Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Ohio Living Westminster-thurber during CMS and state inspections, most recent first.
A staff member failed to properly sanitize a food thermometer between checking the temperatures of various lunch items, using a dry rag instead of alcohol wipes as required by facility policy. This practice was confirmed by both the staff member and the chef, and had the potential to affect all residents receiving the meal.
A CNA did not complete the required 12 hours of annual continuing education, with only 6.25 hours documented over a 19-month period. Facility policy and training practices allowed for gaps exceeding 12 months without meeting education requirements, and the policy lacked specific details on the 12-hour mandate.
A resident with severe dementia and multiple comorbidities was prescribed Seroquel without any orders or documentation for behavioral monitoring to assess the medication's effectiveness or necessity. Staff and physician interviews confirmed the absence of recent behavioral issues, and observations showed no negative behaviors, yet the antipsychotic regimen was continued without appropriate evaluation or monitoring.
A resident, who was cognitively intact and required significant assistance for toileting, reported to surveyors that a CNA had provided rough care and, on a separate occasion, had engaged in inappropriate sexual contact during incontinence care. Although concerns about rough care were previously reported by the resident's family, the more serious allegations of abuse were not reported to the State agency within the required timeframe, as confirmed by interviews and record reviews. The DON only became aware of the abuse allegations during the survey and acknowledged the failure to report as required by facility policy.
The facility did not complete or properly document required care conferences for two residents, including one with intact cognition and another with cognitive impairment and multiple diagnoses. Care conferences were either missing, not held at required intervals, or lacked complete documentation in key areas such as code status and nursing needs, contrary to facility policy and regulatory requirements.
A resident with a severe right foot deformity and limited mobility did not receive a new orthopedic boot as recommended by the podiatrist. The resident's current boot was observed to be in poor condition, and staff confirmed the recommendation for a replacement was not followed. The resident expressed willingness to use a new boot for improved foot positioning.
A resident with multiple cardiac and neurological conditions was prescribed Aspirin for CAD. During a monthly drug regimen review, the pharmacist recommended evaluating and possibly discontinuing Aspirin based on current CVD prevention guidelines. The DON noted the medical director was notified, but the prescriber response was left blank and only the DON signed the form. Despite a follow-up from the pharmacist, the recommendation remained pending, and the physician's acknowledgment to discontinue Aspirin was undated, with the discontinuation order not finalized until several days later, contrary to facility policy requiring timely physician documentation.
A resident receiving hospice care did not have up-to-date hospice documentation maintained by the facility. Staff were unable to locate recent hospice notes, and the available records only included information up to March, with no documentation for subsequent months. The hospice provider confirmed timely transmission of records, but facility staff could not account for missing documentation, resulting in a failure to ensure proper hospice communication and recordkeeping.
An LPN was observed using an unsanitized pen from the medication cart to open single-dose blister pods for three residents, including those with chronic heart and neurological conditions. The pen, not cleaned between uses, was used to create an opening in the packaging, and the tablets were then dispensed into medication cups. This practice was confirmed by both the LPN and the DON and did not follow the facility's medication administration policy, which requires sanitary handling and avoidance of direct contact with medications.
Two residents received antibiotics without meeting the facility's established clinical criteria for appropriate use. In both cases, antibiotics were administered despite incomplete documentation and failure to meet McGeers' Criteria, as confirmed by the DON and facility records.
A facility failed to regularly assess a resident's indwelling urinary catheter as per the care plan, affecting a resident with neurogenic bladder and urinary retention. The care plan required staff to document catheter assessments every shift, including urine output details. Interviews with LPNs and the DON confirmed the lack of documentation, indicating non-compliance with the care plan.
The facility failed to maintain and dispose of rodent traps in the third-floor kitchenette, affecting 16 residents who received food from this area. A deceased mouse was found in a trap near the dishwasher, and a large hole in the drywall allowed rodent access. Despite multiple observations, staff did not identify the mouse, even during lunch service. Interviews confirmed a lack of awareness and prompt action, with the Director of Environmental Services admitting to not encountering any mice during daily rounds.
Improper Food Thermometer Sanitization During Meal Service
Penalty
Summary
A staff member checked the temperatures of multiple lunch food items, including pork, beef, German potato salad, peas, ground meats, and soup, by wiping the thermometer on a dry rag between each item instead of using alcohol wipes. The dry rag was resting on the steam table counter. The staff member confirmed that she typically used alcohol wipes but could not find them at the time. The chef also confirmed that alcohol wipes should have been used to clean the thermometer between checking each food item. Facility policy indicated that staff should be aware of sources of food-borne organisms, including contaminated equipment and cross contamination.
Failure to Ensure Required Annual Continuing Education for CNA
Penalty
Summary
The facility failed to ensure that a certified nursing assistant (CNA) completed the required 12 hours of continuing education within a 12-month period, as evidenced by a review of personnel files and training logs. The CNA in question had only completed 6.25 hours of continuing education over a 19-month period, with training sessions spread out and not meeting the annual requirement. An interview with the Human Resources staff confirmed that the facility's practice of using a rolling calendar for training could result in staff going more than 12 months without completing the necessary education. Additionally, the facility's policy on training and staff development did not specify the requirement for 12 hours of continuing education per year.
Failure to Monitor Psychotropic Medication Use and Necessity
Penalty
Summary
The facility failed to ensure adequate behavioral monitoring and evaluation of psychotropic medication necessity for a resident with multiple complex diagnoses, including severe dementia with agitation and neurocognitive disorder with Lewy bodies. Upon review, the resident had physician orders for Seroquel, an antipsychotic medication, without any accompanying instructions for behavioral monitoring. There were no orders or documentation specifying behavioral monitoring, and the Medication Administration Record did not reflect any monitoring for effectiveness or adverse consequences related to the use of Seroquel. Progress notes from the period reviewed did not document any negative behaviors, and staff interviews confirmed the absence of recent behavioral issues. Further, the physician acknowledged that the Seroquel prescription was continued from a previous care setting and not based on recent behaviors, with no recent reports of behavioral issues or attempts at gradual dose reduction. Observations of the resident showed no negative behaviors, and staff interviews corroborated a decline in the resident's condition but no current behavioral concerns. The FDA guidelines for Seroquel indicate it is not approved for elderly patients with dementia-related psychosis, and the medication carries a black box warning for this population. Despite this, the facility did not implement or document behavioral monitoring to justify the ongoing use of the antipsychotic medication.
Failure to Timely Report Alleged Sexual and Physical Abuse
Penalty
Summary
The facility failed to report an allegation of sexual and physical abuse involving a resident to the State agency within the required timeframe. The resident, who was cognitively intact and required substantial assistance for toileting, reported to surveyors that a CNA had provided rough care and, on a separate occasion, had used his finger to penetrate her in a sexual manner during incontinence care. The resident stated she asked the CNA to stop, but he did not comply immediately. The resident's sister had previously reported concerns about rough care to staff, which led to a grievance form being completed and the CNA's subsequent termination for unrelated reasons. However, the more serious allegations of sexual and physical abuse were not reported to the State agency as required. Interviews and record reviews confirmed that the DON was aware of concerns about rough care but denied knowledge of any allegations of penetration or abuse until informed by surveyors. Despite facility policy requiring immediate reporting of all abuse allegations, the incident was not reported to the State agency within the mandated 24-hour window. The DON acknowledged the failure to report after being notified by surveyors, and the incident was only reported to the State agency after this notification.
Failure to Complete and Document Required Care Conferences
Penalty
Summary
The facility failed to ensure that care conferences were completed as required for two residents. For one resident with diagnoses including major depressive disorder with psychotic symptoms and myotonia congenita, care conferences were only documented on three occasions, with a significant gap between two of the conferences. The resident, who had intact cognition, recalled only one care conference in the past year. The Director of Social Services confirmed that there was no evidence of additional care conferences during the required intervals, and facility policy required care planning discussions to be available as directed by federal and state guidelines. For another resident with multiple diagnoses including psychotic disorder, dementia, and Parkinson's disease, the medical record showed only two care conferences in the previous year, with one listed as "in process" and not completed. The most recent care conference documentation was incomplete, with several required sections left blank, including code status, nursing needs, and dietary services. The Social Services Director acknowledged the lack of completed documentation and missing care conferences for the required periods. Facility policy required that care planning discussions and documentation be completed as required by regulations.
Failure to Provide Recommended Orthopedic Boot for Resident with Limited Mobility
Penalty
Summary
The facility failed to follow podiatry recommendations for a resident with significant mobility limitations and a severe right foot deformity. The resident, who had diagnoses including right foot talipes equinovarus, hemiplegia, muscle weakness, and limited ambulation, was dependent on a manual wheelchair and had a care plan indicating the need for appropriate mobility devices and interventions. The care plan also noted the resident's risk for pressure areas and skin tears, and included a podiatry recommendation for new shoes due to worn-out footwear. Despite this, the resident's orthopedic boot was observed to be in poor condition, with a worn-down bottom, a hole in the heel, and visible dirt and wear. Interviews with staff confirmed that the resident rarely wore the orthopedic boot except for outside appointments, and the DON acknowledged that the podiatrist's recommendation for a new boot had not been followed up on. The resident expressed a desire for a new orthopedic boot to assist with foot positioning and stated he would wear it regularly if provided. The failure to obtain and provide the recommended orthopedic boot constituted a deficiency in maintaining and improving the resident's range of motion and mobility as required.
Failure to Ensure Timely Follow-Up of Pharmacy Recommendations
Penalty
Summary
The facility failed to ensure timely follow-up of pharmacy recommendations for a resident with multiple diagnoses, including Parkinson's disease, dementia, atherosclerotic heart disease, bradycardia, coronary artery disease, chronic diastolic heart failure, and hyperlipidemia. The resident was prescribed Aspirin for coronary artery disease, and during a monthly medication regimen review, the pharmacist recommended evaluating the continued use of Aspirin in light of current cardiovascular disease prevention guidelines, suggesting possible discontinuation. The DON selected to continue Aspirin and noted the medical director was notified, but the prescriber response section was left blank, and only the DON's signature was present on the form. Subsequent documentation showed that the pharmacist followed up on the recommendation, but the recommendation remained pending without a final response from the physician. The physician's acknowledgment to discontinue Aspirin was eventually documented, but the form lacked a date, and the discontinuation order was not finalized until several days after the follow-up request. The facility's policy required all medication regimen review findings and actions to be documented by the attending physician in the resident's medical record, which was not done in this case.
Failure to Maintain Hospice Documentation and Communication
Penalty
Summary
The facility failed to maintain proper communication and documentation of hospice services for one resident who was admitted to hospice care. The resident, who had multiple diagnoses including psychotic disorder, dementia, malnutrition, and Parkinson's disease, was cognitively impaired and dependent on staff for mobility and eating. Although there was an order for hospice admission, the facility's records only included hospice documentation up to March 2025, with no evidence of notes or documentation for April or May 2025. The hospice binder at the nursing station contained only calendars with visit notations and lacked details about the visits, care provided, or staff involved. Comprehensive assessments and physician orders were present, but there was no documentation from the previous year or recent months. Staff interviews revealed confusion about the location and maintenance of hospice records. The LPN was unsure if updated records were maintained, the liaison could not locate current hospice documentation in the electronic medical record, and the DON confirmed that records were missing and only in the process of being scanned. The Director of Social Services provided additional documents, but the most recent were still from March 2025. The hospice RN confirmed that hospice sent weekly bundles of notes to the facility and tracked their delivery, denying any delay on their part. Facility policy required coordination of care for hospice patients, but the necessary documentation was not maintained as required.
Unsanitary Practice During Medication Administration
Penalty
Summary
During medication administration, a Licensed Practical Nurse (LPN) was observed using the tip of a pen, retrieved from a stack of papers on the medication cart, to open single-dose blister pods containing oral medications for three residents. The pen, which had not been sanitized and was left unattended on the cart, was used to create a U-shaped opening in the blister pods, allowing the tablets to be removed and placed into medication cups. This practice was observed during the administration of medications such as Carvedilol and Protonix for a resident with chronic cardiopulmonary and gastrointestinal conditions, and Sinemet for two residents with Parkinson's disease and related diagnoses. The LPN confirmed that the pen was used for this purpose and acknowledged that it had never been sanitized. Interviews with the LPN and the Director of Nursing confirmed the use of the unsanitized pen to open medication packaging, which was not in accordance with the facility's medication administration policy. The policy required medications to be administered as prescribed, following manufacturers' specifications and good nursing practices, and specified that staff should avoid touching medications unless wearing gloves. The observed practice affected three residents out of twelve observed during medication administration, with the facility census at 29.
Failure to Follow Antibiotic Stewardship Protocol for Two Residents
Penalty
Summary
The facility failed to adhere to its antibiotic stewardship protocol by administering antibiotics to two residents without meeting the established clinical criteria outlined in its policy. For one resident with vascular dementia, dysphagia, cystitis, and benign prostatic hyperplasia, antibiotics were prescribed and administered following a hospital diagnosis of cystitis with hematuria, despite a urinalysis showing no bacteria and the absence of additional symptoms required by McGeers' Criteria. The infection tracking log noted that the resident did not meet the criteria for a urinary tract infection, but antibiotic therapy was continued based on the hospital's diagnosis and physician's decision. Another resident with multiple diagnoses, including obesity and reduced mobility, received antibiotics after a urine culture was completed in the hospital, but there was no documentation confirming the presence or identification of an organism in the urine. The infection tracking log for this resident indicated that McGeers' criteria were not met and the required documentation was incomplete. In both cases, the DON confirmed that antibiotics were administered without meeting the facility's established criteria for appropriate use, as required by the facility's antibiotic stewardship policy.
Failure to Regularly Assess Resident's Catheter
Penalty
Summary
The facility failed to regularly assess a resident's indwelling urinary catheter as per the resident's care plan. This deficiency affected one resident who was readmitted with diagnoses including neurogenic bladder and urinary retention. The care plan required the nursing staff to assess the catheter drainage every shift, documenting the amount, type, color, and odor of the urine, and to provide catheter care as needed. However, a review of the resident's medical record revealed a lack of evidence for routine and consistent assessment of the catheter, including monitoring of the urine output. Interviews with the nursing staff, including two LPNs and the Director of Nursing, confirmed that the staff were required to document catheter assessments in the progress notes every shift. Despite this requirement, the Director of Nursing acknowledged that the resident's medical record did not contain the necessary urinary assessments every shift, which should have included details such as drainage amount, type, color, and consistency. This deficiency was investigated under a specific complaint number, indicating non-compliance with the resident's care plan.
Failure to Maintain Rodent Traps in Kitchenette
Penalty
Summary
The facility failed to maintain and dispose of rodent traps in the third-floor kitchenette, which had the potential to affect all 16 residents who received food from this area. During an observation, a deceased mouse was found in a sticky trap near the dishwasher, and a large hole in the drywall beneath the sink was noted, allowing easy access for rodents. Despite multiple observations throughout the day, the mouse remained unidentified by staff, even during lunch service when CNAs were actively using the kitchenette to serve meals and collect ice. Interviews with staff, including CNAs, an LPN, and the Director of Environmental Services, confirmed the presence of the deceased mouse and highlighted a lack of awareness and prompt action to address the issue. The Director of Environmental Services admitted to not having encountered any mice during his daily rounds and lacked documentation of these checks. A local pest control technician emphasized the importance of immediate removal of identified mice and the necessity for staff to conduct daily checks in these areas.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 522 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Capital City Gardens Rehabilitation And Nursing Ce | 0.4 mi | — | 3 | 0 |
| Majestic Care Of Columbus Llc | 1.3 mi | — | 6 | 0 |
| Scioto Pointe | 2.2 mi | — | 2 | 0 |
| Bella Terrace Rehabilitation And Nursing Center | 2.7 mi | — | 4 | 1 |
| First Community Village Healthcare Ctr | 3 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Ohio Living Westminster-thurber.
100% money-back within 48 hours.
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.