Bennington Glen Nursing & Rehabilitation Center
BENNINGTON GLEN NURSING & REHABILITATION CENTER in MARENGO, OH — inspection on April 27, 2026.
Found 5 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
F: Preferences for Customary Routine and Activities, is to obtain information regarding the resident's preferences for their daily routine and activities.
This is best accomplished when the information is obtained directly from the resident or through family or significant other, or staff interviews if the resident cannot report preferences.
Nursing homes should use this as a guide to create an individualized plan based on the resident's preferences and is not meant to be all-inclusive.
Most residents capable of communicating can answer questions about what they like.
Further review revealed individuals who live in nursing homes continue to have distinct lifestyle preferences. A lack of attention to lifestyle preferences can contribute to depressed mood and increased behavior symptoms.
Resident responses that something is important but that they can't do it or have no choice can provide clues for understanding pain, perceived functional limitations, and perceived environmental barriers.
Care planning should be individualized and based on the resident's preferences.
Care planning and care practices that are based on resident preferences can lead to improved mood, enhanced dignity, and increased involvement in daily routines and activities.This deficiency represents non-compliance investigated under Complaint Number 2974213.
366194 04/27/2026
Bennington Glen Nursing & Rehabilitation Center 825 State Route 61 Marengo, OH 43334
CNA #41 reported to him that Resident #6 hit her head on the sink. LPN #555 reported when describing the fall, CNA #41 told him she saw Resident #6 fall and was unable to get to her in time to assist her.An attempt to interview CNA #41 during the survey was unsuccessful.
Review of the policy titled ?Fall Management' revised 10/24/25 revealed the care plan was to be reviewed throughout the course of treatment by the interdisciplinary team to ensure the most recent resident specific fall reduction interventions have been incorporated as necessary into the plan of care. A fall risk evaluation was completed on admission, after a significant change, quarterly, and as necessary.
The evaluation was to be used by the interdisciplinary team to further identify individualized fall risk factors.
This deficiency represents non-compliance investigated under Complaint Numbers 2974213, 2603937, 2595389, and 1388007 (OH00165757).
366194 04/27/2026
Bennington Glen Nursing & Rehabilitation Center 825 State Route 61 Marengo, OH 43334
medication errors out of 34 opportunities resulting in a 11.76% medication error rate.
This affected one
68.Findings include:Review of Resident #68's medical record revealed an admission date of 09/25/18.
Diagnoses included paroxysmal atrial fibrillation, polyosteoarthritis, and gastro-esophageal reflux disease (GERD) without esophagitis.Review of Resident #68's physician orders revealed on 04/01/26, Metoprolol Succinate extended release (ER) (treats high blood pressure) oral tablet 24-hour 25 milligrams (mg) give one tablet by mouth one time a day; and Metoprolol Succinate ER oral tablet 24-hour 50 mg give one tablet by mouth one time a day for a total of 75 mg daily. On 12/04/24, an order for Pantoprazole Sodium (treats GERD) tablet delayed release 20 mg one time daily. On 10/28/25, an order for Tylenol (acetaminophen) (treats mild pain) eight hour arthritis pain oral tablet ER 650 mg give one tablet by mouth two times a day.There was also an order dated 11/12/21 that nursing may crush medications/open capsules and mix in food or drink unless the medication was delayed release/ER, enteric coated or on the list of medications not to be crushed as needed.Observation and interview on 04/22/26 at 8:00 A.M. revealed Licensed Practical Nurse (LPN) #89 crushed Resident #68's Tylenol eight hour arthritis pain oral tablet ER 650 mg, Metoprolol Succinate ER oral tablet 24-hour 25 mg, Metoprolol Succinate ER oral tablet ER 24-hour 50 mg, and Pantoprazole Sodium tablet delayed release 20 mg and administered these medications in pudding to Resident #68. LPN #89 confirmed she crushed Resident #68's four medications and administered them in pudding to Resident #68.
Review of the facility's do not crush list revealed Tylenol eight hour arthritis pain oral tablet ER 650 mg, Metoprolol Succinate ER 24-hour 25 mg and 50 mg oral tablets, and Pantoprazole Sodium tablet delayed release 20 mg were listed on medications that were not to be crushed.
366194 04/27/2026
Bennington Glen Nursing & Rehabilitation Center 825 State Route 61 Marengo, OH 43334
one tablet one time a day related to hypothyroidism.Review of Resident #17's Medication Administration Record (MAR) revealed no documentation for Resident #17's Synthroid oral tablet 175 mcg on 04/10/26, 04/11/26, 04/14/26, 04/15/26, and 04/16/26.The medical record did not reveal the reason why the Synthroid medication was not documented in the MAR.Interview on 04/22/2026 at 8:25 A.M. with Regional Registered Nurse #450 confirmed there was no documentation in the medical record regarding why Synthroid was not documented in Resident #17's MAR.This deficiency represents non-compliance investigated under Complaint Number 2603937.
366194 04/27/2026
Bennington Glen Nursing & Rehabilitation Center 825 State Route 61 Marengo, OH 43334
toothbrushes were stored in a manner to maintain infection control.
This affected two (#11 and #37)
Resident #37's medical record revealed an admission date of 09/29/25.
Diagnoses included dysarthria and anarthria, demyelinating disease of central nervous system, and muscle weakness.
Review of the Activity of Daily Living care plan dated 08/17/25 revealed Resident #37 required assistance with oral hygiene.Review of Resident #11's medical record revealed an admission date of 05/04/21.
Diagnoses included dementia, chronic respiratory failure and unilateral post-traumatic osteoarthritis of first carpometacarpal joint of the left hand.
Review of the Activity of Daily Living care plan dated 08/17/25 revealed Resident #11 required assistance with oral hygiene.
Review of the Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #11 was dependent on staff for oral hygiene.Observation on 04/21/26 at 1:40 P.M., of Resident #11 and #37's shared bathroom revealed a toothbrush resting on the bottom of the paper towel dispenser without a barrier.
There were two of the same toothbrushes resting on the sink in between the faucet and wall with no barrier atop another different type of toothbrush and bottle of toothpaste.Interview on 04/21/2026 at 1:45 P.M, with Licensed Practical Nurse (LPN) #73 confirmed the toothbrushes were not stored to prevent potential contamination.This deficiency represents non-compliance investigated under Complaint Number 2974213.
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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.