Average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Spring Harbor At Green Island during CMS and state inspections, most recent first.
Improper Food Labeling and Wet-Nesting of Steam Table Pans: Surveyors found an opened container of sour cream with no open date and a container of cottage cheese past its best-by date in the walk-in refrigerator. They also observed stacked steam table pans with visible moisture drops inside, and the GMDS confirmed the pans had been stored before fully air drying.
Medication Left at Bedside Without Self-Administration Order: A resident with dry eye syndrome and severely impaired decision-making had Systane Ultra eye drops ordered, but there was no self-administration order, care plan area, or assessment documented. Surveyors observed the eye drops on the bedside table on multiple occasions, and an LPN, RN/UM, and DON all confirmed medications should not be left at the bedside.
Missing Pre-Employment Reference Checks: Record review and staff interviews showed that reference checks were not documented for a DON, a CNA, and two RNs before employment, despite the facility policy requiring reference checks for all applicants seriously considered for hire. HR confirmed the missing documentation, and the Administrator stated HR was expected to complete all onboarding requirements.
Missing Open Date on Blood Glucose Strips: Surveyors found one vial of blood glucose strips on a medication cart with no open date, despite the label including a date-opened field and instructions to use within 90 days of opening. An LPN, RN/UM, and DON all confirmed the open date was missing and stated the strips must be tracked after opening because they are only usable for a limited time.
The facility failed to label and secure opened food items in accordance with its policy, as observed in various storage areas. Items such as pork patties, chicken tenders, and cakes were found exposed to air without proper labeling or dating. Interviews with the Executive Chef and Dietary Manager confirmed that staff were expected to label and date all food items, but this was not adhered to, potentially affecting 34 residents.
The facility did not implement a 14-day stop date for psychotropic medications for three residents, as required by policy and CMS guidelines. Despite notifications from the pharmacist, physicians either did not update the orders or failed to document the necessary rationale for extending PRN orders beyond 14 days. The DON confirmed the oversight, acknowledging the absence of stop dates for these medications.
A facility failed to follow proper infection control measures for cleaning a glucometer during a blood glucose test on a resident. An LPN placed the glucometer on the medication cart without a barrier and cleaned it with only one alcohol pad, contrary to the facility's policy requiring a germicidal disposable cloth. The DON confirmed the correct procedure, highlighting the risk of cross-contamination.
Improper Food Labeling and Wet-Nesting of Steam Table Pans
Penalty
Summary
Opened food items were not properly dated and a food item was kept past its best-by date in the main kitchen. During observation of the first walk-in refrigerator, surveyors found a five-pound container of sour cream that had been opened with no open date and a five-pound container of cottage cheese with a best-by date of 1/2/2026. The General Manager of Dining Services confirmed that the sour cream had been opened without a date and stated that dietary staff are to label and date food items stored in the refrigerator. The GMDS also confirmed that the cottage cheese should have been discarded because it was past its best-by date and stated that all dietary staff are responsible for reviewing dates and discarding items appropriately. Wet-nesting was observed in stored steam table pans on the pot and pan rack. Surveyors observed several stacks of steam table pans, and when the pans were pulled apart, visible moisture drops were present on the inside of a stack of five medium-sized square pans and on the top two pans of a stack of four small square pans. The GMDS confirmed that the pans were stored stacked while still containing moisture and stated that dietary staff are to let all dish items, including steam table pans, completely air dry before stacking.
Medication Left at Bedside Without Self-Administration Order
Penalty
Summary
The facility failed to ensure unauthorized medication was not left at the bedside for one resident with dry eye syndrome of both lacrimal glands. The resident’s EMR showed severely impaired decision-making skills, never or rarely made decisions, and continuously disorganized thinking on the quarterly MDS. The physician’s orders included Systane Ultra eye drops, 1 drop in both eyes three times daily for dry eyes, but there was no order for medication self-administration, no care plan area for self-administration, and no evidence of a medication self-administration assessment in the EMR. Observations in the resident’s room on three occasions showed one bottle of Systane Ultra eye drops on the bedside table. An LPN confirmed the bottle was on the bedside table and stated it should not be there. An RN/UM stated medications should be locked in the medication cart and that leaving them at the bedside could allow the resident to take too much or another resident to take it. The DON also stated medications should not be left at the resident’s bedside and should be locked in the medication cart, and that use by a resident not ordered to self-administer could cause adverse reactions.
Missing Pre-Employment Reference Checks
Penalty
Summary
Develop and implement policies and procedures to prevent abuse, neglect, and theft was cited after record review, staff interview, and review of the facility’s policy titled Reference and Background Checks showed that pre-employment screenings were not completed as required for four of 10 employees reviewed. The facility policy stated that reference checks were to be conducted on all applicants seriously considered for employment and documented in writing in the Human Resources record, but no documented reference checks were found for the DON, a CNA, and two RNs reviewed in the employee files. The DON was hired on 2/21/2023, CNA FF was hired on 1/6/2026, RN Unit Manager DD was hired on 9/16/2025, and RN GG was hired on 11/18/2025. Each of these employees had an active, unencumbered license or certification, and there were no concerns identified related to abuse or neglect within the facility. During interview, the HRD confirmed there were no documented reference checks for the identified employees and stated attempts had been made but were not documented. The HRA stated reference checks were attempted when candidate information was provided, but if reference information was not provided, no action was taken while waiting for background checks to be finalized. The Administrator stated he expected HR to complete all necessary onboarding requirements.
Missing Open Date on Blood Glucose Strips
Penalty
Summary
The facility failed to place an open date on one vial of blood glucose strips stored on the medication cart in the 2200 Hall. During observation, surveyors found the vial in the top-right drawer of the cart with no open date documented, even though the container label included a field for the date opened and instructions to use the strips within 90 days of first opening. During interviews, an LPN confirmed the vial had no open date and stated it should have one because the strips could not be used after a certain time once opened. An RN/unit manager stated the strips needed to be used within a specific time frame and would no longer be useful after that period. The DON also stated that open dates should be placed on vials when first opened because no one would know when they were opened without them, and that the strips could go bad after a certain period.
Failure to Label and Secure Food Items
Penalty
Summary
The facility failed to adhere to its policy on labeling food products, which requires all prepared foods, leftovers, and opened products stored for later use to be labeled with the complete name of the product, the date it was prepared or opened, and the date it must be utilized by. During an inspection, multiple instances were observed where food items in various storage areas, including stand-alone freezers, walk-in refrigerators, and freezers, were found opened and exposed to air without proper labeling or dating. Specific items included pork patties, pork links, cinnamon spice cake, chicken tenders, tres leches cake, bratwurst, pork chops, grit balls, tortellini, pepperoni, cheesecake, green beans, battered okra, wheat rolls, French fries, broccoli, hashbrown patties, bread, salmon dip, and chutney. Interviews with the Executive Chef and the Dietary Manager confirmed that the facility's dietary staff were expected to label and date all opened and prepared food items stored in refrigerators and freezers. The Dietary Manager further emphasized that all items should be covered and secured from open air. Despite these expectations, the observations indicated a failure to comply with the facility's food safety standards, potentially affecting 34 residents who received an oral diet and were served food from the kitchen.
Failure to Implement 14-Day Stop Date for Psychotropic Medications
Penalty
Summary
The facility failed to implement a stop date not exceeding 14 days for psychotropic medications for three residents, as required by their policy and CMS guidelines. The policy mandates that if a physician deems it necessary to extend a PRN psychotropic medication order beyond 14 days, they must document the rationale and specify the duration. However, for three residents, the orders for Valium and Xanax did not include an end date, and the necessary documentation was not completed. For one resident, the physician agreed to change the order to 180 days, but the order was not updated. Another resident's physician did not make any changes despite being notified of the CMS limitation. The third resident's physician agreed to a 120-day extension, but again, the order was not updated. The Director of Nursing acknowledged the oversight, confirming that the required stop dates were not implemented for these residents' psychotropic medications.
Improper Glucometer Disinfection
Penalty
Summary
The facility failed to adhere to proper infection control measures for cleaning and disinfecting a glucometer, as observed during a blood glucose test on a resident. The facility's policy required the use of a germicidal disposable cloth to disinfect the glucometer, ensuring the surface remains visibly wet for a full two minutes. However, during an observation, an LPN placed the glucometer on the medication cart without a barrier and cleaned it with only one alcohol pad, contrary to the facility's policy. The Director of Nursing Service confirmed that the glucometer should be cleaned with a germicidal disposable wipe and that a barrier must be used when placing the glucometer on any surface. The facility had five residents with physician orders for blood sugar readings, with one resident requiring a fingerstick blood sugar check. The improper cleaning and handling of the glucometer placed residents at risk of potential exposure to infections due to cross-contamination.
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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 Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Orchard View Rehabilitation & Skilled Nursing Ctr | 2.2 mi | ★★★★★ | 14 | 0 |
| Ridgecrest Rehab & Skilled Nursing Center | 2.6 mi | ★★★★★ | 1 | 0 |
| Magnolia Manor Of Columbus Nursing Center - East | 4 mi | ★★★★★ | 12 | 0 |
| Magnolia Manor Of Columbus Nursing Center - West | 4 mi | ★★★★★ | 3 | 0 |
| Bridgeway Health And Rehabilitation Center | 4.4 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 July 2026) and official state health department websites.