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 authorization to disclose health information dated 01/13/25 revealed a record request was made for all records by Resident #101.
Review of the letter dated 07/29/25 revealed a records request for Resident #101 requesting the medical record. MR #301 revealed this was a subpoena for documents.
Review of email communication dated 08/04/25 from regional legal staff to additional regional legal staff as well as MR #301 revealed the record request was valid and requested for documents to be prepared and files shared with legal to authorize release.
Interviews on 08/11/25 from 2:48 P.M. to 3:10 P.M. with MR #301 confirmed she had not provided any medical records since 01/2025 when the new company took 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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/12/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Kettering Heights Post Acute
3313 Wilmington Pike Kettering, OH 45429
SUMMARY STATEMENT OF DEFICIENCIES
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 1306090.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/12/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Kettering Heights Post Acute
3313 Wilmington Pike Kettering, OH 45429
SUMMARY STATEMENT OF DEFICIENCIES
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.
Facility ID: