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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Meadows Of Ottawa The during CMS and state inspections, most recent first.
A resident with a preexisting head wound fell and sustained a laceration, compromising the wound. The facility failed to change or evaluate the hemostatic bandage for seven days, leading to severe adherence and exposed bone. Despite physician orders for regular dressing changes, the facility did not administer treatment as ordered, and the wound clinic was not notified of the fall. The resident refused dressing changes, and no attempts were made to address the refusals.
A resident with chronic pain and opioid dependence experienced a lapse in pain management due to the facility's failure to reorder her hydrocodone-acetaminophen medication in a timely manner. Despite having physician orders, the resident ran out of her pain medication and was given Tylenol and a muscle relaxer as alternatives, which did not effectively manage her pain. Interviews confirmed that the pharmacy had not received a refill request, leading to the resident's discomfort and interference with her daily activities.
A resident with type II diabetes did not receive timely blood sugar checks and insulin administration as per physician orders, leading to a significant medication error. The resident reported receiving medications late, often after meals, due to staff delays and system issues. Observations and staff interviews confirmed these delays, which were not in compliance with the facility's medication administration policy.
A facility failed to implement enhanced barrier precautions for a resident with a feeding tube, as staff did not wear PPE during high-contact care activities. Observations showed no signage or PPE availability in the resident's room, contrary to facility policy. A nurse confirmed the lack of EBP interventions, despite the resident's care plan requiring them.
A facility failed to provide adequate personal hygiene assistance to a resident with paraplegia and dementia, who was dependent on staff for ADL care. Despite requests from the resident's representative for daily shaving, the resident was observed with several days of facial hair growth, indicating a lapse in care.
A facility failed to properly apply interventions for a resident with a pressure ulcer. The resident, with severe cognitive impairment and multiple health issues, required heel protector boots while in bed. However, the boots were observed to be incorrectly applied, leaving the heel exposed. A CNA repositioned the resident but did not correct the boot's application, acknowledging the oversight. Facility policies on pressure prevention and wound care were not followed, leading to this deficiency.
Failure to Administer Wound Treatment as Ordered
Penalty
Summary
The facility failed to ensure proper wound monitoring and treatment for a resident, resulting in actual harm. The resident, who had a preexisting head wound, fell from his wheelchair and sustained a laceration to the head, which compromised the existing wound. After being evaluated at the hospital, the resident returned to the facility with a hemostatic bandage dressing that was not changed or evaluated for seven days. This led to the dressing becoming severely adhered to the scalp, requiring debridement to remove embedded dressings, and revealed a large amount of foul-smelling drainage and exposed bone. The resident's medical history included multiple diagnoses such as squamous cell carcinoma, malignant neoplasm of the scalp, hypotension, and repeated falls. Despite the hospital discharge instructions specifying the need for regular dressing changes, the facility's medical record lacked a nursing plan of care for the head wound. The physician had ordered monitoring and reapplication of the dressing every shift, but the treatment administration records indicated that the dressing was not administered as ordered between specific dates. The facility staff failed to notify the wound clinic specialist about the resident's fall and the injury to the head wound. The resident refused dressing changes multiple times, and there was no documented evidence of attempts to determine the underlying cause of these refusals. The facility's policies required re-evaluation of dressings every shift and notification of changes in wound status, but these were not followed, leading to the deficiency.
Failure to Ensure Availability of Pain Medication
Penalty
Summary
The facility failed to ensure that medications were available and administered as ordered by the physician, affecting a resident who was reviewed for pain management. The resident, who was cognitively intact and had a history of chronic pain and opioid dependence, reported that her pain was almost constant and occasionally interfered with her daily activities. Despite having physician orders for hydrocodone-acetaminophen to manage her pain, the resident reported that the facility had run out of her pain medication, leaving her with only two pills left. She expressed that her medications should have been reordered before running out to avoid going without or with less medication. Interviews with the resident and facility staff confirmed that the resident had run out of her prescribed pain medication. The resident was given Tylenol and a muscle relaxer as alternatives, but she reported that her pain level remained high, and she felt sleepy and heavy from the muscle relaxer. Pharmacy staff revealed that there were 60 tablets available for refill, but no request had been received to fill the prescription. The resident expressed dissatisfaction with the delay in refilling her medication, which had been ordered but not yet arrived, impacting her pain management and daily activities.
Failure to Administer Insulin and Blood Sugar Checks on Time
Penalty
Summary
The facility failed to ensure that blood sugar levels were obtained and insulin was administered according to physician orders, resulting in a significant medication error for Resident #47. This resident, who was cognitively intact with a BIMS score of 14, had a medical history of type II diabetes mellitus and morbid obesity. The physician's orders required blood sugar checks before meals and at bedtime, with specific instructions for administering Humalog insulin based on blood sugar levels. On January 6, 2025, Resident #47's blood sugar was not checked between 4:00 P.M. and 5:30 P.M. as ordered, and the insulin was administered late at 7:08 P.M., which was after the resident had already eaten. Interviews with Resident #47 and staff confirmed the delay in medication administration. The resident reported not receiving medications on time and having to eat meals before blood sugar checks and insulin administration due to hunger and cold food. Observations on January 28, 2025, further confirmed that the resident had not received her blood sugar check or insulin before eating breakfast. Staff interviews revealed issues with the computer system that contributed to the delay. The Director of Nursing verified the late administration of insulin and blood sugar checks, and the facility's policy required medications to be administered at the designated time by the attending physician.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement enhanced barrier infection control precautions as ordered for Resident #73, who was admitted with multiple diagnoses including hemiplegia, aphasia, and a history of tracheostomy, among others. The resident was assessed with severely impaired cognition and was dependent on staff for activities of daily living, receiving nutrition via a feeding tube. A nursing plan of care was established to minimize the risk of infection transmission through the use of Enhanced Barrier Precautions (EBP), which included the use of personal protective equipment (PPE) such as gowns and gloves during high-contact care activities. On January 27, 2025, observations revealed that staff did not wear PPE during hands-on transfer assistance provided to Resident #73 during therapy. Additionally, there was no signage indicating the need for EBP or directions to wear PPE in the resident's room, nor was PPE available nearby. An interview with a registered nurse confirmed that EBP interventions were not in place for the resident, despite facility policy requiring PPE access and signage for residents with feeding tubes. The facility's standard operating procedure mandates the use of PPE during high-contact care activities for residents with indwelling devices, regardless of anticipated exposure to blood or body fluids.
Failure to Assist Resident with Personal Hygiene
Penalty
Summary
The facility failed to provide adequate assistance with personal hygiene for a resident who was dependent on staff for activities of daily living (ADL) care. The resident, who had diagnoses including paraplegia, dementia, and anxiety disorder, was admitted to the facility and required one-person assistance with ADL care. According to the Minimum Data Set (MDS) assessment, the resident was rarely understood and dependent on staff for personal hygiene. An observation revealed that the resident had unshaven facial hair on the face and neck, which was confirmed by a Certified Nurse Assistant (CNA). The resident's representative reported that the resident, a former businessman, was always well-groomed and had requested the facility to ensure daily shaving. However, the resident had approximately four to five days of facial hair growth, indicating a lapse in the facility's care provision.
Improper Application of Pressure Ulcer Interventions
Penalty
Summary
The facility failed to ensure proper application of interventions for a resident with a pressure ulcer. Resident #75, who was admitted with multiple diagnoses including polyosteoarthritis, chronic kidney disease, and severe cognitive impairment, required substantial assistance for daily activities and had a care plan that included turning and repositioning every two hours with heel protector moon boots while in bed. However, during an observation, it was noted that the resident's heel protector boot was twisted and not correctly applied, leaving the heel exposed and unprotected, despite the presence of a dressing on the heel. Certified Nursing Assistant (CNA) #447 was observed repositioning the resident but did not correct the improperly applied heel boot. The CNA acknowledged the error and confirmed that the heel boot should have been correctly applied to protect the resident's heel. The facility's policies on pressure prevention and wound care emphasized the importance of implementing care plan interventions and evaluating the need for heel protection, which were not adhered to in this instance. This deficiency was investigated under a specific complaint number, indicating non-compliance with the facility's guidelines.
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What surveyors actually found near you
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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 Ottawa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumn Court | 1.6 mi | ★★★★★ | 0 | 0 |
| Meadows Of Leipsic | 5.7 mi | ★★★★★ | 7 | 0 |
| Meadows Of Kalida | 8.3 mi | ★★★★★ | 0 | 0 |
| Mennonite Memorial Home | 12.3 mi | ★★★★★ | 0 | 0 |
| Willow Ridge Of Mennonite Home Communities Of Ohio | 12.8 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 June 2026) and official state health department websites.