Smiths Mill Health Campus: Oxygen Tubing Neglect - OH
The physician had ordered the tubing changed once a month. The facility's own policy, in place since 2018, said the same thing. By the time inspectors arrived on April 27, 2026, the tubing was at minimum three months overdue, and possibly longer, because nobody had written down which January.
The registered nurse in the room that morning, identified in inspection records as RN #159, didn't dispute any of it. Interviewed at 10:30 a.m., eight minutes after inspectors first noted the date on the tube, she confirmed what they were looking at and said the tubing should have been changed sooner.
That was the whole of the defense. It should have been changed sooner.
The resident, identified in records only as Resident #30, had been living at the facility since November 22, 2025. Inspection records note that he or she was cognitively intact, meaning this wasn't a situation where a resident couldn't have known to ask or to notice. Cognitively intact, dependent on oxygen, and receiving tubing that hadn't been swapped out in at least three months, possibly more.
Oxygen tubing is not a complicated piece of equipment, but it is not inert. It sits against a patient's face, runs along their body, collects moisture. A monthly change schedule exists for a reason. The physician ordered it. The facility wrote it into policy. And then, for Resident #30, nobody followed through.
The inspection was triggered by a complaint, logged under Complaint Number 2989132. Someone, somewhere, had raised a concern about care at this facility before inspectors ever showed up. The inspection report does not say who filed the complaint or what specifically prompted it, only that this is what investigators found when they arrived.
Smiths Mill Health Campus had 49 residents at the time of the inspection. Of those, two were reviewed specifically for oxygen services. The lapse was found in one of those two charts.
The harm level cited in the inspection report is minimal, the lowest category available. That designation reflects the regulatory judgment that no serious injury resulted, at least none that inspectors could document. What it doesn't capture is the gap between what a physician ordered in January and what a nurse acknowledged in April had not been done.
The inspection report is sparse on detail beyond the core finding, as complaint investigations often are. There is no notation about whether staff were retrained, whether anyone reviewed other residents receiving oxygen services, or whether the January 20 date represented a one-time lapse or a pattern. The record shows what inspectors saw, what the nurse said, and what the policy required. It stops there.
Resident #30 was still living at the facility as of the inspection date. Still cognitively intact. Still on oxygen.
The tube dated January 20, with no year written beside it, was what remained of a monthly care commitment that had quietly lapsed while the rest of the facility's routines continued around it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Smiths Mill Health Campus from 2026-04-30 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 13, 2026 · Our methodology
SMITHS MILL HEALTH CAMPUS in NEW ALBANY, OH was cited for neglect violations during a health inspection on April 30, 2026.
The physician had ordered the tubing changed once a month.
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.