Altercare Of Bucyrus Center Fo
ALTERCARE OF BUCYRUS CENTER FO in BUCYRUS, OH — inspection on October 28, 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
door had been alarming for about five minutes when CNA #189 returned from break, at which time she went to investigate and when looking outside found LPN #193 and CNA #146 assisting Resident #18 inside the building. LPN #193 asked her to get a wheelchair and once Resident #18 was inside the building she was seated in the wheelchair. CNA #144 stated she assisted LPN #193 in cleaning up Resident #18 ' s face and remained with Resident #18 until EMS arrived while LPN #193 made multiple calls. CNA #144 stated the last time she saw Resident #18 was at 12:15 A.M. when she assisted the resident to the bathroom.
CNA #144 stated LPN #193 did not tell her she was going on a break. CNA #144 stated she was unaware of the residents on Hall 300 being left unattended.Interview on 10/28/25 at 3:36 P.M. with LPN #193 verified she worked on 10/22/25 and was the nurse assigned to the Memory Care Unit and Hall 300. LPN #193 said she could not recall what time she left the facility, but it was when CNA #146 approached her and asked if she wanted to go outside to smoke. LPN #193 verified when she left the building CNA #144 was on the Memory Care Unit and no other staff were present to monitor Hall 300. LPN #193 stated while outside, she asked CNA #146 to take her to a local restaurant, approximately a six minute drive from the facility.
They got into CNA #146 ' s car and by the time they got to the end of the parking lot they decided they would not have enough time, so they turned around.
When driving back to the staff parking lot, LPN #193 noticed Resident #18 laying on the ground in the parking lot, approximately 25 steps from the employee entrance, near the Memory Care Unit courtyard gate. LPN #193 stated Resident #18 was lying on the ground with her knees up to her chest. LPN #193 verified Resident #18 did not have her walker or her wheelchair, adding she did not know how Resident #18 could have made it outside. LPN #193 stated Resident #18 was repeatedly apologizing, saying she was on her way home. LPN #193 stated she and CNA #146 assisted Resident #18 back into the building after assessing the resident, placed Resident #18 into a wheelchair, cleaned her face, called the Director of Nursing, the resident ' s daughter, and EMS for transportation to the emergency room (ER).
Review of the facility policy titled Elopement - Missing Resident with a last revision date of 05/01/25 revealed an elopement is when a resident leaves the nursing facility unattended without the facilities knowledge.
Review of the facility policy titled Hours of Work with a last revision date of May 2024 revealed staff may have two ten-minute breaks during an eight-hour shift and no employee is permitted to leave company property during their breaks without special permission of the immediate supervisor.
Review of the facility policy titled Routine Resident Checks with a last revision date of 05/01/25 revealed routine resident checks shall be made every two hours to ensure that the resident ' s safety and well-being are maintained.This deficiency represents non-compliance investigated under Master Complaint Number 2651195 and Complaint Number 2650725.
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