Grace Brethren Village: Unlocked Medication Cart - OH
An inspector walking the facility on August 26, 2025, at 10:30 in the morning found the cart parked near the nursing station, its drawers able to be pulled open by anyone who approached. Inside were eight 100-gram tubes of one percent diclofenac sodium cream, a tube of three percent lidocaine cream, clotrimazole and betamethasone dipropionate antifungal cream, and two bottles of three percent hydrogen peroxide solution.
The Director of Nursing was at the cart with the inspector five minutes later. She confirmed it was unlocked. She confirmed it contained medications. She confirmed that only licensed staff were supposed to have access to it.
The cart was still a concern hours later. When inspectors returned with the Director of Nursing at 3:25 that afternoon, they went through the contents again and documented what was there.
The facility itself identified two residents, logged in the inspection report as Resident 7 and Resident 35, as cognitively impaired and independently mobile. Both were capable of reaching the cart. The facility's own medication storage policy, last revised in November 2020, states that compartments containing drugs and biologicals must be locked when not in use and that unlocked medication carts are not to be left unattended.
The inspection was conducted in response to a complaint. The census at Grace Brethren Village at the time was 39 residents.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Grace Brethren Village from 2025-08-27 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
GRACE BRETHREN VILLAGE in ENGLEWOOD, OH was cited for violations during a health inspection on August 27, 2025.
The Director of Nursing was at the cart with the inspector five minutes later.
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.