Kettering Heights Post Acute
KETTERING HEIGHTS POST ACUTE in KETTERING, OH — inspection on August 12, 2025.
Found 3 citations. 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
Review of email
shared with legal to authorize release.
Interviews on 08/11/25 from 2:48 P.M. to 3:10 P.M. with MR
over ownership. MR #301 stated records had not been sent to Resident #101 or his attorney.
She confirmed she was unaware and never saw the medical release request from 01/2025. MR #301 did not have knowledge or understanding of the requirement to provide records in a timely manner even when residents were admitted under a previous ownership name. MR #301 acknowledged the policy stated record requests should be provided within two business days upon written or oral request and confirmed the facility did not follow that policy/procedure.
Review of policy titled, Access to Personal and Medical Records, dated 05/2017 revealed each resident had the right to access and or obtain copies of his or her personal and medical records upon request. It stated a request shall be submitted orally or in writing.
Access shall be provided within 24 hours (excluding weekends and holidays and two business days for copies of the records.
This deficiency represents non-compliance investigated under Complaint Number 2581293.
365616 08/12/2025
Kettering Heights Post Acute 3313 Wilmington Pike Kettering, OH 45429
Review of facility policy titled, Prevention of Pressure Injuries, dated 04/2020, revealed facility shall identify risk factors as well as interventions.
Facility shall conduct a comprehensive skin assessment upon admission and as indicated.
This deficiency represents non-compliance investigated under Complaint Number 1306087 and
- 365616 08/12/2025
Kettering Heights Post Acute 3313 Wilmington Pike Kettering, OH 45429
Review of the facility policy titled, Pressure Ulcer/Skin Breakdown - Clinical Protocol, dated 04/2018, revealed nursing staff and practitioners (NP) shall assess and document risk factors for pressure ulcers.
The nurse shall also document a full assessment of pressure sores.
The NP shall examine skin for evidence of pressure ulcers.
The Physician shall order pertinent wound treatments including wound dressings and treatments.
Review of the facility policy titled, Care Plan - Baseline, dated 03/2022, revealed the facility shall include instructions needed to provide effective person-centered care.
The baseline care plan was used until staff could complete the comprehensive care plan.
The baseline care plan shall include any services and treatments to be administered by facility and personnel acting on behalf of the facility.This deficiency represents non-compliance investigated under Complaint Number OH001306087.
Frequently Asked Questions
More Reports
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.