Carriage Inn of Steubenville: Antibiotic Safety Failures - OH
The resident had a urinary tract infection. The facility's internal Antibiotic Time Out report, designed to catch exactly this kind of problem, misidentified the bacteria causing the infection as E. coli. Keflex would have been a reasonable choice for E. coli. It was not effective against the organism that was actually there. The nurse acknowledged both errors: the wrong organism on the report, and the antibiotic continuing despite that.
The physician's written response to the Antibiotic Time Out didn't arrive until September 2, 2025. The antibiotic course had already finished by then.
The infection control nurse told inspectors that this physician, who had served as the facility's medical director, was one of the few doctors she dealt with who did not follow the facility's antibiotic stewardship program. He would push to continue antibiotics that had been ordered without documentation confirming an active infection. When lab results showed an antibiotic wasn't working, he did not always switch to one that would.
The facility's own stewardship policy, revised in May 2023, assigned the medical director responsibility for setting prescribing standards and overseeing whether other providers followed them. The same person who held that role was, by the infection control nurse's account, the one most likely to ignore it.
Inspectors classified the violation as causing minimal harm or potential for actual harm, and noted it surfaced as an incidental finding during a separate complaint investigation. It affected few residents.
The antibiotic ran its full course. The physician's response arrived after it was over.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Carriage Inn of Steubenville from 2025-10-23 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 5, 2026 · Our methodology
CARRIAGE INN OF STEUBENVILLE in STEUBENVILLE, OH was cited for violations during a health inspection on October 23, 2025.
The resident had a urinary tract infection.
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.