Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Valley Manor Care Center during CMS and state inspections, most recent first.
Food Storage and Hand Hygiene Deficiencies: Staff failed to discard dented cans, and multiple food items in the pantry and refrigerator were left unlabeled, undated, or improperly stored. The Dietary Supervisor and other dietary staff were also observed washing hands incorrectly, including washing for too little time and not using proper technique to turn off the faucet. The DON/Administrator stated the expectations were for food to be labeled and stored per regulation and for staff to wash hands properly.
Failure to follow ordered oxygen flow rate: A resident with heart disease, asthma, and a history of COVID-19 was ordered oxygen at 2 LPM via NC, but repeated observations showed the concentrator set at 1.5 LPM. RN review of the EMR confirmed the resident should have been on 2 LPM, and an STNA and LPN both observed the incorrect setting.
A resident receiving hospice care had a seizure and fell, causing a shoulder injury, but hospice was not notified until the next day. An LPN said she notified the physician, family, and unit manager but did not know the resident was on hospice at the time, and the DON stated hospice should have been notified immediately after the resident was stable.
Hand Hygiene Not Performed Between Glove Changes During Wound Care: An LPN provided wound care to a resident with a stage 2 pressure ulcer and intact cognition while wearing double gloves, then changed gloves multiple times without performing hand hygiene in between. The LPN later stated hand hygiene should have been done between each glove change, and the DON and Administrator stated hand hygiene should occur between glove changes for infection control reasons.
A resident with multiple medical conditions was prescribed Diltiazem, but due to a transcription error by staff, received Dilantin instead. The error was discovered after the medication was administered, and it was confirmed that the facility's policy for administering medications as prescribed was not followed.
A facility failed to report an alleged sexual abuse incident involving a resident with dementia, who was referred to a gynecologist for vaginal bleeding. The gynecologist raised concerns about potential sexual assault, but the facility did not file a Self Reported Incident (SRI) with the State Agency as required by their policy. This deficiency was confirmed by the Administrator and represents non-compliance with state reporting requirements.
A resident with severely impaired cognition accessed medications left unattended by an STNA, leading to a hospital evaluation. The facility failed to ensure a safe environment free from hazardous substances, as required by their employee handbook.
Food Storage and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to ensure dented cans were discarded, food items were dated and labeled, and kitchen staff washed their hands using proper technique. The report states these failures had the potential to affect all residents who received meals from the dietary department. Facility policy required dry foods and refrigerated or frozen foods to be labeled and dated, and required handwashing to include wetting hands, applying soap, rubbing hands vigorously for at least 20 seconds, rinsing, drying with a disposable towel, and using the towel to turn off the faucet. During observation, the Dietary Supervisor washed her hands for about eight seconds before entering the dry pantry and stated she was in a hurry and knew better. The Dietary Supervisor also observed two 50-ounce tomato soup cans in the dry pantry, one dented and one dented and breached, with spillage that looked like mold. In the refrigerator, six meat patties were stored in an unlabeled foam container, and a clear plastic bag with white onion slices had a use-by date of 08/20/2025 but no preparation date. Another observation found an opened, unsealed box of frozen pizza slices, an unsealed clear plastic bag containing five pounds of garlic bread sticks that were not labeled or dated, and egg patties that were not dated or labeled. Additional observations showed [NAME] #17 did not wash with soap for at least 15 seconds and stated she got nervous and knew the proper steps for handwashing. Dietary Aide #16 washed her hands, shut off the water with her hands, and then grabbed a paper towel to dry her hands; she stated she was supposed to use a paper towel to turn off the water after drying her hands. The Administrator stated the expectation was that kitchen staff follow regulations for food labeling and storage, that dented cans be properly disposed, and that staff wash hands properly to avoid illness.
Failure to Follow Ordered Oxygen Flow Rate
Penalty
Summary
The facility failed to follow the physician's order for supplemental oxygen for Resident #41. The resident was admitted with a history that included heart disease, mild intermittent asthma, and a personal history of COVID-19. The quarterly MDS indicated the resident had short- and long-term memory problems, severely impaired cognitive skills for daily decision-making, and received supplemental oxygen therapy while in the facility. The care plan included an intervention to administer supplemental oxygen per MD orders, and the medication review showed an order, started 06/03/2024, for oxygen at 2 LPM via nasal cannula routinely every day and night shift for cough and congestion. During observations on 08/18/2025, 08/19/2025, and 08/20/2025, Resident #41 was seen in bed receiving oxygen by nasal cannula at 1.5 LPM instead of the ordered 2 LPM. During an interview on 08/18/2025, RN #13 reviewed the EMR and stated the resident should be on continuous oxygen at 2 LPM. During a concurrent observation and interview on 08/20/2025, STNA #15 noted the oxygen concentrator was set at 1.5 LPM and left the room without telling the nurse. Later that morning, LPN #14 checked the concentrator and stated the setting was below 2 LPM but above 1.5 LPM. The Administrator stated staff were expected to follow orders for oxygen administration.
Delayed Notification of Hospice After Resident Seizure and Fall
Penalty
Summary
The facility failed to immediately notify hospice services of a significant change in a resident's condition for one resident receiving hospice care. Resident #129 had diagnoses including non-traumatic brain dysfunction and diabetes mellitus, and the annual MDS indicated the resident had short- and long-term memory problems, severely impaired cognitive skills for daily decision-making, and was receiving hospice services while in the facility. The care plan included an intervention to keep family and hospice informed, and the active order summary showed the resident was admitted to hospice services. On 07/27/2025, Resident #129 had a seizure and fell, resulting in a shoulder injury. The hospice case manager stated the facility did not notify hospice until the next day, despite hospice having a 24-hour contact number and the expectation that the incident be reported immediately. During interview, an LPN stated she notified the physician, family, and unit manager, but did not notify hospice because she was not aware the resident was on hospice at the time. The DON stated the expectation was to notify hospice immediately after the resident was stable and acknowledged hospice was not notified until the following day.
Hand Hygiene Not Performed Between Glove Changes During Wound Care
Penalty
Summary
The facility failed to ensure hand hygiene occurred between glove changes during wound care for Resident #32. Resident #32 was admitted on 05/13/2025 and had diagnoses including obesity and chronic pain syndrome. The admission MDS dated 05/20/2025 showed a BIMS score of 15, indicating intact cognition, and identified one stage 2 pressure ulcer present on admission. The care plan, revised 05/20/2025, addressed impaired skin integrity and directed staff to use enhanced barrier precautions related to wounds and monitor for signs and symptoms of infection. During wound care observation on 08/19/2025, an LPN entered the room wearing gloves and then put another pair of gloves over the first pair. After cleansing the wound, removing both pairs of gloves, and putting on a new pair, the LPN did not perform hand hygiene. The LPN again removed gloves and put on new gloves without hand hygiene after applying the dressing. The LPN later removed supplies, discarded them while still wearing gloves, and then washed her hands. The LPN stated she should have done hand hygiene between each glove change. The DON and Administrator stated hand hygiene should occur between glove changes and after touching a dirty area.
Significant Medication Error Due to Transcription Mistake
Penalty
Summary
A deficiency occurred when a resident with diagnoses including atrial fibrillation, protein calorie malnutrition, dementia, depression, and transient ischemic attacks was prescribed Diltiazem 180 mg daily by their primary care provider. However, facility staff transcribed the order incorrectly, entering Dilantin 180 mg instead of Diltiazem into the resident's medication orders. As a result, the resident received Dilantin 180 mg rather than the intended Diltiazem on the following day. The error was identified through a review of the medical record, medication administration record, and the facility's medication error form, which confirmed the transcription mistake. The facility's policy required medications to be administered as prescribed, but this was not followed in this instance, leading to the administration of the wrong medication to the resident.
Plan Of Correction
Resident was assessed for changes in condition and any side effects from the medication and none were noted. Assessment was completed by RN unit manager and evaluated by LPN staff nurses on 4/25/25. No new interventions needed. The physician was notified on 4/25/25 and no new orders provided. There was no change in the resident's condition. The facility DON and/or designee completed an audit of orders for patients on Dilantin and/or Diltiazem to ensure that orders are correct. The audit was completed on 6/26/25. All nurses in the facility will be educated on ensuring that appropriate medication is picked from the drop-down box in the EMR and to be aware of look-alike names such as Dilantin and Diltiazem. Education will be completed by DON and/or designee and will be completed by 7/10/25. The DON and/or designee will audit new medication orders on 2-3 residents per unit weekly for 4 weeks. The results of the audit will be forwarded to the QAPI Committee to determine next steps.
Failure to Report Alleged Sexual Abuse
Penalty
Summary
The facility failed to file a Self Reported Incident (SRI) with the State Agency following an allegation of sexual abuse involving a resident. The resident, who had a history of bipolar disorder, anxiety disorder, and dementia, was admitted to the facility and later referred to a gynecologist due to vaginal bleeding. The gynecologist's assessment raised concerns about a potential sexual assault, as the resident had reported being sexually active with her husband and had experienced bleeding after intercourse. Despite these concerns, the facility did not report the incident to the State Agency as required by their policy. The facility's policy mandates that any event involving abuse or serious bodily injury should be reported to the State Agency immediately, or no later than two hours after the allegation is made. However, an interview with the Administrator confirmed that no SRI was filed following the gynecologist's documented allegation of potential sexual assault. This oversight represents a deficiency in the facility's compliance with state reporting requirements, as investigated under Complaint Number OH00162528.
Plan Of Correction
Resident has had no further vaginal bleeding. Skin assessment of resident was completed on 3/3/25 by staff nurse with no suspicious findings. Medical record was reviewed by ADON on 3/7/25 and resident has had no decline in status as evidenced by stable mood and behavior, no decline in intakes, and no other decline in status. All current resident records were reviewed by ADON, unit manager or MDS to identify any suspicious injuries/injuries of unknown source. None were identified. This review was completed on 3/7/25. Administrator reviewed facility complaints for the last 3 months on 3/7/25 and there were no complaints that were suspicious for abuse. The facility did not identify any other reportable events from the complaints or medical record reviews. Administrator and DON were educated on 3/11/25 on reporting to State Agency as outlined in the facility policy by the Corporate DON. See inservice attached. To ensure ongoing compliance, the facility administrator will review all complaints and any injuries without a known cause weekly with Corporate DON x 4 weeks. The results of these reviews will be forwarded to the QAPI Committee to determine a schedule for ongoing monitoring or additional interventions.
Failure to Secure Hazardous Substances
Penalty
Summary
The facility failed to ensure the resident environment was free of potentially hazardous substances, which led to an incident involving a resident with severely impaired cognition. Resident #130, who had multiple diagnoses including frontotemporal neurocognitive disorder and dementia, was found in possession of two medications, Wellbutrin and Adderall, that belonged to a State tested Nursing Assistant (STNA). The medications were left unattended in the resident dining room by STNA #30, who had left her purse containing the medications on a table while she took her lunch break. A visiting family member alerted staff that Resident #130 was looking through the purse, and the resident was subsequently found in his room with the medication bottles, one of which was open. The resident was sent to the hospital for evaluation and possible treatment for ingestion of the medications, but blood tests revealed no ingestion had occurred, and the resident returned to the facility with no new orders. Interviews with the Director of Nursing (DON), Administrator, and Registered Nurse (RN) confirmed that STNA #30 did not properly secure her personal belongings, leading to the resident's access to the medications. The facility's employee handbook states that all employees are responsible for securing their personal property, but this protocol was not followed in this instance. The deficiency was investigated under Complaint Number OH00153629 and represents noncompliance with ensuring a safe environment free from accident hazards.
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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 Ripley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Villa Georgetown Rehabilitation And Healthcare Cen | 7.5 mi | ★★★★★ | 0 | 0 |
| Maysville Nursing And Rehabilitation Facility | 8.8 mi | ★★★★★ | 0 | 0 |
| Ohio Veterans Home - Georgetown | 8.9 mi | ★★★★★ | 0 | 0 |
| Perkins Country Manor | 11.6 mi | ★★★★★ | 1 | 0 |
| Adams County Manor | 13.1 mi | ★★★★★ | 18 | 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.