducted to assess compliance with infection prevention and control requirements, including COVID-19 related measures.

The facility was found out of substantial compliance due to failures in infection control practices including improper use of PPE, lack of hand hygiene, and unsafe storage and reuse of disposable gowns, potentially affecting more than a limited number of residents.

A COVID-19 Focused Infection Control Survey was conducted by the state survey agency from July 9, 2020 through July 10, 2020 to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.

The facility was found in compliance with 42 CFR 483.80 infection control regulations and CDC recommended practices to prepare for COVID-19. Additionally, a COVID-19 Focused Emergency Preparedness Survey conducted June 9-10, 2020 found the facility in compliance with related emergency preparedness regulations.

The inspection was conducted as a complaint investigation survey concluding on 11/20/2019, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Ohio Valley Health Care was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules, with previously cited deficient practices corrected.

Complaint reference number #23444. The facility was found in substantial compliance following the complaint investigation survey.

An unannounced complaint survey was conducted at Ohio Valley Health Care on 11/19/19 to 11/20/19 based on complaints received.

The facility was found deficient in developing comprehensive person-centered care plans for residents with falls and failed to maintain an environment free of accident hazards due to unsecured storage of razors, toiletries, and hazardous chemicals accessible to residents. These deficiencies affected multiple residents and posed safety risks.

Complaint #23444 was substantiated with a related deficiency cited at F689 and an unrelated deficiency cited at F656.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

Ohio Valley Health Care was found to be in substantial compliance with the applicable federal and state regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced annual re-certification and annual re-licensure survey was conducted at Ohio Valley Health Care from 08/26/19 through 08/28/19.

The survey identified multiple deficiencies including incomplete advance directives for residents, failure to develop comprehensive care plans addressing discharge and end-of-life wishes, failure to revise care plans timely for oxygen therapy changes, incomplete discharge summaries, unlabeled medications, inadequate dementia care documentation, failure to clarify oxygen orders, failure to offer pneumococcal vaccine Prevnar 13 to eligible residents, and environmental issues such as cracked toilet lids and unclean light fixtures.

The inspection was conducted to evaluate compliance with NFPA 101 fire drill requirements, specifically to verify that fire drills are held at unexpected times under varying conditions, at least quarterly on each shift.

The facility failed to ensure that fire drills were conducted at varying times and conditions as required by NFPA 101. Multiple fire drills for different shifts and quarters were conducted within minutes of each other, indicating a lack of variation in timing.

An unannounced complaint investigation was conducted at Ohio Valley Health Care on 07/01/19 to 07/02/19.

The allegations were unsubstantiated with no related or unrelated deficient practices identified. The facility was in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

Complaint #22836 was unsubstantiated with no related or unrelated deficiencies cited.

An unannounced revisit was conducted on 11/27/18 through 11/28/18 at Ohio Valley Health Care for the annual recertification and relicensure survey concluding on 08/16/18.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

The inspection was conducted to assess compliance with the NFPA 101, Life Safety Code, 2012, and to evaluate compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be in compliance with the provisions of NFPA 101, Life Safety Code, 2012, and all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced annual re-certification and annual re-licensure survey was conducted at Ohio Valley Health Care Center from August 13, 2018 through August 16, 2018.

The survey identified multiple deficiencies including failure to provide dignified care resulting in psychological harm, failure to report abuse allegations properly, incomplete significant change assessments, inaccurate MDS coding, failure to maintain continence, inadequate pain management, improper medication storage, delayed physician notification of critical lab results, lack of call light accessibility for a resident, and ineffective pest control with flies observed in resident areas.

The inspection was a routine survey to assess compliance with fire safety, emergency preparedness, and facility maintenance regulations.

The facility was found deficient in multiple areas including fire door inspections, emergency lighting testing, sprinkler system maintenance, corridor and smoke barrier door conditions, electrical wiring safety, gas fireplace safety, electrical receptacle testing, and emergency preparedness planning. The facility acknowledged these deficiencies and submitted plans of correction with scheduled follow-ups.

The inspection was conducted as a complaint investigation based on complaint reference #19640, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Ohio Valley Health Care was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules. The facility was in substantial compliance with previously cited deficient practices.

Complaint investigation concluded on 02/06/18 with substantial compliance found and no onsite revisit required.

An unannounced complaint survey was conducted at Ohio Valley Health Care on 02/05/18 to 02/06/18 in response to complaint #19640, which was found to be unsubstantiated.

The facility failed to provide an environment free from accident hazards and a sanitary environment. Specifically, medication carts were found unlocked and unattended, and the 200 Hall Shower Room was unlocked with hygiene products accessible and unsanitary conditions such as gloves, trash, and wet washcloths on the floor.

Complaint #19640 was unsubstantiated with unrelated deficiencies cited.

The document is a plan of correction submitted in response to a prior Quality Indicator and Licensure Survey, accepted in lieu of an onsite revisit.

Ohio Valley Health Care is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with credible evidence accepted for correction of previously cited deficient practices.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted at Ohio Valley Health Center from July 24, 2017 through July 27, 2017 to assess compliance with regulatory requirements.

The survey identified deficiencies including failure to protect personal health information during medication disposal, inaccurate resident assessments related to nutritional and functional status, unlocked hazardous chemical storage posing accident hazards, and incomplete medical record documentation.

The inspection was conducted to assess compliance with NFPA codes related to electrical wiring, gas equipment, and safety signage at the facility.

The facility failed to protect electrical wiring from potential hazards, including open electrical boxes and lack of GFCI protection on outlets near water sources, and failed to provide appropriate signage at the outside oxygen storage location. These issues were discussed with maintenance and administration and plans for correction were submitted.

An unannounced revisit was conducted at Ohio Valley Health Care from October 17 to October 19, 2016 for the Quality Indicator Survey concluding on August 4, 2016.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

An unannounced annual Quality Indicator Survey was conducted at Ohio Valley Healthcare from July 26, 2016 through August 4, 2016 to assess compliance with federal regulations and quality indicators.

The facility was cited for multiple deficiencies including failure to manage resident funds properly, failure to resolve grievances promptly, failure to post survey results accessibly, employing an unqualified activity professional, inaccurate comprehensive assessments, dignity violations, failure to honor resident choices, incomplete care plans, medication administration errors, infection control lapses, insufficient staffing, and incomplete nursing records.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements related to fire safety, resident rights, and facility operations.

The facility was found deficient in multiple areas of fire safety including corridor door gaps, unsealed smoke barrier penetrations, non-self-closing hazardous storage doors, inaccessible exit gates, missing exit signs, inadequate fire drill timing, sprinkler system maintenance issues, improper placement of wiring and piping on sprinkler systems, missing fire extinguisher placards, smoking area safety violations, missing fire/smoke damper inspection tags, and uncovered electrical junction boxes.

The document is a plan of correction submitted by Ohio Valley Health Care following a Quality Indicator Survey that concluded on 09/24/15, accepted in lieu of an onsite revisit.

Ohio Valley Health Care is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, with previously cited deficient practices addressed through plans of correction and credible evidence.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, including smoke barriers, sprinkler systems, emergency generators, and electrical wiring in the facility.

The facility failed to maintain smoke barrier walls with proper fire resistance, had sprinkler pipe obstructions, lacked proper documentation for emergency generator battery checks, and had multiple electrical code violations including unprotected receptacles and open electrical boxes.

An unannounced annual Quality Indicator Survey was conducted at Ohio Valley Health Care from September 21, 2015 through September 24, 2015 to assess compliance with federal regulations.

The survey identified multiple deficiencies including failure to prominently display information on how to apply for Medicare/Medicaid benefits, inadequate housekeeping and maintenance with damaged window dressings, failure to follow care plans for urinary catheter care, improper perineal care leading to potential infection risk, and deficiencies in infection control practices including incomplete infection surveillance and improper hand hygiene during medication administration.

An unannounced revisit was conducted at Ohio Valley Health Care on 10/09/14 for the Quality Indicator and Licensure Surveys concluding on 07/11/14.

The facility was found to have been corrected and these corrections are reflected on the CMS-2567B. The revisit survey sample consisted of 3 residents.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted from July 7, 2014 through July 14, 2014 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including failure to maintain residents' personal funds in interest-bearing accounts, insufficient surety bond coverage, delayed mail delivery, inadequate housekeeping and maintenance, failure to check nurse aide abuse registry and criminal background checks, inaccurate resident assessments, inadequate assistance with grooming, unsafe hot water temperatures, unsecured utility and medication rooms, and improper food storage.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically regarding smoking regulations in the facility.

The facility failed to maintain the smoking area properly; cigarettes were not disposed of in approved butt containers, and a plastic trash can with liner was being used for both general trash and cigarette disposal. These findings were confirmed with the maintenance supervisor.

An unannounced complaint investigation was conducted from 04/07/14 to 04/09/14 at Ohio Valley Health Care for Complaint Reference 10647.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

The allegations were unsubstantiated.

This document is a Plan of Correction submitted by Ohio Valley Health Care following a survey completed on December 5, 2013.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation related to an unsubstantiated complaint record with an unrelated citation, specifically regarding the facility's failure to follow directives of a person acting on behalf of an incapacitated resident concerning influenza vaccination consent.

The facility administered the influenza vaccine to Resident #29 without consent from the resident's Medical Power of Attorney (MPOA), despite the MPOA explicitly requesting that the vaccine not be given. This was confirmed by review of medical records and staff interviews.

Complaint Reference: 13244 / 8950. The complaint was unsubstantiated but included an unrelated citation regarding failure to follow directives of the resident's MPOA concerning influenza vaccination consent.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Ohio Valley Health Care.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code, 2000.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was found to be without waivers and in compliance with the Life Safety Code.

The inspection was a Quality Indicator and Licensure Survey conducted to assess compliance with federal and state regulations related to food safety, resident rights, medical record accuracy, and other facility operations.

The facility was found deficient in sanitary food handling practices including improper hair restraints on dietary staff and inadequate dishwashing machine sanitization temperatures. Additionally, medical records were found to have inaccuracies such as incorrect dating of notes and incomplete transcription of physician orders for lab work.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Ohio Valley Health Care.

The report identifies a deficiency related to the facility's failure to properly inform residents of their rights, rules, services, and charges in accordance with regulatory requirements.

The inspection was conducted as a substantiated complaint investigation (reference #11198) regarding discharge notice and medication administration practices.

The facility failed to provide adequate discharge notice to a resident's family, failed to ensure the resident was free from chemical restraints by administering antipsychotic medication without ruling out other causes, and failed to maintain a drug regimen free from unnecessary medications, specifically inappropriate PRN use of Zyprexa for agitation without proper assessment or documentation.

Complaint reference #11198 was substantiated with deficiencies cited related to discharge notice and medication administration.

Re-visit for the QIS annual re-survey with QIS exit date 02/02/11 to verify correction of previous deficiencies.

The facility showed substantial compliance with most cited tags from the original annual survey, except Tag F161 which was not yet in compliance. Audits and interviews indicated improvements in notification protocols for weight loss, care plan revisions, employee screening, feeding etiquette, activity supervision, and infection control. Hospice information provision was noted as an area needing improvement but was addressed through staff interviews and procedures.

A revisit inspection was conducted to verify correction of a previously cited deficiency related to the facility generator and emergency power system.

The facility failed to maintain the generator in accordance with NFPA 110 standards, as evidenced by a red warning light for low battery voltage on the generator annunciator panel during the revisit. A service call was scheduled to address the issue.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Ohio Valley Health Care.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

Annual inspection of Ohio Valley Health Care nursing facility to assess compliance with federal regulations including resident care, nutrition, infection control, and facility operations.

The facility was found deficient in multiple areas including failure to notify physician and responsible party of significant weight loss for Resident #44, failure to implement abuse screening policies, failure to feed residents in a dignified manner, failure to provide activities meeting residents' needs, failure to revise care plans appropriately, failure to maintain nutritional status, failure to store food properly, and failure to follow infection control procedures.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, including fire safety, smoke barriers, fire alarm systems, sprinkler systems, emergency power, and electrical safety.

The facility failed to maintain smoke barriers, smoke detector sensitivity, fire alarm components, sprinkler system performance, range hood fire suppression system inspections, emergency generator lighting and alarms, and electrical receptacle safety. Multiple deficiencies related to fire safety and equipment maintenance were identified.

The inspection was conducted as a complaint investigation related to complaint reference #10364, which was substantiated with deficiencies cited.

The facility failed to ensure that one resident's drug regimen was free from unnecessary drugs. Specifically, a resident receiving Klonopin for anxiety was awakened by nursing staff to administer an additional dose despite not exhibiting symptoms of anxiety and showing decreased level of consciousness.

Complaint reference #10364 was substantiated with deficiencies cited.

The inspection was conducted as a complaint investigation referenced by complaint #9176.

The complaint was unsubstantiated and no related deficiencies were cited during the investigation.

Complaint reference #9176 was unsubstantiated with no related deficiencies cited.

The inspection was a routine survey to assess compliance with facility regulations, including housekeeping and maintenance services.

The facility failed to maintain resident rooms in a neat and clean condition, with interior walls and floors showing chipped paint, scuff marks, and dirt in multiple resident rooms affecting seven residents. The administrator acknowledged these issues and stated cleaning and maintenance were ongoing.

The inspection was conducted in response to complaint references #9141 and #9142.

The complaint records were found to be unsubstantiated with no deficiencies cited.

Complaint references #9141 and #9142 were investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards related to smoke barriers, fire alarm systems, and electrical wiring and equipment in the facility.

The facility failed to maintain smoke barrier walls to provide at least a one half hour fire resistance rating, failed to maintain all components of the fire alarm system in accordance with NFPA 72, and failed to maintain electrical equipment in accordance with NFPA 70. Specific issues included unsealed penetrations in smoke barriers, lack of trouble signals when phone lines were disconnected from the fire alarm system, and damaged electrical cords with missing insulation and bare wires.

The inspection was conducted as an annual survey to assess compliance with federal regulations related to resident rights, housekeeping, comprehensive assessments, care planning, pressure sore treatment, medication regimen, immunizations, and safety hazards including bed entrapment risks.

The facility was found deficient in multiple areas including failure to provide appropriate Medicare discontinuation notices to residents, inadequate housekeeping and maintenance, failure to conduct comprehensive bed safety assessments leading to entrapment hazards, failure to revise care plans for pressure ulcers, improper wound care, unnecessary medication use, and lack of education on influenza and pneumococcal vaccines. Immediate jeopardy related to bed entrapment hazards was identified and subsequently removed after corrective actions.

The document is a paper revisit survey conducted at Ohio Valley Health Care to review compliance and deficiencies.

The report includes a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights and services in writing and orally.

The visit was a paper revisit to follow up on previous deficiencies.

The document contains a summary statement of deficiencies related to resident rights and notification requirements, but no specific findings or severity levels are detailed in this excerpt.

The inspection was conducted as part of the annual survey to assess compliance with federal regulations regarding resident rights, comprehensive care plans, quality of care, unnecessary drug use, and nurse staffing.

The facility was found deficient in multiple areas including failure to develop comprehensive care plans addressing residents' constipation, failure to provide necessary care to prevent constipation beyond laxative use for three residents, failure to ensure drug regimens were free from unnecessary drugs for one resident receiving duplicate antidepressants, and failure to post required nurse staffing data in a prominent and accessible location.

The inspection was conducted to evaluate compliance with the NFPA 101 Life Safety Code Standard, specifically regarding electrical wiring and equipment in patient care areas.

The facility was found to have relocatable power taps in use within patient care areas, which are not intended for such use according to NFPA 70 National Electrical Code. Eight rooms were identified with these violations, including the use of ungrounded extension cords.

The inspection was conducted as a complaint investigation referenced as 2-8112.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference: 2-8112. Unsubstantiated complaint record with no deficiencies cited.

Complaint investigation referenced as #2-7274 to address concerns raised about the facility.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-7274 was investigated and found to be unsubstantiated with no deficiencies cited.

This document is a plan of correction related to a paper revisit survey conducted at the facility.

The document references a deficiency related to the facility's obligation to inform residents of their rights and services, but no specific findings or severity levels are detailed in this excerpt.

The inspection was conducted as a complaint investigation related to the facility's failure to provide proper notification of discharge to a resident and/or responsible party.

The facility did not provide proper discharge notification including the resident's right to appeal to the appropriate state agency. The discharge notice lacked required appeal information and the facility's transfer/discharge form contained inaccurate contact information and misleading appeal instructions.

Complaint reference #2-7192 was substantiated with deficiencies cited related to improper discharge notification and appeal rights.

The inspection was conducted as a complaint investigation referenced as #2-7096.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference: #2-7096. Unsubstantiated complaint record with no deficiencies cited.

The document is a paper revisit survey conducted to review compliance and deficiencies at the facility.

The report includes a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights, services, and charges in writing and orally.

The visit was a paper revisit to follow up on previously identified deficiencies.

The document contains a statement of deficiencies related to resident rights and notification requirements, but no specific findings or deficiencies are detailed in this excerpt.

The inspection was conducted as part of a regulatory annual survey to assess compliance with federal regulations governing nursing facilities.

The facility was found deficient in multiple areas including failure to promote resident dignity during meals, inadequate comprehensive care plans for residents with behavioral and constipation issues, failure to provide necessary care for constipation and urinary incontinence, inappropriate use and monitoring of medications, and failure to maintain infection control standards related to linen handling.

The inspection was conducted to assess compliance with NFPA Life Safety Code standards, including fire alarm system maintenance and emergency generator testing, as part of routine regulatory oversight.

The facility failed to maintain the fire alarm system in accordance with NFPA 72 due to lack of sensitivity testing of smoke detectors. Additionally, the emergency generator and transfer switch were not maintained per NFPA 110 standards, with missing load testing data, no recorded transfer times, and absence of required emergency illumination.

The inspection was conducted in response to complaint record #2-6236.

The complaint was unsubstantiated and no deficiencies were cited during the inspection.

Complaint record #2-6236 was unsubstantiated with no deficiencies cited.

The visit was conducted as a complaint investigation related to complaint reference #2-5274.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-5274 was unsubstantiated with no deficiencies cited.

The document is a plan of correction related to a paper revisit survey conducted at the facility.

The document includes a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights and services in writing and orally.

The inspection was conducted as a comprehensive annual survey of the nursing facility to assess compliance with federal regulations regarding resident rights, financial security, housekeeping, resident assessments, and environmental conditions.

The facility was found deficient in documenting the nature of residents' mental incapacity, maintaining adequate surety bond coverage for resident personal funds, upkeep of wheelchairs and geri-chairs, accuracy and completion of resident assessments, and maintaining a safe, functional, and sanitary environment including issues with heating/cooling vents, baseboard heaters, night lights, and exhaust fans.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards related to smoke barriers, corridor exit widths, sprinkler systems, and medical gas storage in the healthcare facility.

The facility failed to maintain smoke barrier walls with the required fire resistance rating, maintain corridor exit widths, keep sprinkler systems free of corrosion and maintain proper clearance from storage, and store oxygen cylinders according to NFPA 99 standards. Multiple conduits and lines were unsealed in smoke barriers, a laptop protruded into an exit corridor, several sprinkler heads were corroded or obstructed by storage, and oxygen cylinders were improperly stored and unsecured.

The inspection was conducted as a comprehensive annual survey to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in multiple areas including failure to provide adequate foot care to a diabetic resident, improper use and documentation of mobility monitors, medication errors including improper administration and continuation of discontinued medications, failure to follow infection control procedures during eye drop administration, unsafe physical environment conditions such as faulty electrical outlets, and unauthorized access to medication storage.

The inspection was conducted as a routine survey to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements for the facility.

Multiple deficiencies were identified related to fire safety, including inadequate fire resistance of corridor walls, improperly maintained smoke barriers, lockable hardware on resident room doors restricting egress, improperly illuminated exit signs, incomplete fire drill documentation, lack of sprinkler coverage in certain areas, and insufficient weekly fire pump testing.

The inspection was conducted as a complaint investigation referenced as #2-4169, which was found to be unsubstantiated but resulted in unrelated deficiencies being cited.

The facility failed to provide a safe, clean, and comfortable environment for residents, with multiple areas noted to be dirty, in ill repair, and having safety hazards such as exposed wiring and damaged flooring. These conditions had the potential to affect all residents.

Complaint reference #2-4169 was unsubstantiated; however, unrelated deficiencies were cited during the investigation.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards related to corridor doors, smoke barriers, and smoke barrier doors in the facility.

The facility was found deficient in maintaining corridor doors with positive latching assemblies, maintaining smoke barrier partitions due to unsealed openings and improper sealant, and maintaining smoke barrier doors to resist the passage of smoke due to excessive gaps and doors not closing properly.

The inspection was conducted to assess the facility's compliance with physical environment, safety, and dietary service regulations during a routine survey from May 7 to May 9, 2003.

The facility was found deficient in maintaining emergency equipment, a clean and safe physical environment, and sanitary food storage and preparation areas. Specific issues included damaged furniture and fixtures, unsafe hot water temperatures, clutter restricting electrical access, and unclean food service areas.

The inspection was conducted based on a complaint investigation regarding inadequate supervision and assistance to prevent accidents, specifically related to falls and injuries of residents.

The facility failed to provide adequate assistance and supervision to prevent a fracture to the right hip and elbow for one resident and did not assess another resident for assistive devices to maintain safety. Multiple falls were documented, and staff failed to follow up on family suggestions for assistive devices.

The investigation was triggered by a complaint regarding inadequate supervision and assistance leading to falls and injuries. The complaint was substantiated based on record reviews, incident reports, and staff interviews.

The inspection was conducted based on a complaint investigation regarding inadequate supervision and assistance provided to residents, which allegedly resulted in falls and injuries.

The facility failed to provide adequate supervision and assistance to prevent a resident from falling and sustaining fractures to the right hip and elbow. Additionally, the facility did not assess another resident for assistive devices to maintain safety despite a history of multiple falls.

The complaint investigation found substantiated deficiencies related to inadequate supervision and failure to assess for assistive devices, resulting in resident falls and injuries.

The inspection was conducted to evaluate compliance with NFPA 99 standards for the safe storage of oxygen and compressed gas cylinders in the facility.

The facility was found deficient in providing safe storage of compressed gas and oxygen cylinders. Specifically, the storage/supply room contained sixteen small oxygen cylinders that were not vented to the exterior, contained combustible materials, and lacked proper electrical service/supply as required by NFPA 99.

The inspection was conducted to evaluate compliance with NFPA 99 standards for the safe storage of oxygen and compressed gas cylinders in the facility.

The facility was found deficient in providing safe storage of compressed gas and oxygen cylinders as required by NFPA 99. Specifically, the storage room was not vented to the exterior, contained combustible materials, and lacked proper electrical service/supply for oxygen storage.

The inspection was conducted to assess compliance with regulatory standards related to resident rights, medication administration, and quality of care.

The facility was found deficient in informing residents of their rights, administering prescribed medication at the correct dosage, and providing adequate supervision during resident transfers, resulting in a resident injury.

The inspection was conducted to assess compliance with regulatory standards related to resident rights, medication administration, and quality of care.

The facility was found deficient in informing residents of their rights, administering prescribed medication at the correct dosage, and providing adequate supervision during resident transfers, resulting in a resident injury.

The inspection was conducted as a complaint investigation (Complaint 2-1007) regarding the facility's failure to maintain complete and accurate documentation on the Activities of Daily Living (ADL) Flow Sheets for residents.

The facility failed to maintain complete and accurate documentation on the ADL Flow Sheets for five of eight medical records reviewed. Specific issues included missing entries, use of undocumented abbreviations, and inaccurate recording of showers given.

Complaint 2-1007 regarding incomplete and inaccurate documentation on ADL Flow Sheets.

The inspection was conducted as a recertification survey to determine compliance with federal regulations under 42 CFR Part 483, Subpart B.

Based on the recertification survey conducted December 18-21, 2000, the facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B.

The inspection was conducted based on observation, performance testing, and review of facility documentation to determine compliance with the Life Safety Code.

The facility was determined to be in compliance with the Life Safety Code based on the survey conducted on December 19-20, 2000.

The inspection was conducted based on observation and review of facility documentation to determine compliance with Section 483.70 Physical Environment of 42 CFR Part 483.

The facility was found to be in compliance with the physical environment requirements of 42 CFR Part 483 based on observations and documentation review conducted on December 19-20, 2000.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, including fire-rated construction of smoke barriers, accessibility of exits, and illumination of exit and directional signs.

The inspection found that not all smoke barrier walls were one hour fire rated as required, some facility exits were not readily accessible due to door issues, and several exit signs were not continuously illuminated as required.

The document is a plan of correction related to deficiencies identified during a facility inspection.

The facility was found not to completely provide a comfortable and sanitary environment, with dust accumulation on dining room ceiling air return vents and ceiling tiles, and bug carcasses on corridor light shields.

The inspection was conducted to evaluate compliance with federal regulations regarding resident rights, quality of life, environment, nursing services, dietary services, and abuse prevention policies at Ohio Valley Health Care.

The facility was found deficient in multiple areas including failure to develop and implement comprehensive abuse prevention policies, failure to promote resident dignity and respect, inadequate accommodations for individual resident needs, failure to maintain a homelike environment, failure to ensure a registered nurse was on duty for eight consecutive hours daily, and failure to store and serve food under sanitary conditions.

complaint-inspection_2024-08-28.pdf

health-inspection_2024-08-28.pdf

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