Oaks at Bethesda: Expired Medications Found on Carts - OH
The May 27 inspection found medication problems involving three residents out of three reviewed, at the 49-bed facility on Maple Avenue. Inspectors documented an expired vial of insulin, a respiratory drug with no record of when it was opened, and a second respiratory drug, also with no open date. In each case, nurses verified the problem during the inspection itself.
The expired medication belonged to a resident who had been at the facility since October 2023, living with Type II diabetes, hypertension, and chronic kidney disease. A physician had ordered insulin Lispro for the resident starting May 12, then discontinued the order on May 17. The vial on the cart, however, showed an open date of April 11, with a sticker indicating it expired 28 days after opening. That put the expiration at May 9, three days before the order was even written. By the time inspectors found it on May 27, the insulin had been expired for more than two weeks. Registered Nurse #128 confirmed the vial was expired.
The same nurse, during the same cart review, pulled out a box of Levalbuterol aerosol solution belonging to a resident admitted May 15 with COPD and diabetes. The resident had two physician orders for Levalbuterol, one for use every four hours as needed and a second, written May 19, for use three times daily for wheezing. The box had a yellow sticker attached to the foil packaging with a space to record an open date and a discard date, with a note that the medication should be discarded after seven days. The sticker was blank. RN #128 confirmed no open date had been recorded.
Without an open date, there was no way to know whether the medication was still within its safe-use window.
A third resident, admitted May 8 following colostomy surgery and also managing sepsis, COPD, and asthma, had been receiving Ipratropium Bromide/Albuterol Sulfate twice daily since admission through at least May 27. The medication records confirmed 19 days of documented administration. When RN #140 opened the medication cart on the 100 hall at 4:56 in the afternoon on May 27, the box of Ipratropium Bromide/Albuterol Sulfate also had a yellow sticker with a space for an open date and a 14-day discard instruction. That sticker was also blank. RN #140 confirmed no open date had been entered.
The facility's own medication storage policy, last reviewed in November 2022, stated that outdated or otherwise unusable medications must be immediately pulled from active inventory and moved to a separate area to prevent unintentional use. The expired insulin had not been pulled. The undated medications remained on the carts with no way to determine whether they had already passed the point at which they should have been discarded.
Inspectors rated the violations at the level of minimal harm or potential for actual harm.
For the resident receiving twice-daily breathing treatments after colostomy surgery and sepsis, the question of whether the medication in that box was still viable on day 15 or day 18 of use went unrecorded and unanswered. The yellow sticker was there. The instructions were printed on it. Nobody had filled it in.
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 May 27 inspection found medication problems involving three residents out of three reviewed, at the 49-bed facility on Maple Avenue.
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.