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Complaint Investigation

Otterbein Springboro

September 23, 2025 · Centerville, OH · 9320 Avalon Circle
Citations 1
CMS Rating 5/5
Beds 60
Provider ID 366368
Healthcare Facility
Otterbein Springboro
Centerville, OH  ·  View full profile →
Inspection Summary

OTTERBEIN SPRINGBORO in CENTERVILLE, OH — inspection on September 23, 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Based on observation, staff interview, and review of employee orientation documents, the facility failed to ensure a safe environment in the kitchen.

This had the potential to affect four facility-identified cognitively impaired and independently-mobile (Residents #4, #6, #18, #22) of 12 residents residents residing in the house.

The facility census was 58 residents.

Findings include: Observation on 09/22/25 at 9:12 A.M revealed there was pot of eggs cooking in a boiling water on top of gas stove in the house kitchen.

The gates to prevent entry to the kitchen were opened, and the kitchen was unattended by staff.

Interview on 09/22/25 at 9:13 A.M with the Administrator confirmed there was an unsupervised gas stove on with a pot of eggs cooking with the kitchen gates opened.

The Administrator also confirmed that the stove should never be left unattended while on and that the kitchen gates are supposed to be closed when the kitchen is left unattended or when the stove is in use.Interview on 09/22/25 at 9:55 A.M with Certified Nursing Assistant (CNA) #105 confirmed staff never leave the stove unattended while cooking and kitchen gates should be closed when the kitchen was left unattended or when the stove was in use.

Review of the facility orientation education document titled Food Handling and Preparation revealed staff members should lock the gates to the kitchen when cooking or not in the common area and ensure the stove is off when not in use.This deficiency represents noncompliance investigated under Complaint Number 1364148 (OH00167224.)

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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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 CENTERVILLE, 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 SPRINGBORO or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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