Ohio Veterans Home
OHIO VETERANS HOME in SANDUSKY, OH — inspection on November 6, 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.
Inspection Findings
Review of an IDT progress note by ADON #549 dated 09/17/25 at 12:09 P.M. and 12:14 P.M. revealed the IDT team met to discuss the resident's skin injury from 09/16/25 and to discuss the alleged incident between the resident and staff member.
Interventions were noted as in place and the care plan was reviewed and revised.
Review of a documented interview dated 09/17/25 with LPN #602 revealed LPN #602 stated and initialed yes he had been educated on the policy related to abuse, neglect, and misappropriation. LPN #602 documented yes and initialed he had worked on the Memory Care Unit on 09/16/25 on second shift. LPN #602 documented and initialed no he had not witnessed Resident #241 throwing water on the floor in his room. LPN #602 documented and initialed yes he had used inappropriate language while assisting Resident #241, additionally noted was spoke loud because resident hard of hearing. LPN #602 documented and initialed yes to using excessive force that could be viewed as aggressive while assisting Resident #241 and noted grabbed waist band of shorts to help transfer. LPN #602 documented and initialed yes to attempting to assist Resident #241 in/out of the common area recliners during the shift. LPN #602 documented and initialed yes Resident #241 had skin injuries prior to the fall and noted there were two skin injuries and LPN #614 had stated there were three total. LPN #602 documented and initialed no to kicking Resident #241 while he was on the floor. LPN #602's interview statement was signed and dated by him on 09/17/25.
Review of a statement dated 09/18/25 at 12:23 P.M. by RN Supervisor #700 revealed he had not witnessed the fall or any abuse. RN Supervisor #700 revealed he arrived on the unit shortly after the incident and was not aware of any allegations of abuse until CNA #400 came to his office to report concerns. RN Supervisor #700 revealed he had entered the Memory Care Unit to complete rounds. LPN #614 requested help as RN Supervisor #700 observed Resident #241 on the floor with LPN #602 standing nearby. RN Supervisor #700 stated LPN #614 and LPN #602 reported the resident was throwing water from a urinal in the hallway. LPN #602 stated Resident #241 had climbed out of his wheelchair and sustained multiple skin tears in his room when he was throwing water. RN Supervisor #700 approached Resident #241 and LPN #[TRUNCATED]
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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.