Otterbein Loveland: Staffing Failure Left Resident Soiled - OH
The resident, identified in inspection records only as Resident #41, was not cleaned up for at least another 30 minutes after that. By then, she had been sitting in soiled clothing long enough to be embarrassed about it, worried about her skin, and frustrated enough that a federal inspector documented her emotional state in detail.
She had reason to worry about her skin. Her medical record showed she had type two diabetes, severe sepsis, cellulitis, rheumatoid arthritis, and atrial fibrillation. She was fully dependent on staff for transfers and toileting, and her care plan noted she was frequently incontinent of both bladder and bowel. She could not get herself to the bathroom. She could not clean herself up. She could only wait.
When an inspector interviewed her at 8:52 in the morning on August 20, she said she had rung the call light over an hour earlier and nobody came. A nurse and an aide had come in about 30 minutes before that conversation, she said, and asked if she needed anything. She told them she had had an accident. They did not help her.
Registered Nurse #300 confirmed the account three minutes later. She and the aide had gone in, she said, and the resident told them she needed help with toileting. RN #300 said she was not sure if anyone had gone back in to help her. At 8:58, she told the inspector she was going to finish giving medications to another resident first and then would assist.
At 9:00, the resident told the inspector she was not happy and was embarrassed about sitting in soiled pants. She said it did not happen all the time. She said she was worried because her skin was sensitive.
RN #300 walked into the room at 9:04.
CNA #32 spoke to the inspector at 9:08. She confirmed she had been in the room about 30 minutes earlier and knew at that point the resident had had an accident. She said she told the resident she had to go make breakfast for the other residents first.
The staffing picture came into focus later that morning. At 9:52, RN #300 told the inspector it had been only her and the one aide working when they went into the resident's room. She said they were short-staffed. Three minutes after that, CNA #83 confirmed the facility was short-staffed and said she had just been called in to work at 9:15, more than 20 minutes after the inspector had already begun documenting what happened to Resident #41.
The inspection was triggered by three separate complaints filed against the facility, all investigated under the same August 2025 survey. The deficiency was cited under the federal requirement that nursing homes maintain sufficient staffing to provide timely care and services to residents.
Federal inspectors rated the level of harm as minimal harm or potential for actual harm, the lower end of the scale. The resident herself framed it differently. She was not angry about the accident. She was worried about what sitting in soiled clothing might do to skin already compromised by diabetes and a history of cellulitis, an infection of the skin and tissue beneath it. She told the inspector it did not happen all the time, as though she wanted to be fair about it.
She had been at Otterbein Loveland since at least mid-August. Her care plan, dated August 16, already reflected that incontinence was an ongoing and expected part of her care. Staff knew she could not wait. On August 20, she waited anyway.
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.
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 22, 2026 · Our methodology
OTTERBEIN LOVELAND in LOVELAND, OH was cited for violations during a health inspection on August 25, 2025.
The resident, identified in inspection records only as Resident #41, was not cleaned up for at least another 30 minutes after that.
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.