Life Care Center Of Hilliard

Based on food service observations, staff interviews, and a review of the facility's policies and procedures, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, by failing to ensure food items were properly labeled and dated in the main kitchen. This deficient practice prevents staff from determining the appropriate use by date and increases the risk of pathogen exposure to all residents who consume foods from the facility's kitchen.The findings include:On 04/20/2026 at 10:33 AM, an observation of the dry storage room revealed one opened box of cabbage, one opened box of zucchini, one opened box of potatoes, one opened box of sweet potatoes, one opened box of bananas, one open crate of onions, and one opened bag of pasta with no label or date. Observations of the reach-in freezer in the cook area revealed one opened bag of French fries, one opened bag of cauliflower, and one opened bag of biscuits with no labels or dates. (photographic evidence obtained)On 04/22/2026 at 11:19 AM, another observation of the dry…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, interviews, and a review of the facility's policies and procedures, the facility failed to provide transfer/discharge notification to the Long-Term Care (LTC) Ombudsman's office for seven (Residents #129, #127, #48, #8, #91, #98 and #135) of 21 residents reviewed for transfer/discharge. Appropriate notification to the LTC Ombudsman's office provides added protection to residents from being inappropriately transferred or discharged . It provides residents with access to an advocate who can inform them of their options and rights, and it ensures that the LTC Ombudsman's office is aware of facility practices and activities related to transfers and discharges. The findings include:1.A review of Resident #129's medical record revealed an admission date of 02/26/2026 with diagnoses including fracture of the superior rim of the right pubis, subsequent encounter for fracture healing.A review of the resident's active care plans revealed a focus area indicating a short stay with a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, record reviews, interviews and a review of facility policies and procedures, the facility failed to ensure that residents who needed respiratory care, were provided such care, consistent with professional standards of practice, by failing to ensure that oxygen was administered at the ordered flow rate for four (Residents #95, #115, #119 and #6) of 10 residents reviewed for oxygen therapy. The findings include: 1.On 04/20/2026 at 1:10 PM, an observation of Resident #95's oxygen concentrator revealed an oxygen flow rate of 3 liters per minute (LPM). (photographic evidence obtained) On 04/22/2026 at 10:09 AM, another observation was made of Resident #95 in her wheelchair receiving oxygen from a portable oxygen tank at a flow rate of 3 LPM. (photographic evidence obtained) A review of Resident #95's medical record revealed an admission date of 03/29/2026 with diagnoses including chronic obstructive pulmonary disease (COPD) and shortness of breath (SOB). A review of the resident's Comprehensive Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, record review ,and a review of the facility's policies and procedures, the facility failed to ensure that its medication error rate was not 5% or greater. There were 26 opportunities for error with two errors identified, resulting in an error rate of 7% and involving two (Residents #6 and #99) of five residents observed during medication administration.The findings include:On 04/21/2026 at 11:13 AM, Licensed Practical Nurse (LPN) A was observed preparing medications for Resident #6. She administered Refresh Tears Ophthalmic Solution, 1 drop in each eye. She was asked to compare the current physician's order with the dose she had just administered. She confirmed the current order was for Refresh Tears Ophthalmic Solution, instill 2 drops in each eye.On 04/22/2026 at 10:13 AM, Registered Nurse (RN) F was observed preparing medications for Resident #99. She prepared Sertraline Hydrochloride (HCL)100 milligram (mg), 1 tablet. She was asked to compare the dose she prepared with the current physician's order. She confirmed that the order was written for…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a record review, interviews, and facility policy review, the facility failed to thoroughly investigate allegations of abuse for two (Residents #1 and #5) of three residents reviewed for abuse, from a total sample of 5 residents. The findings include: 1. A record review for Resident #1 found she was admitted on [DATE] and readmitted on [DATE]. Her diagnoses included fracture of the upper end of the left humerus (the long bone between the shoulder and elbow). A review of Resident #1's Discharge Return Anticipated minimum data set (MDS) assessment with a reference date 12/24/24 noted Resident #1 had OK memory and was independent with daily decision making. She required substantial to maximum assistance with toileting and partial to moderate assistance to move from sitting to standing and transfers. On 1/13/25 at 2:00 pm, an interview was conducted with Resident #1. She explained she had fallen and broke her humerus in two places which resulted in a loss of dignity with her decline in activities of daily…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations and interviews, the facility failed to ensure a sanitary and orderly interior, by failing to maintain the shower rooms on the 100, 200 and 600 hallways in an orderly and sanitary manner. The findings include: On 07/11/24, during a tour of the facility with the facility's Housekeeping and Laundry Director from 1:18 PM through 2:00 PM, the facility's shower rooms were observed. In the shower room on the 600-hallway, numerous used razors, deodorant sticks/canisters, and hairbrushes were present throughout the shower room, all of which were unlabeled. (Photographic evidence obtained) In the shower room on the 200-hallway, two shower basins were observed, in which were unlabeled, used bath products including used razors, a shower puff, deodorant sticks/canisters and hairbrushes. (Photographic evidence obtained) In the shower room on the 100-hallway, numerous used razors and deodorant sticks/canisters were observed, all of which were unlabeled. There was also a pile of soiled laundry and two bags of linens located on the floor near the toilet. (Photographic evidence…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment, and to help prevent the transmission of communicable diseases and infections, by failing to ensure proper infection control practices during insulin administration, resident dining, gloving, and linen handling. This impacted two (Residents #54 and #4) of 44 residents in the total survey sample, as well as numerous residents in the dining room on 7/10/24 during the breakfast meal, and potentially more receiving assistance with meals and other care from Certified Nursing Assistants (CNAs) Y and C. The findings include: 1. On 7/11/24 at 11:26 AM, an observation was made of Licensed Practical Nurse (LPN) J administering Novolog Insulin (a medication used to control elevated blood sugars) to Resident #54. LPN J did not clean the hub of the Novolog Flex Pen with alcohol prior to inserting the needle. On 7/11/24 at 11:30 AM, an interview was conducted…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to maintain residents' dignity while dining related to staff standing while assisting with meals and tablemates not being served trays together for six (Residents #106, #4, #8, #75, #21, and #6) of eight residents reviewed for dignity, from a total of 44 residents in the survey sample. The findings include: 1. On 7/8/24 at 5:33 PM, Resident #106 was observed being assisted with his dinner tray by Certified Nursing Assistant (CNA) G, who was observed standing while assisting the resident with his meal. Resident #106 was admitted to the facility on [DATE] with a medical history significant for paraplegia, right hand contracture, and macular degeneration. A review of Resident #106's Quarterly Minimum Data Set (MDS) assessment, dated 5/24/24, revealed he had a Brief Interview for Mental Status (BIMS) Score of 12 out of 15 possible points, indicating moderate cognitive impairment. He was also documented as requiring set up assistance for his…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record reviews and policy and procedure review, the facility failed to ensure that all alleged violations involving neglect were reported immediately, but not later than 2 hours after the allegation was made. The facility failed to provide assistance with activities of daily living (ADL) for more than 8 hours for one (Resident #6) of three residents whose grievances were reviewed, from a total sample of eight residents. The findings include: A review of the facility's grievance log revealed a grievance dated 6/13/23 from Resident #5. Resident complained that her sister who was also her roommate (Resident #6) had not been checked and changed for over 8 hours from 6:30 am - 3:30 pm. On 6/14/23, the Assistant Director of Nursing (ADON) was assigned to investigate the concern. The investigation findings read, verified certified nursing Assistant (CNA) for that resident. The action taken included education for CNAs to check and change resident's every two hours. The grievance indicated that…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record reviews and policy and procedure review, the facility failed to ensure that all alleged violations of neglect were thoroughly investigated. The facility failed to investigate staff failure to provide assistance with activities of daily living (ADL) for more than 8 hours for one (Resident #6) of three residents whose grievances were reviewed, from a resident sample of eight. The findings include: A review of the facility's grievance log revealed a grievance dated 6/13/23 from Resident #5. Resident complained that her sister who was also her roommate (Resident #6) had not been checked and changed for over 8 hours from 6:30 am - 3:30 pm. On 6/14/23, the Assistant Director of Nursing (ADON) was assigned to investigate the concern. The investigation findings read, verified certified nursing Assistant (CNA) for that resident. The action taken included education for CNAs to check and change resident's every two hours. The grievance indicated that education was provided. (Photographic copy…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to provide treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for one (Resident #2) of 29 residents sampled, by failing to apply physician-ordered topical medication. The findings include: On 7/26/22 at 11:00 AM, an attempt was made to interview Resident #2. When asked if she had any concerns, she nodded yes. She had communication difficulty and was difficult to understand. She touched her knees, then said her daughter's name. When asked if her daughter should be contacted, she nodded yes. In a telephone interview on 7/26/22 at 2:41 PM, Resident #2's daughter stated she visited her mother regularly and attended her care plan meeting. She stated her only concern was that her mother's speech had gotten worse and she thought her mother had had mini strokes. She stated she had requested that her mother be evaluated by the speech therapist but she had not heard…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure that residents requiring respiratory care, received such care, consistent with professional standards of practice and the comprehensive care plan for three (Residents #53, #87 and #58) of five residents reviewed for oxygen use, from a total of 29 residents in the sample. The findings include: 1. Observations of Resident #53 were made on the following dates and times: On 7/26/22 at 3:05 PM, her oxygen concentrator flow rate was set at 4 LPM. (Photographic evidence obtained) The resident was asked if she knew what the flow rate should be, and she stated it should be set at 3 LPM. On 7/27/22 at 4:12 PM, the resident's oxygen concentrator flow rate was set at 4 LPM. (Photographic evidence obtained) On 7/28/22 at 11:04 AM, the resident's oxygen concentrator flow rate was set at 4 LPM. (Photographic evidence obtained) An interview was conducted with Licensed Practical Nurse (LPN) A on 7/28/22 at 11:15 AM. She stated if a resident was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.