Oaks at Bethesda: Expired Medication Failures - OH
Inspectors walked the two nursing halls at Oaks at Bethesda on the afternoon of May 27, 2026, and in the span of roughly 15 minutes found medication problems tied to three separate residents. The facility, located at 2971 Maple Avenue, had 49 residents at the time of the inspection.
The expired insulin belonged to a resident who had been living at the facility since October 2023. The resident's diagnoses included Type II diabetes with diabetic chronic kidney disease and hypertension with chronic kidney disease. A physician had ordered insulin Lispro for the resident starting May 12, then discontinued it five days later on May 17. The open date written on the vial was April 11. When the registered nurse on the long 200 hall, identified in the report as RN #128, reviewed the cart with inspectors at 4:40 p.m., she confirmed the insulin was expired. It had been sitting there, past its discard date, for more than two weeks after the order to use it had already been stopped.
On the same cart, in the same hallway, inspectors found a box of Levalbuterol aerosol solution belonging to a resident admitted May 15 with COPD and diabetes. The medication had been ordered for wheezing. The box had a yellow sticker specifically designed to record an open date and a discard date after seven days. The sticker was blank. RN #128 confirmed the open date had never been filled in.
Levalbuterol is a bronchodilator used to open airways during breathing difficulty. The resident had an active as-needed order for it every four hours, and a separate order for it three times a day for wheezing that ran from May 19 to May 21. Whether the solution in that undated box had been administered to the resident, and in what condition, the inspection report does not resolve.
Down the other hall, the 100 hall, a different registered nurse had a similar problem with a different medication. RN #140 was reviewing the cart with inspectors at 4:56 p.m. when they found a box of Ipratropium Bromide and Albuterol Sulfate, a combination inhaler solution prescribed for a resident admitted May 8 following colostomy surgery. The resident also carried diagnoses of sepsis, COPD, and asthma. The medication had been ordered the day of admission and administered twice daily through May 27, the day inspectors arrived. The box had the same kind of yellow sticker, the same blank space where an open date should have been written. RN #140 confirmed it had never been filled in.
The facility's own medication storage policy, last reviewed in November 2022, states that outdated or otherwise unusable medications must be pulled from active inventory immediately and moved to prevent unintentional use. The expired insulin was not pulled. The undated medications remained in rotation.
Inspectors rated the harm level as minimal or potential for actual harm, which places this violation at the lower end of the severity scale. The citation covered three of three residents reviewed for medication storage, meaning every chart they pulled turned up a problem.
None of the nurses disputed what inspectors found. Both confirmed the violations on the spot.
What the inspection cannot answer is how long the expired insulin had been administered before the order was discontinued, or whether either of the undated inhaler solutions was used after whatever opening date staff failed to record. The records show the medications were there. The dates that would explain their condition were never written down.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Oaks At Bethesda The 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
OAKS AT BETHESDA THE in ZANESVILLE, OH was cited for violations during a health inspection on May 28, 2026.
The facility, located at 2971 Maple Avenue, had 49 residents at the time of the inspection.
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.