Otterbein Loveland: Resident Left in Soiled Bed - OH
Resident 41, who suffers from diabetes, severe sepsis, cellulitis, rheumatoid arthritis and atrial fibrillation, told inspectors on August 20 that she had rung her call light more than an hour earlier with no response. She was dependent on staff for toileting and transfers.
When a registered nurse and nursing assistant finally entered her room 30 minutes before the inspector interview, the resident informed them she had soiled herself in bed. Both staff members left without helping her.
"She appeared frustrated that she had the accident," inspectors noted after speaking with the resident at 8:52 a.m.
The registered nurse, identified as RN 300, confirmed to inspectors three minutes later that she and the aide had asked if the resident needed anything 30 minutes earlier. The resident had indicated she needed help with toileting, but RN 300 "was not sure if anyone went in to help her."
RN 300 told inspectors she was going to finish giving medications to another resident before assisting the soiled resident.
Two minutes later, at 9:00 a.m., the resident told inspectors she was "not happy and embarrassed about sitting in soiled pants." She worried because her skin was sensitive to prolonged exposure.
The nursing assistant, CNA 32, provided a more direct explanation when questioned at 9:08 a.m. She verified she had been in the resident's room 30 minutes earlier and was aware the resident had soiled herself in bed. But she "let the resident know she had to come out and make breakfast for the other residents first."
The resident finally received help at 9:04 a.m., when RN 300 entered her room — more than an hour after the initial call light and over 30 minutes after staff first acknowledged the accident.
RN 300 later explained the facility was operating with minimal staff. "It was only her and the nurse aide working at the time they went into Resident 41's room," inspectors documented. "She stated they were short staffed."
A second nursing assistant, CNA 83, confirmed the staffing shortage when interviewed at 9:55 a.m. She had just been called in to work at 9:15 a.m. to help address the understaffing.
The resident's care plan, dated August 16, documented that she was "frequently incontinent of bladder and bowel." Her most recent assessment showed she required substantial assistance with bathing and was completely dependent for transfers and toileting.
Despite these documented needs and her medical vulnerabilities, the facility's staffing left her sitting in waste while breakfast service took priority.
The resident told inspectors that accidents "did not happen all of the time," suggesting this prolonged response was not typical for her care. Her embarrassment and concern about her sensitive skin highlighted the dignity and medical issues created by the delayed response.
At the time of inspection, Otterbein Loveland housed 58 residents. The facility operates under multiple complaint investigations, with this deficiency representing violations found under three separate complaint numbers filed with state regulators.
The inspection classified the violation as causing minimal harm or potential for actual harm, affecting few residents. However, the specific case documented shows how staffing shortages directly translated into a resident sitting in her own waste for over an hour while staff completed other tasks.
Federal regulations require nursing homes to provide sufficient staffing every day to meet each resident's needs and maintain a licensed nurse in charge on each shift. The inspection found Otterbein Loveland failed to meet this standard when it mattered most for Resident 41.
The facility's response plan was not available at the time of the inspection report, leaving unclear what steps management planned to prevent similar incidents of delayed care for vulnerable residents who depend entirely on staff for basic hygiene needs.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Otterbein Loveland from 2025-08-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
OTTERBEIN LOVELAND in LOVELAND, OH was cited for violations during a health inspection on August 25, 2025.
She was dependent on staff for toileting and transfers.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.