Otterbein Union Township
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
providing care per physician orders. A return demonstration on resident transfers via Hoyer lift was completed with all nursing staff. A post-education quiz was utilized with all staff to verify the staff's knowledge related to proper transfers, abuse, neglect, and how to access the Kardex or Care Plan. On 06/23/25 and 06/24/25, the DON completed an audit for all current residents who used a Hoyer lift for transfers. The facility identified 11 (#01, #02, #13, #20, #28, #37, #38, #40, #45, #53 and #60) additional residents required the use of a Hoyer lift for transfers and/or to obtain ordered weights. There were no adverse findings.Beginning on 06/23/25, the DON/designee conducted randomized observational audits of mechanical Hoyer lift transfers on at least five residents weekly for four weeks. The results were reported to
the Administrator and Quality Assurance and Performance Improvement (QAPI) committee for any modification of intervention or adjustments as needed. On 06/23/25, The DON completed an audit on all current residents to ensure physician orders, Care Plans, and Kardexs were current and up to date and current per physician orders. No additional concerns were identified.On 6/23/25, an ad hoc QAPI meeting was held by the IDT with the medical director in attendance to discuss the incident and review the audits completed of all elder records to ensure physician orders, care plans, and Kardexs were accurate.
Additional QAPI meetings were held weekly for four weeks to ensure audits were completed and to review them to determine if any modification of intervention or adjustments were needed.On 06/23/25, the previous physician order dated 09/03/22 related to Resident #32 being transferred via Hoyer, was discontinued and a new order was placed so the physician order would transfer over to the treatment administration record (TAR) which required the nurses to sign off when the transfer was completed via Hoyer. This same order was also completed for the 11 additional residents identified as utilizing a Hoyer for transfers. On 06/25/25, skin assessments were completed for all residents who could not be interviewed.
No issues were identified. On 06/27/25, CNA #168 was terminated for an improper transfer related to the transfer with Resident #32.This deficiency represents non-compliance investigated under Complaint Number OH00167463.
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OTTERBEIN UNION TOWNSHIP in BATAVIA, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BATAVIA, OH, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from OTTERBEIN UNION TOWNSHIP or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.