Hennis Care Centre Of Bolivar
HENNIS CARE CENTRE OF BOLIVAR in BOLIVAR, OH — inspection on August 22, 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
Based on observation, record review, policy review and staff interview, the facility failed to ensure medications were administered under staff supervision and not left unsupervised at the resident's bedside.
This affected one (Resident #102) of three residents reviewed for medications.
Findings include: Based on observation, record review, policy review and staff interview, the facility failed to ensure medications were administered under staff supervision and not left unsupervised at the resident's bedside.
This affected one (Resident #102) of three residents reviewed for medications.
Findings include: Review of Resident #102's medical record revealed an admission date of 06/01/23 with diagnoses that included depression, hypothyroidism, hypertension and chronic pain syndrome.
Review of Resident #102's medical record revealed a medication self-administration assessment completed on 02/28/24 that indicated the resident was not approved for self-administration of medication or keeping medications at the bedside.
Review of the quarterly Minimum Data Set (MDS) 3.0 assessment revealed Resident #102 had an independent and intact cognition level.
Review of Resident #102's medication orders revealed the following morning medications ordered by the physician: citalopram (antidepressant) 10 milligram (mg) 1/2 tablet, levothyroxine (thyroid supplement) 100 microgram (mcg), omeprazole (acid reflux) 40 mg, hiprex (urinary antiseptic), vitamin D (supplement) 50 mcg, Coreg (antihypertensive) 6.25 mg, senna (laxative) 8.6 mg two tablets, acetaminophen (analgesic) 500 mg and hydrocodone-acetaminophen (opioid analgesic) 5-325 mg.
Observation on 08/22/25 at 8:25 A.M. revealed nine medications in a pill cup on Resident #102's overbed stand. No staff were observed supervising the resident for medication administration.
Interview with Resident #102 on 08/22/25 at 8:25 A.M. revealed staff leave her medicine on her overbed stand so she can take them after she eats breakfast. Resident #102 indicated that the medications were left on her overbed stand by night shift staff who leave at 7:00 A.M.On 06/22/25 at 8:30 A.M. interview with Registered Nurse (RN) #121 verified medications left at Resident #102's bedside and staff did not observe medication administration.
Review of the facility policy titled Medication Administration with a revision date of 05/15/25 indicated staff are to remain with resident until medications are swallowed.
This deficiency represents non-compliance investigated under Complaint Number 1393128.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.