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Complaint Investigation

Otterbein Loveland

Inspection Date: August 25, 2025
Total Violations 11
Facility ID 366445
Location LOVELAND, OH
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Inspection Findings

F-Tag F0578

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited OTTERBEIN LOVELAND in LOVELAND, OH for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-08-25.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of OTTERBEIN LOVELAND.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-07.

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F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm

between 99 and 104 degrees F between February and July 2025. Resident #34's water temperatures were between 77 and 91 degrees F between March and June 2025. Resident #23's water temperatures were between 84 and 101 degrees F between February and July 2025. Resident #56's water temperatures were between 91 and 101 degrees F between February and July 2025. Resident #59's water temperatures were between 89 and 96 degrees F between February and July 2025.

Residents Affected - Some

Review of a supply quote dated 05/07/25 revealed the facility obtained a quote for repair/replacement of water equipment.

Interview on 08/25/25 at 7:25 A.M. with Maintenance Director (MD) #63 verified he obtained the residents' room water temperatures and documented them on the temperature log. MD #63 stated the minimum temperature should be 108 degrees F, per the facility requirements. MD #63 verified he did not get a quote for water repair supplies until May 2025 and stated he should have followed up and implemented an immediate intervention when the water temperature was below the threshold.

Interview on 08/25/25 at 7:45 A.M with the Administrator verified MD #63 should have implemented an alternative plan to ensure the water temperatures were within correct range.

Review of the facility policy titled, “Resident Rights, dated 01/22/20, revealed the Resident has the right to a clean, and safe environment.

The deficiency represents non-compliance investigated under Complaint Number OH00167007 (1399080).

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/25/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Otterbein Loveland

6405 Small House Circle Loveland, OH 45140

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited OTTERBEIN LOVELAND in LOVELAND, OH for a deficiency under regulatory tag F-F0609 during a standard health inspection conducted on 2025-08-25.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of OTTERBEIN LOVELAND.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-07.

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F-Tag F0679

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

Federal health inspectors cited OTTERBEIN LOVELAND in LOVELAND, OH for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-08-25.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide activities to meet all resident's needs.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of OTTERBEIN LOVELAND.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-07.

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F-Tag F0689

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

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Resident #25 to utilize a recliner chair when out of the bed.Interview on 08/21/25 at 9:35 A.M. with the Administrator and the DON confirmed Resident #25 tried to transfer herself and it resulted in a fall. The Administrator and the DON confirmed the facility failed to implement an immediate intervention. Resident #25 was discharged to the emergency room for evaluation on 06/28/25 at 12:30 P.M. per the progress notes and returned to the facility on [DATE REDACTED] at 4:46 P.M. The IDT met on 06/30/25 and Resident #25's new intervention was placed on 06/30/25. Interview with the Administrator on 08/20/25 at 3:54 P.M. confirmed

the facility will meet as an IDT and review falls that have occurred the previous business day. The Administrator confirmed the facility identified concerns related to a delay in the time the IDT members have met in relation to a fall. The Administrator confirmed the facility identified a concern with immediate interventions being identified, documented, and put in place immediately after a fall has occurred. The Administrator and the DON confirmed the facility expectation and the facility fall policy require the supervising nurse at the time of the fall should identify an immediate intervention document the intervention

in the resident's medical chart and ensure the intervention is in place. The IDT will meet the next business day and review the resident's fall and ensure the intervention was appropriate.2. Medical record review for Resident #64 revealed an admission date of 06/08/23. His medical diagnoses included Parkinson's disease, renal insufficiency, non-Alzheimer's dementia, and dysphagia. Review of the quarterly MDS assessment dated [DATE REDACTED] revealed Resident #64 was moderately cognitively impaired. His functional status was setup or clean-up assistance for eating, supervision or touching assistance for toileting, independent for bed mobility, and partial/moderate assistance for transfers. Review of the care plan revised on 05/03/25 revealed Resident #64 was at risk for falls related to Parkinson's disease, repeated falls, unsteadiness on his feet, and weakness. Interventions for his falls were to ensure Dycem (non-skid pad) to his wheelchair seat was in place, lanyard attachment to his wheelchair to ensure his grabber was within reach at all times, and Dycem to his bedside tabletop to keep needed items in place Observation of Resident #64 on 08/21/25 at 1:17 P.M. revealed he did not have his lanyard on his wheelchair to keep his grabber in place and had no Dycem to his wheelchair seat or to the top of his bedside table. Interview with Therapy Supervisor (TS) #304 on 08/21/25 at 1:25 P.M. confirmed the interventions were not in place for Resident #64. Review of the facility policy titled, Falls Management, dated 12/03/19, revealed in the event a fall should occur the nurse should complete a physical assessment, provide immediate care, notify the family and physician of the fall, complete the accident and injury report, determine immediately if any interventions are needed, institute

the interventions to prevent a further fall, update the care plan and Kardex with new interventions, and the documentation in the notes should include a complete account of the fall. This deficiency represents non-compliance investigated under Complaint Number OH00167007 (1399080) and Complaint Number OH00164135 (1399075).

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/25/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Otterbein Loveland

6405 Small House Circle Loveland, OH 45140

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0690

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

Federal health inspectors cited OTTERBEIN LOVELAND in LOVELAND, OH for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-25.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of OTTERBEIN LOVELAND.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-07.

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F-Tag F0712

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited OTTERBEIN LOVELAND in LOVELAND, OH for a deficiency under regulatory tag F-F0712 during a standard health inspection conducted on 2025-08-25.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of OTTERBEIN LOVELAND.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-07.

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F-Tag F0725

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation, resident and staff interview, and medical record review, the facility failed to ensure the facility was adequately staffed to provide timely care and services for residents. This affected one (#41) of two residents reviewed for bowel and bladder. The census was 58. Findings include:Review of the medical

record revealed Resident #41 was admitted to the facility on [DATE REDACTED]. Diagnoses included type two diabetes mellitus without complications, severe sepsis without septic shock, cellulitis, rheumatoid arthritis and atrial fibrillation. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE REDACTED] revealed Resident #41 had no behaviors, did not reject care, and did not wander. The resident was dependent for toileting, required substantial assistance with bathing, and was dependent for transfers. Review of the care plan for Resident #41 dated 08/16/25 revealed the resident was frequently incontinent of bladder and bowel. Interview and observation with Resident #41 on 08/20/25 at 8:52 A.M. stated she rang the call light over an hour ago and no one came; however, stated a nurse and a nurse aide came in 30 minutes ago and asked if she needed anything and she let them know she had gone to the bathroom in her pants in the bed.

The resident appeared frustrated that she had the accident. Interview with Registered Nurse (RN) #300 on 08/20/25 at 8:55 A.M. confirmed she and the nurse aide went in and asked if Resident #41 needed anything 30 minutes ago and the resident indicated she needed help with toileting and RN #300 was not sure if anyone went in to help her. Interview on 08/20/25 at 8:58 A.M. with RN #300 stated she was going to finish giving medications to another resident and then she would assist Resident #41. Interview on 08/20/25 at 9:00 A.M. with Resident #41 confirmed she was not happy and embarrassed about sitting in soiled pants.

She stated it did not happen all of the time, and she was worried because her skin was sensitive.

Observation on 08/20/25 at 9:04 A.M. revealed RN #300 walked into Resident #41 ' s room. Interview on 08/20/25 at 9:08 A.M. with CNA #32 verified she was in Resident #41 ' s room about 30 minutes ago and aware at that time the resident had an incontinence accident in her bed, and she added she let the resident know she had to come out and make breakfast for the other residents first.Interview on 08/20/25 at 9:52 A.M. with RN #300 stated it was only her and the nurse aide working at the time they went into Resident #41's room. She stated they were short staffed.Interview on 08/20/25 at 9:55 A.M. with CNA #83 confirmed

the facility was short staffed and she just got called in to work at 9:15 A.M. This deficiency represents non-compliance investigated under Complaint Number OH00167007 (1399080), Complaint Number OH00165643 (1399077), and Complaint Number OH00164139 (1399076).

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/25/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Otterbein Loveland

6405 Small House Circle Loveland, OH 45140

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

higher temperature. There was no documentation of any intervention in the comment section of the log regarding the deficient temperature correction. Interview on 08/18/25 at 10:25 A.M with DT #205 verified dishwasher temperatures were below the required 180 degrees F during the rinse cycle for House #5, House #9, and House #19.Interview on 08/25/25 at 7:35 A.M. Maintenance Director (MD) #63 stated he had not been notified of the dishwasher rinse cycles not getting up to 180 degrees F in House #5, House #9, and House #19.3. Observation on 08/20/25 at 8:50 A.M. revealed Certified Nurse Aide (CNA) #32 prepared puree food in the same blender bowl for two different batches of food. Between the preparations of the foods CNA #32 handwashed the blender bowl with detergent and rinsed the bowl in water. There was no sanitizer system or chemical sanitizer used between the preparation of the foods. Interview on 08/20/25 at approximately 9:00 A.M., CNA #32 verified she did not use a sanitizer between the food preparation and did not know how to do so. She did not know how she would have sanitized the bowl as she had no chemicals and did not know the sanitizing process. Interview on 08/20/25 at 1:00 P.M. DT #205 verified CNA #32 should have sanitized the blender bowl between food preparations to prevent cross contamination.Review of facility policy titled, Refrigerators and Freezer Temperatures, dated May 2013, revealed temperatures are documented twice daily and recorded on the temperature logs.Review of facility policy titled, Food Storage, dated August 2022, revealed foods should be dated once opened and used within four to seven days. This deficiency represents non-compliance related to Complaint Number OH00167007 (1399080).

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/25/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Otterbein Loveland

6405 Small House Circle Loveland, OH 45140

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0868

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited OTTERBEIN LOVELAND in LOVELAND, OH for a deficiency under regulatory tag F-F0868 during a standard health inspection conducted on 2025-08-25.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of OTTERBEIN LOVELAND.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-07.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited OTTERBEIN LOVELAND in LOVELAND, OH for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-08-25.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of OTTERBEIN LOVELAND.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-07.

📋 Inspection Summary

OTTERBEIN LOVELAND in LOVELAND, OH inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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