Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Ayden Healthcare Of Belle Springs. during CMS and state inspections, most recent first.
Accused CNA Not Removed Pending Abuse Investigation: A resident with intact cognition and total toileting assistance reported that a CNA touched his genitals during a dark room check and change, and also raised concerns about possible photos of his genitals being shared outside the facility. The investigation did not document that the accused CNA was suspended or removed from the schedule, and the CNA was allowed to return to work on another hall while the abuse allegation was being reviewed, despite facility policy requiring immediate removal of an accused or suspected staff member.
The facility did not maintain shower rooms in a homelike condition, as multiple central shower rooms had missing floor tiles and holes that caused shower chair wheels to get stuck or jerk during resident transfers. Two residents with significant medical needs reported discomfort and dissatisfaction, and staff confirmed the flooring issues had persisted for over a year and affected all residents using these shower rooms.
The facility was found deficient in food safety and sanitation practices. Observations revealed undated and improperly stored food items, a dirty utensil drawer, and the use of incorrect test strips for the dish machine's sanitizer. Additionally, a Dietary Aide was not wearing a hairnet while handling silverware, violating the facility's policy.
The facility failed to follow infection control protocols, including enhanced barrier precautions for a resident with a urinary catheter, proper handling and storage of clean laundry, and sanitary medication preparation. An LPN did not wear a gown while flushing a catheter, clean laundry was left uncovered, and medications were handled with bare hands.
The facility failed to maintain the kitchen microwave in a safe condition, potentially affecting all 77 residents receiving meals. The microwave had a large black/rusty color inside, confirmed by the Dietary Supervisor, who stated it is used to warm food. Facility policies require equipment to be maintained safely and issues reported immediately.
The facility failed to properly store and label medications, as a bottle of Aplisol injection was not refrigerated or dated, and a box of Assure Prism control solution was open and undated. An LPN confirmed these issues, which contradict the manufacturer's recommendations and the facility's medication storage policy.
The facility failed to provide appropriately textured pureed food for residents on a pureed diet. Observations revealed that the pot roast puree was chunky and required chewing, contrary to the facility's policy for a smooth, pudding-like consistency. The dietary staff member responsible did not taste the purees to ensure proper texture, and the issue was confirmed by the Dietary Supervisor. This deficiency potentially affected all ten residents on a pureed diet.
A resident's room in a facility was found to be in disrepair, with significant wall damage observed. The resident, who has severe cognitive impairment and other medical conditions, had been living with these conditions for an extended period. Staff and family interviews confirmed the damage, and the maintenance log showed no record of repair requests for the room. The facility's policy to maintain a safe and comfortable environment was not upheld, as the damage had been present for at least a year without being addressed.
A facility failed to implement care-planned fall interventions for a resident at risk of falls. The resident, with multiple health conditions, was observed without a Reacher and a perimeter mattress, both of which were part of the care plan. An LPN confirmed these items were missing, with the Reacher eventually found under the mattress.
A facility failed to change a resident's oxygen tubing weekly as per policy, affecting a resident with severe cognitive impairment and multiple health issues. The tubing, dated from several weeks prior, was not replaced, despite the facility's policy requiring weekly changes. This was confirmed through observations and staff interviews.
The facility did not adhere to its policy of checking new employees against the Ohio Nurse Aide Registry before hiring. Five staff members, including CNAs, an LPN, an RN, and an Activities Assistant, were hired without these checks, potentially affecting all 77 residents. The Human Resources Director confirmed the oversight, admitting to only checking the abuse registry.
Accused CNA Not Removed Pending Abuse Investigation
Penalty
Summary
The facility failed to ensure further potential abuse was prevented when an employee accused of sexual abuse was not removed from the facility pending the outcome of the abuse investigation. Resident #57, admitted on 10/13/25, had diagnoses including respiratory failure, dysphagia, COPD, muscle weakness, and heart failure. The resident’s MDS assessment showed a BIMS of 15, indicating intact cognition, and he required substantial maximum assistance for toileting. In SRI #270483, the resident reported that CNA #64 touched his genitals during a morning check and change, stating the room was dark and the CNA did not turn on the light or explain his intent before touching him. The resident also stated he had heard a CNA had taken pictures of his genitals and shared them outside the facility. The investigation found CNA #64 had last cared for the resident on night shift on 01/08/26, but it did not document whether the accused staff member was suspended, off work, or otherwise removed during the investigation, nor how the resident’s safety was maintained. The incident was ultimately found unsubstantiated, with the investigation stating the intent was to complete a check and change and that the resident denied groping, pulling, or handling of his penis or genitals. Review of the timecard showed CNA #64 worked on 02/03/26 from 6:55 A.M. to 6:58 P.M., with no indication of suspension. The Administrator and DON confirmed CNA #64 was interviewed and then allowed to return to work on a different hall where the resident lived, despite the facility policy stating that if a staff member is accused or suspected, the staff member shall be immediately removed from the facility and the schedule pending the outcome of the investigation.
Shower Room Flooring in Disrepair Creates Unhomelike Environment
Penalty
Summary
The facility failed to provide a homelike environment by not maintaining the shower rooms in good repair, specifically regarding missing floor tiles and holes in the shower room floors. Two residents with intact cognition, one with diagnoses including infective bursitis, diabetes, and neuromuscular dysfunction of the bladder, and another with hypertension, heart failure, and chronic kidney disease, reported discomfort and dissatisfaction with the condition of the shower rooms. Both residents required staff assistance and mechanical lifts for bathing, and both described the shower chair wheels getting stuck in the holes in the floor, causing discomfort during transfers and bathing. Observations confirmed that the central shower rooms on multiple halls had several missing tiles and depressed areas around the drains, with staff interviews verifying that these issues had persisted for over a year. Certified Nurse Aides confirmed that all residents on their respective halls used these central shower rooms and that many residents had complained about the flooring, which caused the shower chair wheels to jerk or get stuck. The facility administrator acknowledged the presence of missing tiles and holes in all central shower rooms, affecting all residents who use these areas for bathing.
Deficiencies in Food Safety and Sanitation Practices
Penalty
Summary
The facility failed to ensure proper food storage and labeling practices, as observed during a kitchen inspection. Several food items, including breadsticks, shredded lettuce, crushed pineapple, pepperoni, and sliced cheese, were found open and undated in the walk-in freezer and refrigerator. Additionally, expired holiday nog was discovered in the walk-in cooler. The Dietary Supervisor confirmed these findings and acknowledged that the facility's policy requires all food items to be labeled and dated, which was not adhered to in these instances. The kitchen's sanitation practices were also found lacking. A utensil drawer contained random debris, indicating that the cleaning schedule, which mandates cleaning and sanitizing the prep area twice daily, was not being followed. The Dietary Supervisor confirmed the drawer's unclean state, which contradicted the facility's policy on maintaining kitchen sanitation through a comprehensive cleaning schedule. Furthermore, the facility was using incorrect test strips to measure the chemical concentration of the dish machine's sanitizer. The dish machine, which uses chlorine sanitizer, was being tested with quaternary ammonia test strips, leading to inaccurate readings. The Dietary Supervisor and Administrator confirmed the absence of the correct test strips, and the test strip log showed infrequent testing. Additionally, a Dietary Aide was observed not wearing a hairnet while rolling silverware, contrary to the facility's policy requiring hair restraints in the kitchen.
Infection Control and Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure staff adherence to enhanced barrier precautions (EBP) for a resident with an indwelling urinary catheter. During an observation, an LPN was seen flushing the suprapubic catheter of a resident without wearing a gown, which is required under the facility's EBP policy for residents with indwelling medical devices. The LPN confirmed the resident was on EBP and acknowledged the requirement to wear a gown during such procedures. Additionally, the facility did not maintain proper separation and protection of clean laundry from dirty surfaces and items. Clean resident clothing was observed uncovered on a cart in the hallway, and clean laundry was stored in a room with personal belongings and uncovered coffee cups. Furthermore, the facility failed to prepare medications in a sanitary manner. An LPN was observed handling medications with bare hands and placing them directly on the medication cart, contrary to the facility's infection control procedures.
Unsafe Kitchen Microwave in Facility
Penalty
Summary
The facility failed to maintain the kitchen microwave in a safe operating condition, which had the potential to affect all 77 residents who received meals from the kitchen. During an observation, the interior ceiling of the microwave was found to have a large black/rusty color in the middle. An interview with the Dietary Supervisor confirmed the presence of rust in the microwave, which is used to warm up food such as waffles and pancakes. The facility's policy on Equipment Safety, dated 2021, requires that safety precautions be followed when using electrical equipment and that all equipment should be cleaned properly according to the equipment manual. Additionally, the Resident Environmental Quality policy, dated August 2023, mandates that all essential mechanical, electrical, and patient care equipment be maintained in safe operating condition, and that all facility personnel are responsible for reporting broken, defective, or malfunctioning equipment immediately upon identification.
Improper Storage and Labeling of Medications
Penalty
Summary
The facility failed to ensure that medications and solutions were dated when opened and stored under recommended conditions, as observed during a survey. Specifically, a bottle of Aplisol injection was found on the medication cart without being refrigerated or dated when opened. Additionally, a box of Assure Prism control solution for glucometers was open and not dated. These observations were confirmed by an LPN, who acknowledged that the Aplisol should have been refrigerated and the control solution dated. The manufacturer's recommendations for the glucometer control solution specify that it should not be used beyond three months after opening, and the discard date should be recorded on the vial label. The medication package insert for Aplisol indicates that improper storage may result in a loss of potency and inaccurate test results, and it should be stored at specific temperatures and protected from light. The facility's policy on medication storage requires that medications be stored in a manner that maintains their integrity and ensures resident safety, in accordance with Ohio Department of Health regulations.
Inadequate Puree Texture for Residents on Pureed Diet
Penalty
Summary
The facility failed to ensure that pureed food was prepared to an appropriate smooth texture for residents on a pureed diet. This deficiency was identified through observations and interviews with staff, revealing that the pureed pot roast prepared by a dietary staff member was chunky and required chewing, contrary to the facility's policy for pureed diets. The dietary staff member, responsible for preparing the purees, acknowledged that the consistency should be similar to baby food, with no chunks or pieces, yet did not taste the purees to verify their texture. During the preparation process, the pot roast puree was observed to be chunky on multiple occasions, even after being re-pureed. The Dietary Supervisor confirmed the puree's inappropriate texture. The facility's policy for a Level One Puree Diet specifies that foods should be pureed to a smooth, pudding-like consistency to accommodate individuals with severe chewing and swallowing difficulties. This failure had the potential to affect all ten residents on a prescribed pureed diet within the facility, which had a census of 77 residents.
Facility Fails to Maintain Resident's Room in Good Repair
Penalty
Summary
The facility failed to maintain a resident's room in good repair, affecting a resident with severe cognitive impairment and multiple medical conditions, including hemiplegia and epilepsy. Observations revealed significant damage to the walls in the resident's room, including a large hole next to the window and damage in the restroom. Interviews with staff and the resident's family confirmed the damage, with the CNA noting the walls had been in this condition for at least a year. The Director of Nursing acknowledged the damage, attributing it to a bed that had been moved months prior. Despite the facility's policy to maintain a safe and comfortable environment, the maintenance request log showed no record of repairs for the resident's room over the past six months. The resident's daughter expressed that her parent would have wanted the walls fixed, but maintenance had prioritized other projects. The Maintenance Supervisor confirmed the extent of the damage during an inspection, highlighting the facility's failure to address the issue in a timely manner.
Failure to Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to implement care-planned fall interventions for a resident at risk for accidental falls. The resident, who was cognitively intact, had multiple diagnoses including morbid obesity, type two diabetes, and unsteadiness on feet. The care plan included several interventions such as educating the resident on wearing appropriate footwear, using a call light for assistance, and utilizing a shower bench instead of a shower chair. Additionally, the care plan specified the use of a perimeter mattress and a Reacher at the bedside or recliner. During an observation, the resident was found sitting in a recliner with proper fitting shoes, but the wheeled walker was across the room, and no Reacher was visible on the bedside table, bed, dresser, or walker. Furthermore, the bed did not have a perimeter mattress as required by the care plan. An LPN confirmed the absence of the perimeter mattress and the Reacher, which was eventually found under the mattress after the resident's roommate suggested checking there. This indicates a failure to ensure that the care-planned interventions were in place to prevent falls.
Failure to Change Oxygen Tubing Weekly
Penalty
Summary
The facility failed to adhere to its policy of changing oxygen tubing weekly for a resident receiving respiratory care. Resident #36, who has a complex medical history including chronic atrial fibrillation, ischemic cardiomyopathy, and acute respiratory failure with hypoxia, was observed to have oxygen tubing dated 02/16/25, which had not been changed by 03/10/25. This oversight was confirmed through observations and staff interviews, indicating a lapse in following the established protocol for respiratory care. The Director of Nursing acknowledged that the oxygen tubing should be changed weekly, as per the facility's policy and physician orders. The policy, revised in April 2023, mandates that oxygen tubing and masks/cannulas be changed weekly and as needed if they become soiled or contaminated. Despite these guidelines, the tubing for Resident #36 was not replaced in a timely manner, highlighting a deficiency in the facility's implementation of its respiratory care procedures.
Failure to Check Employees Against Nurse Aide Registry
Penalty
Summary
The facility failed to implement its policy of checking employees against the Ohio Nurse Aide Registry before hiring. This deficiency was identified through a review of employee files, staff interviews, and policy review. Specifically, five employees, including two CNAs, an LPN, an RN, and an Activities Assistant, were hired without being checked against the Nurse Aide Registry. The Human Resources Director confirmed that these checks were not conducted at the time of employment, although the employees were later checked during the survey, and no violations were found. The facility's policy, dated October 2024, mandates that all potential new employees and volunteers be checked against the Ohio Nurse Aide Registry and other state registries if applicable, to ensure there are no findings of abuse, neglect, or misappropriation of property. Despite this policy, the facility did not adhere to these procedures, potentially affecting all 77 residents in the facility. The Human Resources Director admitted to only running employees against the abuse registry, not the nurse aide registry, at the time of hiring.
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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 Bellefontaine
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Logan Acres | 1.2 mi | ★★★★★ | 0 | 0 |
| Green Hills Center | 7.1 mi | ★★★★★ | 17 | 0 |
| Indian Lake Rehabilitation Center | 13.4 mi | ★★★★★ | 0 | 0 |
| Vancrest Of Urbana, Inc | 15.2 mi | ★★★★★ | 0 | 0 |
| Urbana Health & Rehabilitation Center | 18 mi | ★★★★★ | 1 | 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.