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Complaint Investigation

Aventura At Oakwood Village

November 18, 2025 · Springfield, OH · 1500 Villa Road
Citations 1
CMS Rating 1/5
Beds 116
Provider ID 365917
Healthcare Facility
Aventura At Oakwood Village
Springfield, OH  ·  View full profile →
Inspection Summary

AVENTURA AT OAKWOOD VILLAGE in SPRINGFIELD, OH — inspection on November 18, 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.

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Inspection Findings

FF0759
Pharmacy Service Deficiencies
Potential for More Than Minimal Harm

Review of the medical record for Resident #20 revealed an admission date of 11/13/25.

Diagnoses included chronic kidney disease and atrial fibrillation.

The admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #20 had intact cognition.

Review of the physician's orders dated 11/14/25 revealed an order for oxybutynin (treats overactive bladder) 10 milligrams (mg) extended release.

Give one tablet daily until 11/17/25.Observation on11/18/25 at 8:56 A.M. of medication administration revealed Licensed Practical Nurse (LPN) #100 was administering medications to Resident #20. LPN #100 administered oxybutynin chloride extended release (overactive bladder) 10 milligrams (mg) to Resident #20.Interview on 11/18/25 at 11:42 A.M. with LPN #100 verified the Oxybutynin order was no longer active. 2.

Review of the medical record for Resident #21 revealed an admission date of 03/05/25.

Diagnoses included stroke, autistic disorder and peripheral vascular disorder.

Review of the physician orders dated 11/02/25 revealed an order for Vitamin B6 (vitamin) one tablet by mouth daily and there was no documented dosage. A second order was for Tylenol 1,000 milligrams (mg) by mouth every six hours as needed for pain.Observation on 11/18/25 at 9:27 A.M. of medication administration revealed Licensed Practical Nurse (LPN) #101 administered medications to Resident #21. LPN #101 administered Vitamin B6 100 mg and one Tylenol 325 mg tablet to Resident #21.Interview on 11/18/25 at 11:28 A.M. with LPN #101 verified there was no dosage prescribed for the Vitamin B6 supplement and acknowledged the physician should be called to clarify the order. LPN #101 also verified she had administered one 325 mg Tylenol table when the order was for 1,000 mg.This deficiency represents non-compliance investigated under Complaint Number 2666022.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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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 SPRINGFIELD, 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 AVENTURA AT OAKWOOD VILLAGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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