Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Oswego Operator, Llc during CMS and state inspections, most recent first.
The facility failed to submit accurate staffing data to CMS, as their PBJ reports did not reflect actual RN and licensed nurse coverage due to the removal of 30-minute meal breaks. Despite having 24/7 licensed nursing staff and consistent weekend staffing, the facility's reports inaccurately documented a lack of coverage on multiple dates. The facility lacked a policy to ensure accurate PBJ reporting.
The facility failed to maintain sanitary practices in ice distribution, glucometer sanitization, and medication administration. Housekeeping staff used an uncovered container for ice, a nurse used inappropriate wipes for glucometers, and a medication aide prepared medications without proper hand hygiene. These actions were confirmed by staff interviews and observations.
A facility failed to follow physician's orders for a resident on anti-hypertensive medication by not obtaining blood pressure readings before administering amlodipine. The resident's care plan required withholding the medication if certain blood pressure parameters were not met, but staff did not adhere to this protocol from December to May, leading to a deficiency.
A facility failed to ensure a licensed pharmacist identified staff's failure to obtain blood pressures for a resident before administering anti-hypertensive medication, as ordered. The resident had hypertension and severely impaired cognition, with a care plan requiring blood pressure checks before medication. Staff did not obtain readings from December 2023 to May 2024, and the medication was given outside parameters once. The facility lacked a policy on pharmacy consultant responsibilities.
A resident with a history of diabetes and heart failure experienced a urinary tract infection. Despite a culture report showing resistance to ciprofloxacin, the resident was administered this ineffective antibiotic. The infection persisted until ceftriaxone, a sensitive antibiotic, was prescribed. The facility's failure to follow its Antibiotic Stewardship Program led to this deficiency.
Inaccurate Staffing Data Submission to CMS
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information to the Centers for Medicare and Medicaid Services (CMS) as required. Specifically, the facility's Payroll Base Journal (PBJ) Staffing Data Report for the second and third quarters of fiscal year 2023 documented a lack of licensed nursing coverage for 24 hours a day on multiple dates. However, a review of the facility's time sheets and staff postings revealed that the facility did have RN coverage for eight consecutive hours each day and 24/7 licensed nursing staff coverage, including consistent weekend staffing. The discrepancy arose because the facility's PBJ reports did not accurately reflect the actual staffing coverage due to the removal of 30-minute meal breaks when licensed nurses and RNs remained on site. Administrative Staff A and Administrative Staff B confirmed that the facility's PBJ reporting to CMS was inaccurate and did not reflect the direct care provided by administrative nursing staff and licensed nurses. The facility lacked a policy to ensure the submission of accurate PBJ staffing reports to CMS, which contributed to the inaccurate data submission. The report highlights the facility's failure to comply with CMS requirements for reporting staffing information, which is based on payroll and other verifiable and auditable data.
Infection Control Deficiencies in Ice Distribution, Glucometer Sanitization, and Medication Administration
Penalty
Summary
The facility failed to ensure sanitary practices in three key areas, leading to potential infection risks among residents. Firstly, housekeeping staff distributed ice to residents using a large, uncovered container with the scoop stored directly in the ice, contrary to the facility's policy requiring ice to be covered and the scoop kept separate to prevent contamination. This was confirmed by both the housekeeping staff and administrative staff during interviews. Secondly, a licensed nurse used inappropriate sanitizing wipes on glucometers, which did not list hepatitis as susceptible to the chemicals in the wipe. The nurse admitted to using a non-medical grade wipe due to a shortage of the appropriate sanitizing wipes, as confirmed by administrative staff. Lastly, a certified medication aide prepared medications without sanitizing hands or wearing gloves, and used a paper clip to open a gel tab, which was not in line with the facility's hand hygiene policy. These actions were observed and confirmed by administrative staff, highlighting a failure to maintain sanitary conditions during medication administration.
Failure to Monitor Blood Pressure Before Administering Medication
Penalty
Summary
The facility failed to adhere to physician's orders for a resident diagnosed with hypertension, who was on anti-hypertensive medication. The resident's care plan specified that amlodipine, a medication used to lower blood pressure, should be withheld if the systolic blood pressure (SBP) was less than 110, the diastolic blood pressure (DBP) was less than 40, or if the pulse was less than 40 beats per minute. However, from December 12, 2023, to May 7, 2024, the staff did not obtain the resident's blood pressure before administering the medication, as required by the physician's order. Additionally, on one occasion between May 8, 2024, and May 20, 2024, the medication was administered when the resident's blood pressure was outside the specified parameters. The deficiency was confirmed through interviews and record reviews. A licensed nurse acknowledged that blood pressures were not taken before administering amlodipine, and an administrative nurse indicated she would investigate the issue. The facility's policy, effective April 2023, required nursing staff to assess and document vital signs as needed, but this protocol was not followed in the case of this dependent resident. The failure to monitor the resident's blood pressure before administering the anti-hypertensive medication led to the deficiency identified in the report.
Failure to Monitor Blood Pressure Before Administering Medication
Penalty
Summary
The facility failed to ensure that a licensed pharmacist performed a monthly drug regimen review and identified the staff's failure to obtain blood pressures for Resident 20 before administering anti-hypertensive medication, as ordered. Resident 20 had a diagnosis of hypertension and severely impaired cognition. The care plan required staff to hold the medication if the resident's systolic blood pressure was less than 110, diastolic blood pressure was less than 40, or pulse was less than 40 beats per minute. However, from December 12, 2023, to May 7, 2024, staff did not obtain blood pressure readings before administering the medication, and on one occasion, the medication was administered when the resident's blood pressure was outside the specified parameters. The deficiency was confirmed through observation, interview, and record review. On May 20, 2024, a licensed nurse confirmed that staff had not obtained blood pressures before administering amlodipine. An administrative nurse acknowledged the issue and stated she was responsible for monitoring pharmacy consultant recommendations. The facility lacked a policy regarding pharmacy consultant responsibilities, and the pharmacist was unavailable for an interview. This oversight in monitoring the resident's blood pressure before medication administration led to the deficiency.
Failure in Antibiotic Stewardship for UTI Treatment
Penalty
Summary
The facility failed to ensure proper antibiotic stewardship for a resident with a urinary tract infection. The resident, who had a history of diabetes, congestive heart failure, and anxiety, was assessed with normal cognitive function and required partial to moderate assistance for activities of daily living. The resident reported symptoms of a urinary tract infection, prompting the physician to order a urinalysis, culture, and sensitivity test. The culture report indicated the presence of Escherichia coli resistant to ciprofloxacin, yet the physician instructed the administration of ciprofloxacin, which was ineffective against the bacteria. The resident received ciprofloxacin for seven days, but a subsequent culture report confirmed the persistence of the infection, showing sensitivity to ceftriaxone. The physician then prescribed ceftriaxone, which was effective in treating the infection. Interviews with nursing staff revealed an expectation to review culture reports and inform the physician of any resistance, which was not done in this case. The facility's policy required an Antibiotic Stewardship Program with protocols and monitoring, which was not effectively implemented, leading to the administration of an ineffective antibiotic for the resident's condition.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Oswego
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medicalodges Columbus | 14.1 mi | — | 1 | 1 |
| Elmhaven East | 14.1 mi | — | 0 | 0 |
| Good Samaritan Society - Parsons | 14.8 mi | — | 0 | 0 |
| Parsons Presbyterian Manor | 16.1 mi | — | 0 | 0 |
| Eastwood Manor | 20.6 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.