Below average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Inniswood Health And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to report an allegation of involuntary seclusion after a resident with seizure disorder, autism spectrum disorder, aphasia, cognitive impairment, and documented wandering and exit-seeking behaviors was found with a Hoyer lift positioned in front of the room door. An LPN confirmed the lift’s placement but did not know how it got there, and there was no email documentation of the incident. The DON acknowledged the facility was notified of the allegation and conducted an internal investigation that did not confirm the event, yet no Self-Reported Incident was submitted. The Administrator stated that the acting Administrator at the time contacted the resident’s POA, who voiced no concerns, and based on that, the incident was not reported to the State survey agency, contrary to facility policy requiring timely reporting of all abuse or potential abuse allegations.
The facility failed to timely report a potential sexual abuse incident involving two residents with cognitive impairments. An LPN did not immediately report the incident due to being busy, and the DON was unavailable. The facility's policy requires immediate reporting to the Administrator and state agency, which was not followed.
The facility failed to thoroughly investigate a potential sexual abuse incident involving two residents. A night shift nurse found one resident on another's bed with his pants down. The resident in the bed reported being touched but did not want it to happen again. The investigation lacked comprehensive staff interviews, violating the facility's policy requiring thorough investigations.
A facility failed to ensure medication carts were locked unless in use and under direct observation. An RN and an LPN left carts unlocked and unattended on separate occasions, contrary to facility policy. This affected 26 mobile residents across two units, with a total census of 74.
The facility failed to maintain a medication error rate of 5% or less, resulting in a 9% error rate. Two residents with severe cognitive impairment were affected when delayed-release medications were improperly administered. An LPN opened a delayed-release capsule for a resident with depression, and an RN crushed a delayed-release tablet for a resident with a seizure disorder, both actions contrary to medication instructions.
The facility failed to maintain infection control during medication administration for two residents. An LPN used her ungloved thumb to remove medication for one resident and failed to perform hand hygiene after dropping a glove. Another LPN handled medication without gloves for a second resident. Both actions violated the facility's policies on medication administration and hand hygiene.
Failure to Report Allegation of Involuntary Seclusion
Penalty
Summary
The facility failed to timely report an allegation of involuntary seclusion involving one resident. The resident, who had diagnoses including seizure disorder, autism spectrum disorder, aphasia, and cognitive impairment, was assessed as having severely impaired decision-making ability and was independently mobile with wandering and exit-seeking behaviors requiring supervision. An elopement risk assessment documented these behaviors and the need for monitoring. On the day of the reported incident, an LPN confirmed that a Hoyer lift was positioned in front of the resident's door, though the LPN did not know how it came to be there. Facility-provided email communication contained no documentation of the reported incident involving the Hoyer lift being placed in front of the resident's door. The DON reported that the facility was notified of the allegation that a Hoyer lift had been placed in front of the resident's doorway and that an internal investigation was conducted, but the incident could not be confirmed. Despite this, a Self-Reported Incident (SRI) was not submitted to the State survey agency. The Administrator stated that during the time of the incident, an acting Administrator was in place, and that this acting Administrator did not submit an SRI after the allegation was reported. The Administrator further explained that the acting Administrator contacted the resident's POA, who expressed no concerns about the situation, and based on this, the incident was not reported to the State survey agency. This failure to report occurred despite a facility policy requiring all allegations of abuse or potential abuse to be reported to the State survey agency within required timeframes and to be thoroughly investigated.
Failure to Timely Report Potential Sexual Abuse Incident
Penalty
Summary
The facility failed to ensure timely reporting of an incident of potential sexual abuse involving two residents. Resident #36, who has severely impaired cognition and a history of unspecified adult abuse, was found in a situation with Resident #67, who has moderate cognitive impairment and other medical conditions. The incident occurred when Resident #67 was discovered lying on top of the covers in Resident #36's bed with his pants down. Resident #36 reported being touched on the breast but stated no sexual penetration occurred. Despite this, the incident was not reported immediately as required by the facility's policy. The night shift LPN, who was aware of the incident, did not report it promptly due to being busy and distracted. The LPN informed his supervisor the following morning, but the Director of Nursing was unavailable at that time. The facility's policy mandates that all incidents and allegations of abuse must be reported immediately to the Administrator or designee and to the state survey agency within two hours. This failure to report the incident in a timely manner represents noncompliance and was investigated under a specific complaint.
Inadequate Investigation of Potential Sexual Abuse Incident
Penalty
Summary
The facility failed to thoroughly investigate an incident of potential sexual abuse involving two residents. On the night of the incident, a night shift nurse discovered one resident lying on top of another resident's bed with his pants down. The resident in the bed reported being touched on the breast but stated no sexual penetration occurred. Despite the resident's initial consent, she expressed that she did not want the incident to happen again. The other resident involved was unable to be interviewed due to cognitive impairment and was subsequently moved to another hallway. The facility's investigation was inadequate as it only included resident interviews, an email from the social worker, the electronic self-reported incident, and a text message from an LPN. There were no additional staff interviews conducted. The facility's policy requires that all alleged violations be thoroughly investigated, but the investigation lacked comprehensive staff statements and failed to meet the policy's standards. Interviews with the Manager of Clinical Services and the Director of Nursing confirmed the lack of additional staff statements related to the incident.
Medication Cart Security Lapse
Penalty
Summary
The facility failed to ensure that medication carts were locked at all times unless in use and under the direct observation of the medication administration personnel. This deficiency was observed on two separate occasions involving a Registered Nurse (RN) and a Licensed Practical Nurse (LPN). On the first occasion, RN #34 was observed completing medication administration on the 500 unit, leaving the medication cart unlocked and unattended while in a resident's room. On the second occasion, LPN #160 left the medication cart on the 300 unit unlocked and unattended while retrieving medication from a different unit's storage room. Interviews with both RN #34 and LPN #160 confirmed that they left their respective medication carts unlocked and out of sight. The facility's policy, revised in January 2018, mandates that all medication storage areas, including carts, must be locked at all times unless in use and under direct observation. This incident was identified during an investigation for Complaint Number OH00155915 and had the potential to affect all 26 mobile residents on the 300 and 500 units, with a total facility census of 74.
Medication Administration Errors Due to Improper Handling of Delayed-Release Medications
Penalty
Summary
The facility failed to maintain a medication error rate of 5% or less, resulting in a 9% error rate. This deficiency was identified through medical record reviews, medication administration observations, staff interviews, and policy reviews. Two residents were affected by this error. Resident #32, who has severe cognitive impairment and is on antidepressant medication, was administered Duloxetine HCL, a delayed-release capsule, incorrectly. The LPN opened the capsule and mixed its contents with other crushed medications and pudding, despite knowing that delayed-release medications should not be opened or crushed as it alters their release mechanism. Similarly, Resident #6, who also has severe cognitive impairment and a seizure disorder, was administered Divalproex Sodium, a delayed-release tablet, inappropriately. The RN crushed the tablet along with other medications before administering it with pudding. This action was contrary to the medication's delayed-release instructions. The facility's policy on medication administration, which includes checking for special labeling and instructions, was not adhered to, contributing to the medication errors.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to maintain proper infection control measures during medication administration, affecting two residents. For Resident #32, an LPN was observed using her ungloved thumb to remove multiple tablets of Vitamin D from a medication bottle and place them into a medication cup. Additionally, the LPN dropped a glove on the floor, picked it up with her gloved hand, discarded it, and then donned a new glove without performing hand hygiene as required by the facility's policy. Resident #32 has a severely impaired cognition and is at risk for complications related to antidepressant medication. For Resident #42, another LPN was observed popping each medication out of the medication card or bottle and placing the medication directly into her hand before transferring it to a medication cup, without wearing gloves. The LPN confirmed that she should have worn gloves when handling medication, as per facility policy, but admitted to forgetting. Resident #42 has an intact cognition and is on multiple medications for conditions including hypertension, diabetes, and Vitamin D deficiency. The facility's policies on medication administration and hand hygiene were not adhered to during these observations.
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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 Westerville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westerville Post Acute. | 1.4 mi | ★★★★★ | 7 | 0 |
| Westerwood Rehabilitation | 2.5 mi | ★★★★★ | 10 | 0 |
| Forest Hills Center | 2.8 mi | ★★★★★ | 6 | 0 |
| Otterbein New Albany | 3 mi | ★★★★★ | 13 | 0 |
| The Laurels Of Gahanna | 3 mi | ★★★★★ | 27 | 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.