Scioto Pointe

Inspectors wroteBased on record review, interviews and facility policy review, the facility failed to ensure visitation rights for Resident #33 were honored. This affected one of three residents reviewed for visitations. The facility census was 96.

Inspectors wroteBased on observation, interviews and facility policy review, the facility failed to maintain an environment free from pests. This affected five (Residents # 77, # 82, # 83, # 89 and # 90) of 22 residents residing on the 400 hall. The facility census was 96.

Inspectors wroteBased on interview, review of infection control log, review of personnel files, review of tuberculosis (TB) risk assessment and review of facility policy the facility failed to ensure comprehensive surveillance of facility infections and failed to ensure staff had completed initial and annual TB screening. This affected 12 of 12 residents (#6, #18, #20, #24, #27, #37, #38, #44, #48, #54, #61, #96) reviewed on the infection control log for the months of February 2026 and March 2026. This had the potential to affect 95 residents of 95 residents residing in the facility.

Inspectors wroteBased on observation, interviews, and review of facility policy, the facility failed to ensure the common areas, resident rooms, and kitchen were free from pests. This had the potential to affect all 95 residents residing in the facility. Facility census was 95. 1. Observation on 03/30/26 at 10:10 A.M. of live cockroaches in Resident #24's room. Upon opening the bathroom door observation of live cockroaches on toilet seat. Interview on 03/30/26 at 10:10 A.M. with Resident #24 revealed she sees them all the time, she has seen them on her bed and crawling from under her bed. Observation on 03/30/26 at 10:45 A.M. of live cockroaches in Resident #12's room. Upon entering resident #12's room a live cockroach was observed crawling across the floor. Interview on 03/30/26 at 10:45 A.M. with Resident #12 revealed he sees them all the time. He stated they spray and try to get rid of them. [...]

Inspectors wroteBased on observation, interview and review of facility policy the facility failed to maintain a clean, sanitary and pest free living environment for the residents. This affected six residents (Resident #9, #12, #18, #22, #24, and #84) of 95 residents reviewed for environment. The facility census was 95.

Inspectors wroteBased on observations, interviews with nursing staff, and review of the facility provided glucometer policy, the facility failed to ensure glucometers (blood sugar measuring devices) were properly calibrated with control solutions that were not expired on two separate resident halls (200 and 400 halls) of the facility. This had the potential to affect 10 residents (#23, #60, #90, #2, #71, #41, #32, #24, #39, and #26) on the two affected halls out of a total of 18 facility identified residents that require blood sugar checks. The facility census was 95.

Inspectors wroteBased on interview, medical record review, review of facility infection control log, review of facility policy, and review of National Healthcare Safety Network (NHSN)'s report, the facility failed to ensure antibiotic stewardship was followed. This affected one resident (#84) of one resident reviewed for urinary tract infection (UTI) and 12 of 12 residents (#6, #18, #20, #24, #27, #37, #38, #44, #48, #54, #61, #96) reviewed on the infection control log for the months of February 2026 and March 2026. The facility census was 95.

Inspectors wroteBased on interview and medical record review the facility failed to ensure Resident #6's Minimum Data Set (MDS) 3.0 assessment accurately reflected their wound status. This affected one resident (#6) of one resident reviewed for skin conditions. The facility census was 95. Review of Resident #6's medical record revealed an admission date of 12/06/24 with diagnoses including adult failure to thrive, unspecified open wound of the right lower leg, unspecified dementia, type two diabetes mellitus, schizoaffective disorder, unspecified psychosis, antisocial personality disorder, delusional disorder, and conduct disorder. Review of Resident #6's comprehensive Minimum Data Set (MDS) 3.0 assessments dated 08/12/25, 11/03/25, and 02/03/26 revealed the resident had intact cognition. No skin issues were marked in the MDS assessment. [...]

Inspectors wroteBased on observation, interview, medical record review, review of activity documentation, and review of facility policy, the facility failed to complete activities according to preference for Resident #18. This affected one (Resident #18) of one residents resident reviewed for activities. The facility census was 95.

Inspectors wroteBased on record review, interview and review of facility policy the facility failed to ensure nutritional recommendations were addressed and meal intakes were adequately monitored. This affected one resident (#88) of three residents reviewed for nutrition. The facility census was 95.

Inspectors wroteBased on resident record reviews and staff interviews, the facility failed to ensure Residents #5 and #13's falls were accurately documented in the medical record and failed to ensure Resident #6's wound notes were accurate, and treatment documentation was complete. This affected three residents of 24 residents reviewed for accuracy of medical records and documentation. The facility census was 95.

Inspectors wroteBased on medical record review, review of hospital documents, observation, Local Health Department (LHD) interview, staff interview, and review of facility policy, the facility failed to have an effective water management and legionella prevention plan and further failed to implement recommended legionella mitigation strategies to prevent the potential spread of Legionella pneumonia. This had the potential to affect all 94 residents residing in the facility. The facility census was 94.

Inspectors wroteBased on observation and interviews, the facility failed to ensure sufficient support personnel to carry out the functions of the food and nutrition services. This had the potential to affect all 96 residents residing in the facility. Findings Include: On 06/30/25 observations during the breakfast meal on the 100 hallway revealed the resident's breakfast was served in disposable Styrofoam takeout containers and disposable Styrofoam cups. On 06/30/25 at 12:06 P.M., observation of the lunch meal in the dining room revealed the resident's drinks were served in Styrofoam cups. On 06/30/25 at 12:19 P.M., interview with the Dietary Manager (DM) #111 revealed when the dietary department was short staffed disposable containers and cups are used due to the cooks inability to assist with washing dishes. [...]

Inspectors wroteBased on observation and interview, the facility failed to ensure an adequate supply of dishes to serve the residents of the facility. This had the potential to affect all 96 residents residing in the facility. Findings Include: On 06/30/25 observations during the breakfast meal on the 100 hallway revealed the resident's breakfast was served in disposable Styrofoam takeout containers and disposable Styrofoam cups. On 06/30/25 at 12:06 P.M., observation of the lunch meal in the dining room revealed the resident's drinks were served in Styrofoam cups. On 06/30/25 at 12:19 P.M., interview with the Dietary Manager (DM) #111 verified the facility does not have enough dishes to serve the residents and Styrofoam disposable containers/cups are utilized. On 06/30/25 at 12:21 P.M., observation of the lunch meal on the 400 hallway revealed the residents were served fluids in Styrofoam cups. [...]

Inspectors wroteBased on observation and staff interview the facility failed to provide a safe, sanitary and comfortable environment for resident in the resident rooms, hallways and bathrooms. This had the potential to affect all 96 residents residing in the facility.

Inspectors wroteBased on record review, observation, policy review, resident interview, and staff interview, the facility failed to ensure residents were treated with dignity when indwelling urinary catheter collection bags were not covered when the residents were in bed and left visible from the hallway. Additionally, the facility also failed to ensure residents received non-disposable dishes during scheduled meals. This affected one resident (#31) of one resident reviewed for indwelling urinary catheters and one resident (#20) of five residents interviewed during the lunch meal. The facility census was 96. Findings Include: 1. [...]

Inspectors wroteBased on record review and interview, the facility failed to develop a comprehensive plan of care in the area of elopement risk and activities of daily living (ADL). This affected two residents (#48 and #98) of 15 sampled residents. The facility census was 96. Findings Include: 1. [...]

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure those residents who were at risk for elopement were assessed and/or physician ordered interventions were implemented to prevent possible elopement from the facility. This affected three residents (#48, #53 and #68) of three residents reviewed for elopement. The facility census was 96. Findings Include: 1. Review of the medical record for Resident #53 revealed an initial admission date of 12/13/24 with the latest readmission of 05/28/25 with the diagnoses including but not limited to chronic obstructive pulmonary disease, hypertension, obstructive sleep apnea, chronic respiratory failure, congestive heart failure, diaphragmatic hernia, delusional disorder, sepsis, dependence on supplemental oxygen, schizoaffective disorder, bipolar type, psychosis, and urinary incontinence. [...]

Inspectors wroteBased on observation, record review, interviews and facility policy review, the facility failed to maintain appropriate infection control practices to prevent potential infection. Additionally, the facility also failed to implement Enhanced Barrier Precautions (EBP) during a dressing change. This affected one resident (#31) of one resident reviewed for indwelling urinary catheter care and one resident (#11) of two residents reviewed for wounds. The facility census was 96. Findings Include: 1. [...]

Inspectors wroteBased on observation, staff, resident, and Guardian interviews, Sexual Assault Nurse Examiner (SANE) interview, record review, review of a facility Self-Reported Incident (SRI), review of facility investigation, and policy review, the facility failed to initiate a timely investigation of alleged staff to resident sexual abuse. This affected one (Resident #80) of three residents reviewed for abuse. The facility census was 91.

Inspectors wroteBased on observation, staff and resident interview, record review, and policy review, the facility failed to document an allegation of staff-to-resident sexual abuse and record follow-up action taken in Resident #80's medical record. This affected one (Resident #80) of three residents reviewed for abuse. The facility census was 91.

Inspectors wroteBased on medical record review, financial record review, staff interview, facility policy review, and review of online resources, the facility failed to implement a plan to spend down resident funds when they exceeded the Medicaid allowable limit. This affected 15 (Residents #7, #83, #15, #63, #67, #95, #20, #45, #66, #3, #41, #13, #21, #29, and #26) of 18 residents reviewed for finances. The facility also failed to convey resident personal funds to the resident's authorized representative within 30 days of the resident's discharge from the facility or death. This affected three (Residents #93, #94, and #95) of four discharge resident financial records reviewed. The facility census was 94 residents. Findings Include: 1. [...]

Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to appropriately assess and monitor resident behaviors. This affected four (Residents #31, #69, #10, and #16) of five residents reviewed for behavior management. The census was 94. Findings Include: Review of the medical record for Resident #31 revealed an admission date of 01/30/24 with diagnoses including epilepsy, psychosis, major depressive disorder, schizoaffective disorder, suicidal ideations, borderline personality disorder, bipolar disorder, and anxiety disorder. Review of the Minimum Data Set (MDS) assessment for Resident #31 dated 05/10/24 revealed the resident was cognitively intact. Review of the care plan for Resident #31 revealed resident had the following behaviors: suicidal ideations, malingering, socially inappropriate/disruptive behaviors. [...]

Inspectors wroteBased on medical record review, resident interview, staff interview, and review of the facility policy, the facility failed to notify the attending physician of a change in condition. This affected one (Resident #76) of 26 sampled residents. The facility census was 94 residents.

Inspectors wroteBased on observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure that a resident footboards were repaired as needed and in a timely manner. This affected one resident (Resident #91) of three residents reviewed for their environment. The facility census was 94.

Inspectors wroteBased on medical record review, resident interview, staff interview, and review of the facility policy, the facility failed to develop a care plan for residents regarding unsupervised leaves of absence (LOA) from the facility. This affected one (Resident #76) of 26 sampled residents. The facility census was 94 residents.

Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to assist dependent residents with activities of daily living (ADL) care. This affected one (Resident #53) of two residents reviewed for ADL care. The facility census was 94 residents.

Inspectors wroteBased on medical record review, staff interview and review of the facility policy, the facility failed to monitor residents who had fallen. This affected two (Residents #10 and #63) of four residents reviewed for falls. The facility census was 94 residents.

Inspectors wroteBased on medical record review, observation, and staff interviews the facility failed to ensure residents received oral fluids between meals. This affected one (Resident #13) of 26 residents sampled. The facility census was 94 residents.

Inspectors wroteBased on medical record review, staff interview, and review of facility policy the facility failed to adequately assess pain for residents who received pain medications. This affected one (Resident #52) of three residents reviewed for pain management. The facility census was 94.

Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to monitor resident blood pressure prior as ordered by the physician in conjunction with administration of a diuretic medication. This affected one (Resident #55) of six residents reviewed for medications. The facility census was 94 residents. Findings Include: Review of the medical record for Resident #55 revealed an admission date of 03/28/22 with diagnoses including obsessive compulsive personality disorder, paranoid schizophrenia, polydipsia, and hypoosmolality and hyponatremia. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #55 dated 04/05/24 revealed the resident had intact cognition. Review of the physician's orders for Resident #55 revealed an order dated 06/22/24 for Lasix 20 milligrams (mg), hold for systolic blood pressure less than 100. [...]

Inspectors wroteBased on medical record review, staff and resident interview, review of the resident's funds account, and review of the facility's policy, the facility failed to ensure the residents were able to get cash from their funds accounts held by the facility. This affected six (#9, #24, #36, #59, #62, and #74) of six residents reviewed for personal funds accounts. The facility identified 80 residents who have personal funds account with the facility. The facility census was 81.

Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to provide residents with physician ordered adaptive equipment during meal time. This affected four (Resident #10, #19, #21, and #22) of four residents reviewed for adaptive equipment. The facility identified 13 residents who utilize adaptive equipment. The facility census was 81.

Inspectors wroteBased on record review, staff interview, and observations, the facility failed to provide a resident with adequate assistance with dressing. This affected one (#40) of three residents reviewed for activities of daily living. The facility identified 42 residents who require assistance from staff or were dependent on staff for assistance with dressing.

Inspectors wroteBased on observation, medical record review, resident and staff interview, and review of the facility's policy, the facility failed to provide meaningful activities to the residents. This affected two (#38 and #44) of five residents reviewed for activities. The facility census was 81.

Inspectors wroteBased on record review, resident and staff interview, observation, and review of the facility's policy, the facility failed to ensure treatment orders were completed per physician orders. This affected one (#45) of one resident reviewed for non-pressure related skin issues. The facility identified one resident with treatment orders for skin tears. The facility census was 81.

Inspectors wroteBased on record review, resident and staff interview, and observation, the facility failed to ensure the resident received proper treatment to maintain good foot health. This affected one (#1) of one resident reviewed for foot care. The facility census was 81.

Inspectors wroteBased on record review, staff interview, and review of the faciliy's policy, the facility failed to ensure a resident's fall was investigated in a timely manner to determine the root cause and to identify any patterns of repeated falls and to evaluate, revise and/or add individualized interventions to the resident's care plan. This affected one (#73) of three residents reviewed for falls. The facility census was 81.

Inspectors wroteBased on record review, resident and staff interview, and review of the facility's policy, the facility failed to ensure bowel movements and toileting program were monitored per physician orders and the resident's plan of care. This affected one (#21) of one resident reviewed for bowel incontinence. The facility identified 29 residents who required assistance from staff or dependent on staff for toileting. The facility census was 81.

Inspectors wroteBased on medical record review, facility record review, staff interview, and policy review, the facility failed to ensure Resident #22's weights were performed as recommended and per facility policy and failed to monitor and intervene appropriately for a resident who was at a nutritional risk for weight loss. This affected one (#22) of three residents reviewed for weight loss. The facility identified two current residents with significant weight loss. The facility census was 81.

Inspectors wroteBased on medical record review, observations, staff interview, and review of the facility's Medication Regimen Review policy, the facility failed to ensure residents receiving psychotropic medication were monitored accurately for adverse reactions. This affected one (Resident #40) of five residents reviewed for unnecessary medications. The facility census was 81.

Inspectors wroteBased on record review, observation, and staff interview, the facility failed to ensure residents were provided food which met the resident's preference such as not being served pork. This affected one (Resident #54) of four residents reviewed for food preferences. The facility census was 81.

Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to ensure falls were documented in the medical record. This affected one (#73) of three residents reviewed for falls. The facility census was 81.