Altercare of Bucyrus Center Fo

Inspectors wroteBased on record review, review of the facility's internal investigation, facility document review, facility policy review, and interviews, the facility failed to report an allegation of abuse to the state agnency for one resident, (#69) of three revewed for abuse. The facility census was 66. Findings Include:Record review for Resident #69 revealed the resident was admitted to the facility following hospitalization for left-foot cellulitis and osteomyelitis requiring amputation of the left third toe. Diagnoses included Type II Diabetes Mellitus, chronic kidney disease, hypertension, major depressive disorder, anxiety disorder, chronic pain, and fibromyalgia. Review of Resident #69's Minimum Dat Sat (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status score of 15, indicating intact cognition. [...]

Inspectors wroteBased on medical record review, review of the facility's internal investigation, facility document review, facility policy review, and interviews, the facility failed to conduct a complete and thorough investigation of allegations of abuse. This affected one residents, (#69) of three residents reviewed for abuse. The facility census was 66.

Inspectors wroteBased on record review, interview and facility policy review the facility failed to ensure staff timely documented a resident's fall. This affected one resident, (#45) of three reviewed for falls. The facility census was 66. Findings Include:Review of Resident #45's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included vascular dementia with behavioral, psychotic, mood, and anxiety disturbances; generalized muscle weakness; difficulty walking; coronary artery disease; hypertension; Type II Diabetes Mellitus; major depressive disorder; insomnia; and a history of transient ischemic attack and cerebral infarction. [...]

Inspectors wroteBased on observation, medical record review, staff interview, review of the resident room bathrooms quote, and policy review, the facility failed to ensure a safe, clean, and homelike environment. This affected one (#60) of three residents reviewed for a safe, clean, homelike environment. The facility census was 64.

Inspectors wroteBased on closed medical record review, staff interview, and review of facility policy, the facility failed to ensure enabler bars were implemented for mobility as assessed by the facility. This affected one (#100) of three residents reviewed for side rails.

Inspectors wroteBased on record review, resident interview, staff interview, review of the facility investigation, and policy review, the facility failed to ensure Resident #18 was provided adequate supervision to prevent an elopement without staff knowledge. This resulted in Actual harm on 10/22/25 at 2:00 A.M. when Resident #18 was left unattended, eloped from the facility, fell in the parking lot, required Emergency Medical Service (EMS) transport to the hospital, and was diagnosed with a nondisplaced fracture of the nasal bones and a right humerus fracture. This affected one (#18) of three residents reviewed for elopement and falls. The facility census was 71. Review of Resident #18 ' s medical record revealed an admission date of 09/19/22. [...]

Inspectors wroteBased on observation, staff interview and facility policy review, the facility failed to provide a safe smoking area for all residents. This affected all residents in the facility. The census was 66. Observation on 07/30/25 at 10:55 A.M. revealed smoking shack did not have designed smoking times posted to enable nonsmokers to avoid the area during the posted times. There were also numerous cigarette butts on the ground outside the smoke shack, on the concrete and in the landscaping mulch, and one half smoked cigarette beside the ashtray receptacle in the smoke shack. Interview with Director of Nursing (DON) on 07/30/25 at 11:00 A.M. confirmed no smoking times were posted and numerous cigarette butts were on the ground. [...]

Inspectors wroteBased on observation, staff interview, review of facility water temperature logs, and review of the facility policy, the facility failed to maintain safe water temperatures. This had the potential to affect all residents residing on the 300-hall (Resident #6, #8, #9, #19, #21, #22, #26, #30, #34, #35, #50, #55, #56, #58, #60, #62, #65, #67, and #71), all residents residing on the 400-hall (#5, #12, #13, #14, #20, #23, #27, #32, #68, and #69) and residents residing in room [ROOM NUMBER]. The facility census was 66. Review of the facility's hot water temperature logs for 07/02/25 through 07/24/25, revealed on 07/09/25 the hot water temperature in room [ROOM NUMBER] was 127 degrees Fahrenheit, the hot water temperature in room [ROOM NUMBER] was 128 degrees Fahrenheit, and the hot water temperature in room [ROOM NUMBER] was 124 degrees Fahrenheit. [...]

Inspectors wroteBased on observation, record review, facility staff interview, and facility policy review, the facility failed to follow physician's order for oxygen administration. This affected two residents (#34 and #28) out of nine residents identified to received oxygen at the facility. The facility census was 66. Review of medical record for Resident #34 revealed admission date of 04/03/25. The resident was admitted with diagnoses of Chronic Obstructive Pulmonary Disease (COPD), bipolar disorder and neuromuscular dysfunction of bladder. The Minimum Data Set (MDS) dated [DATE] revealed Resident #34 had a Brief Interview Mental Status (BIMS) score of 13 indicating no impaired cognition. Resident #34 was dependent for meals, dependent with toileting hygiene, bed mobility and transfers. Review of the physician orders dated 05/30/25 revealed continuous oxygen at 1 liter per minute via nasal cannula. [...]

Inspectors wroteBased on observation, facility staff interview, and facility policy review, the facility failed to ensure infection control standards were implemented and maintained during medication administration. This affected one (Resident #62) of four residents observed for medication administration. The facility census was 66. Observation of medication pass on 07/29/25 at 8:59 A.M. revealed Licensed Practical Nurse (LPN) #512 was observed entering Resident #21 room, placed right hand on resident's shoulder, then returned to the medication cart to pull medication for Resident #62. LPN #512 did not sanitize hands between tasks. Interview with (LPN) #512 at 9:10 A.M. confirmed no hand sanitization was complete in between medication pass between Resident #21 and Resident #62. [...]

Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interview, review of the fall investigation and witness statements, review of the hospital records, review of facility lift inspections, review of the manufacturer recommendations for use, and review of facility policy, the facility failed to ensure a resident was safely transferred by a mechanical lift that was not inspected per manufactures instructions or identified as defective by facility staff. This resulted in Actual Harm on 01/31/25 when Resident #70 was transferred from the bed to her recliner with the mechanical (Hoyer) lift when the lifts shoulder bolt fell out and Resident #70 dropped to the floor landing on top of the lift legs, from approximately four feet in the air. [...]

Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to store refrigerated food properly. This had the potential to affect all 69 residents in the facility who received food from the kitchen.

Inspectors wroteBased on observation, family and staff interview, and record review, the facility failed to ensure funds were accessible seven days a week. This affected one (Resident #14) of five residents reviewed for Personal Needs Accounts (PNA). The facility identified 36 residents with PNA. The facility census was 69.

Inspectors wroteBased on medical record review, review of the Ohio board of nursing licensure verification system, review of a personnel file, review of the facilities policies, resident and staff interviews, and review of the facility's Self-Reported Incidents (SRI), the facility failed to timely report allegations of misappropriation of resident's narcotic medications. This affected one (Resident #22) of 24 residents reviewed for abuse. The facility census was 69.

Inspectors wroteBased on observations, medical record review, review of the facility policy, and resident and staff interviews, the facility failed to ensure the residents who were dependent on staff for activities of daily living (ADL) received the assistance with shaving. This affected two (Residents #22 and #52) of three residents reviewed for ADL care. The facility census was 69.

Inspectors wroteBased on observations, medical record review, and staff interviews, the facility failed to ensure a resident received oxygen therapy as physician ordered. This affected one (Resident #22) of one resident reviewed for respiratory services. The facility census was 69.

Inspectors wroteBased on staff and resident interview, record review, and policy review, the facility failed to ensure controlled medications were accurately recorded as being received by Residents #30 and #66. This affected two (Resident #30 and #66) of nine residents reviewed for medications. The facility census was 69.

Inspectors wroteBased on observations, staff interview, review of the facility water temperature log and policy, the facility failed to maintain safe hot water temperatures between 105 degrees Fahrenheit (F) and 120 degrees F. This had the potential to affect four (#45, #58, #31 and #16) randomly observed residents room with elevated hot water temperature readings. Facility census was 67.

Inspectors wroteBased on medical record review, observation, resident and staff interviews and review of the facility policy, the facility failed to ensure oxygen tubing was labeled and dated. This affected three (#34, #41, #61) of three residents reviewed for oxygen therapy. Facility census was 67.

Inspectors wroteBased on medical record review, observation, staff interview and policy review, the facility failed to ensure soiled linens were properly placed in a bag or container and transferred to the laundry. This had the potential to affect one (#6) out of 32 residents sampled during the survey. Facility census was 67.