Centerville Health and Rehab: Medication Handling Failures - OH
The violation was documented in a federal inspection report filed under a complaint investigation completed May 28, 2026. Inspectors observed the nurse, identified in the report as RN #146, during medication pass at 9:15 a.m. on May 27.
One of the two residents was a cognitively intact patient managing end stage renal disease, type II diabetes, chronic diastolic heart failure, cirrhosis of the liver, and protein calorie malnutrition. His morning medications included a beta-blocker for his heart, an antiplatelet drug to prevent blood clots, an antidepressant, and tamsulosin for urinary symptoms. The other resident had moderately impaired cognition from vascular dementia, along with COPD, a history of stroke affecting her right dominant side, type II diabetes, and chronic kidney disease. Her medication list was longer: a blood thinner called apixaban, a beta-blocker, gabapentin for nerve pain, cholesterol medication, a blood pressure drug, vitamin D, psyllium fiber, and sertraline.
RN #146 prepared all of it the same way. For the blister-packed medications, she pushed each pill through the foil backing into her palm, then dropped it into the cup. For the over-the-counter medications, she poured them into a bottle cap first, then transferred each one to her hand before placing them in the cup.
When an inspector approached her at 9:20 a.m., mid-pass, she confirmed she had been touching the medications. Then she explained her reasoning.
She said she had previously worked at a hospital where touching medications was not allowed. But here, she said, it was acceptable to touch them as long as the nurse sanitized her hands before starting the medication pass and washed with soap and water after every two residents. She named two exceptions, medications that should not be touched: finasteride, which can be absorbed through the skin and harm a developing fetus, and apixaban.
Apixaban was on Resident #6's medication list. The nurse was touching it anyway.
The inspection report does not indicate whether either resident experienced a physical reaction or adverse event connected to the medication handling. The harm level was classified as minimal harm or potential for actual harm, the lower end of the federal scale. Inspectors sampled three residents for medication administration during the investigation. Two of the three had their medications handled this way.
The facility's own written policy on medication administration, dated April 2019, states that staff follow infection control procedures during medication administration. The policy offers no further detail in the inspection record, and the report does not indicate anyone at the facility disputed what RN #146 had done or said.
Centerville Health and Rehab had 81 residents at the time of the inspection.
The concern with bare-hand contact during medication administration is contamination in both directions: pathogens from a caregiver's hands can transfer to a pill that will be swallowed, and certain medications can be absorbed through the skin of the person handling them. In a facility caring for residents with compromised immune systems, kidney failure, and heart disease, the margin for additional infection risk is narrow.
The nurse's own account makes clear she understood the distinction. She named finasteride and apixaban specifically. She knew one of them was on the list she was working through that morning. She touched it anyway, and she had a rationale ready when asked.
The inspection was opened in response to Complaint Number 2992788. The report does not identify who filed the complaint or what originally prompted it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Centerville Health and Rehab from 2026-05-28 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 21, 2026 · Our methodology
CENTERVILLE HEALTH AND REHAB in DAYTON, OH was cited for violations during a health inspection on May 28, 2026.
The violation was documented in a federal inspection report filed under a complaint investigation completed May 28, 2026.
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.