Above 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 Ohio Living Mount Pleasant during CMS and state inspections, most recent first.
Failure to assess entrapment risk and obtain informed consent for assist bars: Assist bars were attached to all resident beds, affecting all 28 residents identified by the facility. RN, DON, OT, and Therapy Program Manager confirmed residents were not assessed for entrapment risk before installation, and the DON and DOAL stated consent had not been obtained for any current residents. Facility policy on assist bars did not require entrapment-risk assessment or informed consent.
Facial Hair Not Covered During Food Prep Kitchen staff with visible facial hair prepared meal trays and desserts without beard covers. The Culinary Director and Corporate Culinary Director confirmed the staff were working without the required facial hair coverings, and one DT stated he had never worn a beard cover and was unaware of the policy. The facility policy required beards and mustaches to be restrained with beard covers when near exposed foods.
Inadequate Indications for Depakote Orders: The facility failed to ensure that Depakote orders had adequate indications for use for two residents reviewed for unnecessary meds. One resident with cerebral infarction, hemiplegia, dementia, and type II DM had Depakote ordered for unspecified dementia with mood disturbance, and another resident with Alzheimer’s disease, hyperlipidemia, and CHF had Depakote ordered for Alzheimer’s disease. The DON confirmed the inappropriate indications, and facility policy required documented indications consistent with accepted clinical standards of practice.
Failure to Assess Entrapment Risk and Obtain Consent for Assist Bars
Penalty
Summary
The facility failed to assess residents for risk of entrapment and failed to obtain informed consent before installing assist bars on resident beds. Surveyors observed on 01/21/26 that assist bars were attached to all beds in occupied resident rooms, and the census was 28, affecting all 28 residents identified by the facility with assist bars on their beds. Interviews confirmed the facility did not assess residents for entrapment risk related to assist bars. RN #212 stated the facility did not assess residents for risk of entrapment from assist bars on resident beds, and the DON confirmed assist bars were applied to all resident beds in the facility. OT #252 and Therapy Program Manager #253 stated occupational therapy and physical therapy initial evaluations did not include assessment for potential entrapment with assist bars. The DON and DOAL #255 also confirmed residents were not assessed for entrapment risk prior to installation and that consent for use of assist bars had not been obtained for any current residents. Review of the facility policy titled, Assist Bars, revised 04/01/25, showed no requirement to assess for entrapment risk or obtain informed consent before installation.
Facial Hair Not Covered During Food Preparation
Penalty
Summary
The facility failed to ensure staff with facial hair wore beard covers during meal preparation. Observation of the kitchen on 01/20/26 from 11:45 A.M. to 12:00 P.M. showed Sous Chef #177, Dietary Technician #245, and [NAME] #228 each had varying lengths of facial hair and assisted with meal preparation without wearing beard covers. During interviews, the Corporate Culinary Director #251 confirmed male kitchen staff were preparing food without appropriate beard covers and stated that every male with facial hair was required to wear a beard cover during food preparation or on the tray line. Culinary Director #206 also verified that Sous Chef #177 and DT #245 had visible facial hair and were not wearing beard covers while preparing lunch meal trays. [NAME] #228 stated his facial hair was not long enough to require a beard cover and could not state at what length facial hair required one. DT #245 stated he did not wear a beard cover while preparing lunch trays, had never worn one, and was unaware of the policy requiring facial hair to be covered during food preparation. Review of the facility policy titled, Personal Hygiene and Health Reporting, dated 2023, stated beards and mustaches were to be kept closely cropped, neatly trimmed, and restrained with beard covers when near exposed foods.
Inadequate Indications for Depakote Orders
Penalty
Summary
The facility failed to ensure that medications ordered for residents had adequate indications for use, affecting two of eight residents reviewed for unnecessary medications. Review of Resident #6’s record showed admission diagnoses including cerebral infarction, hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, unspecified dementia with mood disturbance, and type II diabetes. The most recent MDS showed a BIMS score of 2, indicating severe cognitive impairment, and the resident required substantial to maximal assistance with eating and was dependent on staff for oral hygiene, toileting, showering/bathing, dressing, and personal hygiene. The physician order for Depakote Sprinkles 250 mg twice daily, dated 05/22/25, listed the indication as treatment of unspecified dementia with mood disturbance. Review of Resident #24’s record showed admission diagnoses including Alzheimer’s disease with late onset, hyperlipidemia, and chronic diastolic congestive heart failure. The most recent MDS dated 11/14/25 showed a BIMS score of 5, indicating severe cognitive impairment, and the resident required setup or cleanup assistance with eating, substantial to maximal assistance with oral and personal hygiene, and was dependent for toileting, showering, and dressing. The physician order for Depakote 125 mg once daily, dated 11/10/25, listed the indication as treatment of Alzheimer’s disease with late onset. During interview on 01/22/26, the DON confirmed both residents had Depakote orders with inappropriate indications for use. Facility policy titled Psychotropic Medications/Unnecessary Medications, dated 04/28/25, stated medications should have documented indications consistent with accepted clinical standards of practice.
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Illustrative
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Monroe
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arlington Pointe Care Center | 2.6 mi | ★★★★★ | 5 | 0 |
| Majestic Care Of Middletown Llc | 3.2 mi | ★★★★★ | 2 | 0 |
| The Laurels Of Middletown | 3.8 mi | ★★★★★ | 2 | 0 |
| Hawthorn Glen Nursing Center | 3.8 mi | ★★★★★ | 0 | 0 |
| Otterbein Lebanon Retirement Community | 4.6 mi | ★★★★★ | 8 | 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.