Ohio Living Llanfair

Inspectors wroteBased on observation, staff interview, and policy revealed the facility failed to ensure medications are properly stored. This had the potential to affect one resident (#5) out of nine residents observed for medication storage. The facility also failed to ensure medications are labeled properly and not expired. This affected one (#3) of nine residents reviewed for medication labeling with the potential to affect all residents. The facility census was 33.1. Observation on [DATE] revealed Resident #5 was lying in bed asleep with her morning medications in a cup on the bedside table. Interview on [DATE] at 10:20 A.M with Licensed Practical Nursing (LPN) #8 confirmed medications were left on the bedside table. [...]

Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to provide a clean and sanitary kitchen in the main kitchen, failed to ensure the dishwasher properly sanitized the dishes on the Memory Care Unit, and failed to ensure the dietary staff utilize the use of hair nets. This had the potential to affect all residents who receive food from the kitchen. The facility identified all 33 residents receive food from the kitchen. The facility census was 33.1. Observation on 12/29/25 at 9:35 A.M. of Certified Nurse Assistant (CNA #178) revealed CNA #178 was hand washing the dishes in the Memory Care Unit kitchen with a regular household dish liquid and placed the dishes in the dishwasher. CNA #178 was not wearing a hair net. [...]

Inspectors wroteBased on record review, staff interview, and policy review revealed the facility failed to ensure each resident receives adequate supervision to prevent accidents. This affected one Resident (#5) out of 5 residents reviewed for accidents. The facility also failed to document or implement immediate interventions for falls. This affected one Resident (#33) out of 5 residents reviewed for accidents. The facility census was 33.1. Medical record review for Resident #33 revealed she was admitted to the facility on [DATE]. Her diagnoses included myelodysplastic syndrome, psychotic disorder with delusions due to known physiological condition, anemia, paroxysmal atrial fibrillation, gastro-esophageal reflux disease without esophagitis. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #33 was cognitively impaired. [...]

Inspectors wroteBased on interview, record review, and policy review the facility failed to maintain record of pneumococcal vaccine administration and failed to offer pneumococcal vaccines to residents. This impacted two residents (#18 and #33) of five residents reviewed for pneumococcal vaccine administration. The facility census was 33. 1. Record review for Resident #18 revealed resident was admitted on [DATE] with diagnoses including need for assistance with personal care; unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety; other asthma; and respiratory disorders in diseases classified elsewhere. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 13 indicating the resident was cognitively intact. [...]

Inspectors wroteBased on review of Quality Assessment and Assurance (QAA) committee sign-in sheets and staff interview, the facility failed to ensure all required members of the QAA committee attended meetings at least quarterly. This had the potential to affect all 35 residents residing in the facility. The census was 35.

Inspectors wroteBased on record review, observation, staff interview, and review of the facility's policy, the facility failed to provide dining services in a dignified manner. This affected two (Residents #13 and #36) of five residents reviewed for nutrition. The facility census was 57.

Inspectors wroteBased on record review, staff interview, review of facility's Self-Reported Incidents (SRIs), and review of the facility's policy, the facility failed to report an allegation of physical abuse regarding a resident-to-resident altercation to the State Survey Agency, the Ohio Department of Health (ODH). This affected two (Residents #23 and #31) of two residents reviewed for abuse. The facility census was 58.

Inspectors wroteBased on record review, staff interview, review of the facility's Self-Reported Incidents (SRIs), and review of the facility's policy, the facility failed to thoroughly investigate a resident-to-resident physical altercation. This affected two (Residents #23 and #31) of two residents reviewed for abuse. The facility census was 58.

Inspectors wroteBased on record review, observation, and staff interview, the facility failed to ensure dependent residents were shaved during provision of grooming and hygiene care. This affected one (Resident #51) of 17 residents reviewed for hygiene. The facility census was 57.

Inspectors wroteBased on record review, observation, staff interview, and review of the facility's policy, the facility failed to ensure oxygen tubing was dated to indicate the date on which the tubing was changed/initiated. This affected one (Resident #51) of one resident reviewed for respiratory care. The facility identified eight residents on oxygen therapy. The census was 57.

Inspectors wroteBased on record review, staff interview, and review of the facility's policy, the facility failed to administer insulin and intravenous (IV) antibiotics as ordered by the physician. This affected two (Resident #13 and #51) of six residents reviewed for unnecessary medications. The facility census was 57.

Inspectors wroteBased on medical record review, staff interview, review of the online Medscape resource, and review of the facility's policy, the facility failed to ensure antipsychotic medications were administered for appropriate clinical indications, monitored for target behavioral symptoms, and considered for gradual dosage reductions when indicated. This affected two (Residents #51 and #152) of six residents reviewed for unnecessary medications. The facility census was 57.

Inspectors wroteBased on record review, review of the facility's policy, and staff interview, the facility failed to prevent a significant medication error when Resident #20 was given another resident's medications. This affected one resident (#20) of resident reviewed for medication administration. The facility census was 57.

Inspectors wroteBased on observation, staff interview, and review of the facility's policy, the facility failed to ensure staff performed appropriate hand hygiene during meals. This affected three (Residents #13, #23, and #36) of 14 residents on the Grove Unit. The facility census was 57.