Otterbein Union Township
OTTERBEIN UNION TOWNSHIP in BATAVIA, OH — inspection on August 15, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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.
Facility ID: