Skip to main content
Complaint Investigation

Forest Glen Rehabilitation And Healthcare Center

August 26, 2025 · Springfield, OH · 2150 Montego Drive
Citations 2
CMS Rating 4/5
Beds 80
Provider ID 366245
Healthcare Facility
Forest Glen Rehabilitation And Healthcare Center
Springfield, OH  ·  View full profile →
Inspection Summary

Forest Glen Rehabilitation and Healthcare Center in SPRINGFIELD, OH — inspection on August 26, 2025.

Found 2 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.

Advertisement

Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of the facility's policy titled Discharge Summary and Plan dated October 2022 revealed when a resident's discharge is anticipated, a discharge summary and post-discharge plan will be developed to assist the resident to adjust to his/her new living environment.

The facility must permit each resident to remain in the facility, and not transfer or discharge.This deficiency represents non-compliance investigated under Complaint Number 1281294.

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.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/26/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Forest Glen Health Campus

2150 Montego Drive Springfield, OH 45503

SUMMARY STATEMENT OF DEFICIENCIES

Based on observation, staff interview, and review of facility policy, the facility failed to distribute meals in a sanitary manner in the memory care unit.

This had the potential to affect all 20 residents that eat in the memory care unit.

The census was 71.

Findings Include:Observation of lunch being served in memory care unit on 08/19/25 at 11:28 A.M. revealed meals are served from a plastic table set up in the hallway outside the dining area.

Utensils used to serve food, plates, cups, and pitchers of drinks were sat directly on the table.

The table was not observed to be sanitized before the start of meals service.Food was brought to the hall by a heated carrier at 11:50 A.M.

Metal pans of mashed potatoes, salisbury steak, and brussel sprouts were set directly on the table by Activity Assistant (AA) #102.

There was not a steam table or any appliance to maintain food temperatures.At 11:52 A.M. the meals were started to be served by AA #102. No food temperatures were taken before meal service.

Food was served from the pan on the table using utensils that were sat directly on the plastic table. At 12:10 P.M. Resident #50 requested more food.

Certified Nursing Assistant (CNA) #104 brought Resident #50's used lunch plate to AA #102 who scooped more portions of each item onto the plate.

Interview with AA #102 and CNA #103 on 08/19/25 at 12:15 P.M. confirmed the table was not sanitized right before meals being served.

The table is cleaned by dietary staff when meals are cleaned up, but that would have been right after breakfast.

The table is in the hallway and can be touched by staff, residents, or visitors between meals. AA #102 confirmed food temperatures are not taken when food arrives at the hall and before food is served to residents. AA#102 also confirmed she had scooped food onto Resident #50's used lunch plate.

Review of the facility's policy titled Food handling dated September 2021 revealed food will be stored, prepared, handled and served so that the risk of foodborne illness minimized.The facility identified Residents (#1, #2, #3, #4, #25, #29, #34, #38, #40, #42, #44, #50, #52, #54, #58, #59, #62, #65, #66, and #67) as eating in the memory care unit.This deficiency represents an incidental finding discovered during the course of the complaint investigation.

Facility ID:

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 Forest Glen Rehabilitation and Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement