Below 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 New Albany Care Center during CMS and state inspections, most recent first.
The facility failed to properly store and date food items, affecting 60 of 61 residents. Observations revealed undated gelatin powder, uncovered roast beef, chicken, and scrambled eggs in the refrigerator, and undated onion rings in the freezer. The Dining Services Manager confirmed these issues, which violated the facility's food storage policy requiring labeling, dating, and covering of food items.
A resident with multiple health conditions missed a scheduled wound care appointment due to the facility's failure to arrange transportation, despite having a transport van and driver available. The facility's policy requires assistance in arranging transportation for diagnostic appointments.
The facility did not obtain written authorizations to manage the funds of two residents, as required by their policy. Banking records showed balances in the residents' trust accounts, but no authorizations were on file. The Administrator confirmed this oversight.
A facility failed to notify a resident and/or their representative about the need to spend down funds in the resident's account to remain eligible for Medicaid. The resident's account balance exceeded the Medicaid asset limit, and the facility did not provide the required written notification when the balance was within $200 of the limit, as confirmed by the Administrator.
A resident with multiple medical conditions and moderate cognitive impairment did not receive necessary assistance with personal hygiene, specifically shaving, despite facility policy requiring such care. Observations showed the resident had long facial hair, and interviews confirmed the resident's desire for grooming assistance, which was not provided.
The facility failed to provide necessary hearing services to two residents. One resident lost her hearing aids two years ago, and they were never replaced, while another resident, a candidate for a cochlear implant, awaited a response from the facility regarding hearing aids. The facility's policy promised appropriate hearing services, but no action was taken.
A facility failed to implement pressure ulcer interventions for a resident with a pressure ulcer. The resident, with multiple health conditions, was readmitted without an order for a low air loss mattress, despite having one prior to hospitalization. Observations and interviews confirmed the absence of the mattress, contrary to the facility's policy on skin and wound care.
A resident with respiratory failure was prescribed oxygen at 3 LPM, but observations showed it was set incorrectly at higher levels. An LPN confirmed the error, suggesting accidental adjustment by a visitor. The facility's policy on oxygen administration was not followed, affecting one of two residents reviewed for oxygen therapy.
A facility failed to timely address a consultant pharmacist's recommendation to reduce a resident's Eliquis dosage. The resident, with multiple health conditions, had a recommendation made in December to adjust their medication, which was not acted upon until February. The Regional Clinical Services Director confirmed the oversight.
A resident with a history of hypertension did not receive prescribed clonidine on multiple occasions when their systolic blood pressure was above 160, despite a physician's order. This failure to administer medication as prescribed was confirmed by a Regional Nurse and is a significant medication error.
The facility failed to ensure pureed food was prepared to the appropriate texture for two residents on a pureed diet. During preparation, a cook did not taste the lasagna before serving, resulting in a texture that contained lumps of ground meat. This was contrary to the facility's policy, which requires pureed foods to be blended to a smooth consistency and tasted before serving.
A facility failed to implement enhanced barrier precautions (EBP) for a resident with an unstageable pressure wound, at risk for MDRO. The resident's room lacked signage and PPE, and the Unit Manager confirmed the EBP order was mistakenly discontinued, resulting in the absence of necessary precautions.
A resident with a history of respiratory issues experienced an acute change in condition, including decreased oxygen saturation and increased confusion, which were not timely monitored or reported to the physician. The resident sustained a fall and was later hospitalized with critically low oxygen levels and diagnosed with COVID-19 pneumonia. Staff interviews revealed a lack of documentation and notification, contrary to facility policy.
A resident with multiple health issues experienced a fall and decreased oxygen saturation levels, but the facility failed to notify the physician and resident representative in a timely manner. Despite the resident's increased confusion and decreased oxygen levels throughout the night, the physician was only contacted after a significant drop in oxygen saturation. This deficiency was noted during a complaint investigation.
A resident with multiple health issues experienced a fall and changes in condition, including decreased oxygen saturation and increased confusion, which were not documented in the medical records. Interviews with the DON and an LPN confirmed the lack of documentation, highlighting a deficiency in maintaining complete medical records.
A resident with cognitive impairment and a history of falls was left unattended on the toilet by a CNA, resulting in a fall and head injury requiring hospitalization. The resident's care plan required one-person assistance during toileting, and facility guidelines stated that residents at risk for falls should not be left alone. The incident revealed non-compliance with fall management protocols.
A resident did not receive her routine medications as ordered by the physician due to a delay in obtaining them and a failure to use the facility's emergency supply. The resident, who was cognitively intact and admitted for aftercare following joint replacement surgery, left the facility against medical advice after not receiving her medications. Interviews confirmed that the facility had the medications available but did not administer them, and there was a lack of documentation explaining the missed doses.
Improper Food Storage and Dating in Facility Kitchen
Penalty
Summary
The facility failed to properly store and date food items in the kitchen, which had the potential to affect 60 of 61 residents who received foods prepared in the facility kitchen. During an observation, an opened and undated package of cherry gelatin powder was found wrapped in clear cellophane and placed in a plastic bag in the dry storage area. Additionally, in the refrigerator, a large metal tray of cooked roast beef was uncovered and exposed to the air, as well as a large metal tray of chicken with another metal tray that did not fully cover it, leaving it exposed to the air. A plastic bucket of scrambled eggs was also found uncovered and exposed to the air. Further observations revealed a large bag of opened and undated onion rings in the freezer. An interview with the Dining Services Manager confirmed that the gelatin powder and onion rings were opened and undated, and that food items should be dated upon opening. The manager also confirmed that the roast beef, chicken, and eggs in the refrigerator were not covered, and that foods should not be exposed to air during storage. The facility's policy on food storage guidelines required that cereal products, flour, sugar, and broken lots of bulk foods be stored in plastic containers with tight-fitting covers, and all containers must be labeled and dated. All refrigerated and frozen foods should be covered, labeled, and dated, which was not adhered to in this instance.
Failure to Arrange Transportation for Medical Appointment
Penalty
Summary
The facility failed to arrange transportation for a resident, identified as Resident #112, to attend a scheduled medical appointment. Resident #112, who has a medical history including cerebral infarction, atrial fibrillation, chronic kidney disease stage four, type two diabetes mellitus, morbid obesity, hypertension, and depression, missed a follow-up appointment at the wound care center. The appointment was scheduled for the day after the resident's discharge, as per the after-visit summary. Despite having a transport van and driver available, the facility did not provide the necessary transportation, which was confirmed by both the resident and the Administrator. The facility's policy on Offsite Diagnostic Services Transportation, dated 08/08/13, states that the facility is responsible for assisting residents in arranging transportation to and from diagnostic appointments if necessary or requested by the resident or their representative.
Failure to Obtain Written Authorization for Managing Resident Funds
Penalty
Summary
The facility failed to obtain written authorizations to manage resident funds accounts for two residents. A review of the banking records revealed that one resident had a balance of $50.04 and another had a balance of $67.03 in their respective resident trust accounts. However, there were no written authorizations on file for the facility to manage these funds. An interview with the Administrator confirmed the absence of these authorizations. The facility's policy, dated June 28, 2021, requires that all resident fund accounts have a written authorization from the resident or their representative, which was not adhered to in these cases.
Failure to Notify Resident of Excessive Fund Balance
Penalty
Summary
The facility failed to provide written notification to a resident and/or their representative regarding the need to spend down funds in the resident's account to remain eligible for Medicaid assistance. Specifically, Resident #22 had a balance of $2,482.60 in their resident fund account, exceeding the Medicaid asset limit of $2,000. The facility's policy required staff to notify residents in writing when their account balance was within $200 of the asset limit, but this notification was not provided. The Administrator confirmed the oversight and acknowledged that the facility did not notify Resident #22 of the need to reduce the account balance to maintain Medicaid eligibility.
Failure to Assist Resident with Personal Hygiene Needs
Penalty
Summary
The facility failed to provide necessary assistance with personal hygiene, specifically bathing and shaving, to a resident who was dependent on staff for these activities. Resident #2, who had multiple medical conditions including acute respiratory failure, chronic heart failure, and moderate cognitive impairment, required partial to moderate assistance with personal hygiene. Despite this need, observations over several days revealed that the resident had long facial hair and dark shadowing on her upper lip, indicating a lack of grooming assistance. Interviews with the resident and staff confirmed that the resident desired to have her facial hair removed when visible, but this was not done. The facility's policy on Activities of Daily Living (ADL) stated that residents should be provided with care, treatment, and services as appropriate, including daily personal needs such as bathing and grooming. However, interviews with the CNA and the Director of Nursing (DON) revealed that the staff did not consistently ask residents if they wanted their faces shaved, and there were no records indicating that Resident #2 had been shaved recently. This oversight in providing necessary personal hygiene assistance led to the deficiency identified in the report.
Failure to Provide Hearing Services to Residents
Penalty
Summary
The facility staff failed to ensure that residents received the necessary treatment and assistive devices to maintain their hearing, affecting two residents. Resident #15, who has a history of depression, anxiety disorder, and unspecified hearing loss, was observed to have difficulty hearing conversations unless spoken to directly in her ear. Her hearing aids were lost approximately two years ago, and despite notifying the facility staff, they were never found or replaced. Interviews with the resident and a registered nurse confirmed the resident's significant hearing impairment and the absence of hearing aids for at least a year. Resident #48, diagnosed with profound hearing loss, schizophrenia, and mood affective disorder, was identified as a candidate for a cochlear implant. However, the resident had been waiting for a response from the facility regarding hearing aids and had not received any documentation or discussion about cochlear implants. The facility's policy stated that appropriate hearing services would be provided, yet there was no evidence of action taken to address the residents' hearing needs.
Failure to Implement Pressure Ulcer Interventions
Penalty
Summary
The facility failed to implement pressure ulcer interventions for a resident with a pressure ulcer, affecting one of five residents reviewed for pressure ulcers. The resident, who had diagnoses including type two diabetes mellitus, congestive heart failure, neuromuscular dysfunction of the bladder, and morbid obesity, was initially admitted on January 3rd and readmitted on February 2nd after a hospitalization. The resident's Minimum Data Set assessment on January 10th indicated intact cognition and no pressure ulcers, but a care plan dated January 20th noted an actual pressure injury to the coccyx, with interventions including a low air loss mattress. However, the order for the air mattress was discontinued on January 30th, the day after the resident was hospitalized. Upon readmission, there was no order for an air mattress, and observations on February 4th and 5th confirmed the absence of a low air loss mattress. Interviews with the resident, their representative, and facility staff confirmed that the resident had an air mattress prior to hospitalization and during the hospital stay, but not upon return to the facility. The facility's policy on skin and wound care, revised in March of the previous year, stated that individual interventions should be implemented to reduce the risk of new or worsening skin breakdown, which was not adhered to in this case.
Oxygen Administration Not in Accordance with Physician Orders
Penalty
Summary
The facility failed to ensure that oxygen was administered according to physician orders for a resident. Resident #45, who was admitted with multiple diagnoses including respiratory failure, was prescribed humidified oxygen via nasal cannula at three liters per minute (LPM). However, observations revealed that the oxygen was set incorrectly at 3.5 LPM and later at 5.0 LPM on two separate occasions. This discrepancy was confirmed by a Licensed Practical Nurse (LPN), who acknowledged that the oxygen setting was not in accordance with the physician's orders. The LPN suggested that the oxygen level might have been accidentally adjusted by a visitor or knocked out of place, indicating a lack of proper monitoring and control over the oxygen administration equipment. The facility's policy on the administration of oxygen, which mandates adherence to physician orders and clinical best practices, was not followed in this instance. This deficiency affected one resident out of the two reviewed for oxygen administration, with the facility having a total of 13 residents receiving oxygen therapy.
Delayed Response to Pharmacist's Medication Recommendation
Penalty
Summary
The facility failed to respond in a timely manner to a consultant pharmacist's recommendation regarding a resident's medication regimen. The resident, who was admitted with multiple diagnoses including paraplegia, congestive heart failure, type two diabetes mellitus, hypothyroidism, bipolar disorder, depression, and sleep apnea, was affected by this oversight. The consultant pharmacist recommended on December 19, 2024, that the resident's anticoagulant medication, Eliquis, be reduced from 5 mg twice daily to 2.5 mg twice daily. However, this recommendation was not addressed until February 6, 2025. An interview with the Regional Clinical Services Director confirmed that the facility missed the recommendation and did not address it with the nurse practitioner until February 6, 2025.
Failure to Administer Medication as Prescribed
Penalty
Summary
The facility staff failed to ensure that residents were free from significant medication errors, specifically affecting one resident. This resident, who had a medical history including type two diabetes mellitus, congestive heart failure, chronic kidney disease stage three, anxiety disorder, and hypertension, was admitted on 11/18/24. The resident had intact cognition and required assistance with activities of daily living. A physician's order dated 11/19/24 prescribed clonidine 0.1 mg to be administered daily if the resident's systolic blood pressure exceeded 160. Despite the physician's order, the resident did not receive clonidine on multiple occasions when their systolic blood pressure was above 160, specifically on 11/26/24, 11/28/24, 12/01/24, 12/02/24, 12/06/24, and 12/17/24. This was confirmed by a Regional Nurse during an interview. The facility's policy on medication administration, dated 08/07/23, mandates that medications should be administered as prescribed by the physician and in accordance with acceptable standards of practice. The failure to administer the medication as ordered constitutes a significant medication error.
Inadequate Pureed Food Preparation
Penalty
Summary
The facility failed to ensure that pureed food was prepared to an appropriate texture for residents requiring a pureed diet. During an observation of pureed food preparation, a cook was seen blending lasagna with water and thickener. However, the cook did not taste the food before serving it to the residents. Upon tasting by the surveyor, it was noted that the pureed lasagna contained lumps of ground meat, indicating it was not blended to the required smooth consistency. The facility's policy requires that pureed foods be blended to a pudding-like or mashed potato consistency and tasted by staff to ensure smoothness before serving. Despite this policy, the cook confirmed the lasagna was ready to serve without tasting it, leading to the discovery of the inappropriate texture by the surveyor and later confirmed by the chef. This deficiency affected two residents who were on a pureed diet, highlighting a lapse in adherence to the facility's food preparation standards.
Failure to Implement Enhanced Barrier Precautions for At-Risk Resident
Penalty
Summary
The facility failed to implement enhanced barrier precautions (EBP) for a resident at risk for developing multidrug-resistant organisms (MDRO). The resident, admitted with diagnoses including sepsis, protein-calorie malnutrition, and gastroesophageal reflux disease, had an unstageable pressure wound requiring EBP per facility policy. However, during an observation, there was no signage indicating EBP, nor was personal protective equipment (PPE) available outside or near the resident's room. The Unit Manager confirmed that the resident should have been on EBP, but the order was erroneously discontinued, leading to the absence of necessary precautions and alerts for staff and visitors.
Failure to Monitor and Report Change in Condition
Penalty
Summary
The facility failed to provide timely and adequate care for Resident #62, who experienced an acute change in condition. The resident, who had a continuous oxygen order, showed decreased oxygen saturation levels and increased confusion throughout the night, which were not properly monitored or treated. There was no evidence that the change in condition was reported to the physician in a timely manner. On the morning of 12/10/24, the resident sustained an unwitnessed fall from bed with low oxygen saturation levels and was later transported to the emergency room with critically low oxygen saturation. Resident #62 had a complex medical history, including congestive heart failure, cognitive communication deficit, and chronic kidney disease, among other conditions. The resident's care plan included monitoring for respiratory complications and notifying the physician of any significant changes. Despite this, there was a lack of documentation regarding the resident's oxygen saturation levels during the night, and the physician was not notified of the resident's condition until after the fall. Interviews with facility staff revealed that although they were aware of the resident's decreased oxygen levels and increased confusion, they did not document these observations or notify the physician promptly. The Director of Nursing confirmed the lack of documentation and notification, and the facility's policy required such actions in the event of a change in condition. The resident was eventually diagnosed with COVID-19 pneumonia upon hospital admission.
Failure to Notify Physician and Representative of Change in Condition
Penalty
Summary
The facility failed to notify the physician and resident representative of a change in condition for Resident #62 in a timely manner. Resident #62, who had multiple diagnoses including congestive heart failure and cognitive communication deficit, experienced a fall on 12/10/24 at 5:45 A.M. She was found on the floor next to her bed without her oxygen cannula, with oxygen saturation levels between 88% and 90%. Despite the unwitnessed fall and the initiation of neurological checks, there was no documentation that the physician or resident representative were notified of the fall or the resident's decreased oxygen saturation levels and increased confusion noted throughout the night prior to the fall. Interviews with the Director of Nursing and an LPN confirmed the lack of documentation and notification to the physician and resident representative. The LPN did not contact the physician until the resident's oxygen saturation levels dropped to 64% at approximately 7:00 A.M., which was an hour and 15 minutes after the fall. The facility's Change in Condition policy requires notification of the resident, physician, and representative of changes in medical or mental condition, but this was not adhered to in this instance. This deficiency was investigated under Complaint Number OH00160665.
Failure to Document Resident's Change in Condition and Fall
Penalty
Summary
The facility failed to maintain a complete medical record for a resident who experienced a change in condition. The resident, who had multiple diagnoses including congestive heart failure, cognitive communication deficit, and chronic kidney disease, was admitted to the facility and later experienced a fall. The fall occurred after the resident was found on the floor without her oxygen cannula, with oxygen saturation levels between 88% and 90%. Despite the fall being unwitnessed, there was no documentation in the medical records regarding the fall, the decrease in oxygen saturation levels, or the increased confusion noted throughout the night prior to the fall. Interviews with the Director of Nursing and an LPN confirmed the lack of documentation regarding the resident's fall, oxygen saturation levels, and increased confusion. The Director of Nursing acknowledged that there should have been documentation in the resident's medical record to support the changes in condition and the monitoring that was allegedly conducted. The LPN admitted to not documenting the oxygen saturation levels or the monitoring of the resident's increased confusion, nor completing a progress note for the fall. This deficiency was investigated under a specific complaint number.
Failure to Supervise Resident Leads to Fall and Injury
Penalty
Summary
The facility failed to provide adequate assistance and supervision to Resident #25, who had cognitive impairment and required staff assistance for personal care, including toileting. On 10/23/24, Resident #25 was left unattended on the toilet by CNA #101, who left the room to get incontinence care items after the resident requested privacy. During this time, the resident fell in the bathroom, resulting in a head laceration that required 15 sutures and hospitalization from 10/23/24 to 10/28/24. Resident #25 had a history of falls and was assessed as a fall risk, with a care plan indicating the need for one-person assistance during toileting. The facility's fall management guidelines required that residents at risk for falls not be left alone in the bathroom. Interviews with the DON and other staff confirmed that Resident #25 was confused, with a BIMS score of five, and should not have been left unattended. The incident was investigated under Complaint Number OH00159691, revealing non-compliance with the facility's fall management protocols.
Failure to Administer Medications as Ordered
Penalty
Summary
The facility failed to administer medications as ordered by the physician for a resident, identified as Resident #80, who was admitted with diagnoses including aftercare following joint replacement surgery, hypertension, heart failure, and depression. Upon review, it was found that Resident #80 did not receive her routine morning or evening medications on the day following her admission. The Medication Administration Record (MAR) indicated that the medications were not administered, but there was no documentation in the progress notes explaining why the medications were missed. Interviews with staff confirmed that there was sometimes a delay in obtaining medications for newly admitted residents due to the transcription process, and that the facility had an emergency supply of medications that could have been used. Resident #80 expressed concern about not receiving her medications and decided to leave the facility against medical advice. Interviews with the Director of Nursing (DON) and Licensed Practical Nurses (LPNs) confirmed that the facility had many of the resident's medications available in the emergency supply, but they were not administered. The LPN responsible for administering the medications acknowledged that she should have used the emergency supply and failed to document the rationale for not administering the medications. The facility's policy on medication administration emphasized the need for safe and accurate preparation and administration according to physician orders, and the use of emergency supply kits if pharmacy-supplied medications were unavailable.
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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) |
|---|---|---|---|---|
| The Laurels Of Gahanna | 1.3 mi | ★★★★★ | 27 | 0 |
| Otterbein Gahanna | 1.6 mi | ★★★★★ | 9 | 0 |
| Otterbein New Albany | 2 mi | ★★★★★ | 13 | 0 |
| Wesley Woods At New Albany | 2.3 mi | ★★★★★ | 1 | 0 |
| Smiths Mill Health Campus | 3.1 mi | ★★★★★ | 20 | 0 |
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