Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Otterbein At Granville during CMS and state inspections, most recent first.
Unjustified Psychotropic Medication Use: A resident with Parkinson's disease, dementia, anxiety, depression, and other diagnoses was prescribed Quetiapine and Depakote for delusions, paranoia, psychotic disorder, and dementia-related mood disturbance without documentation supporting a psychotic disorder diagnosis. Psychiatry notes did not document psychotic disorder, behavioral logs showed little documented behavior, and the DON confirmed there was no diagnosis supporting the antipsychotic use.
Missing Neurological Assessments After Unwitnessed Fall: A resident with dementia, TIA history, syncope, HTN, and AFib had an unwitnessed fall while trying to get out of a recliner and was noted with bruising to the face, hand, and collarbone. The care plan required neuro checks after falls, but the DON confirmed required assessments were missing after the event; the resident was also on Plavix and Eliquis and had severe cognitive impairment and high fall risk.
Failure to collect ordered lab specimens for a resident with DM2 and CKD. The resident’s care plan called for monitoring lab reports and completing ordered labs, and the physician ordered a BMP and A1C for diabetes and kidney follow-up. The DON later confirmed the results could not be located, and the resident had no refusals of care and was cognitively intact.
Inadequate Monitoring of Long-Term Antibiotic Use: A resident with severe cognitive impairment was maintained on daily Macrodantin for UTI prophylaxis despite no documented recurrent or chronic urinary diagnosis and no UTI for over a year. Care conference notes did not show review of the antibiotic with the family, and an RN confirmed the facility had no additional monitoring such as lab work or periodic urology follow-up to assess the ongoing need or effectiveness of the medication.
Unjustified Psychotropic Medication Use
Penalty
Summary
The facility failed to provide proper justification for the use of antipsychotic medications for one resident reviewed for medication use. The resident was admitted with multiple diagnoses including Parkinson's disease, major depressive disorder, anxiety disorder, delusional disorder, dementia, psychotic disorder, dysphagia, and Type II diabetes. The resident's MDS assessment dated 03/12/26 showed mild cognitive impairment. Physician orders showed Quetiapine was prescribed for delusions and paranoia related to psychotic disorder with delusions due to a known physiological condition, and Depakote was later ordered for unspecified dementia with mood disturbance. Discontinued orders also showed prior use of Quetiapine and Divalproex Sodium for delusions, paranoia, and dementia-related diagnoses. Psychiatry notes reviewed by surveyors did not document a past diagnosis of psychotic disorder in the July 2025 note, which focused on depression, anxiety, insomnia, Parkinson's disease with dementia, and recurrent UTIs. The August 2025 psychiatry note also did not document a psychotic disorder diagnosis, although the chief complaint referenced psychosis; the resident denied hallucinations, delusions, and paranoia and instead reported vivid, disturbing dreams. Behavioral logs from May 2025 through August 2025 showed no behaviors in May, June, or July, and only two behaviors in August, consisting of repeated movements and yelling/screaming. The DON confirmed there was no diagnosis of psychotic disorder prior to August 2025 and that there was no documentation supporting that diagnosis, and the President confirmed dementia was not a proper diagnosis for Depakote use even though it was the listed diagnosis.
Missing Neurological Assessments After Unwitnessed Fall
Penalty
Summary
The facility failed to ensure neurological assessments were completed after an unwitnessed fall for one resident. Resident #6 had diagnoses including history of transient ischemic attack, syncope and collapse, hypertension, dementia, and atrial fibrillation, and was identified as being at risk for falls. The care plan directed staff to perform neurological checks after any falls and to monitor and report neurological deficits such as changes in level of consciousness, visual changes, aphasia, dizziness, weakness, and restlessness. The resident’s annual MDS indicated severe cognitive impairment and substantial/maximal assistance was needed for chair-to-bed transfers. On 12/02/25, the resident had an unwitnessed fall while attempting to exit a recliner. The resident was observed with bruising to the left side of the face, bruising on the left dorsal hand, and redness to the left collarbone, and neurological checks were initiated. A hospice visit note on 12/03/25 documented scattered bruising to the right side, left eye, left collarbone, and left upper extremity from the elbow to the knuckles, and noted the resident was taking Plavix and Eliquis. Review of the neurological check documentation showed assessments completed at 6:30 P.M., 6:38 P.M., and 7:18 P.M. on 12/02/25, followed by additional checks on 12/03/25, 12/04/25, 12/05/25, and 12/06/25. The DON confirmed that required neurological assessments were missing following the unwitnessed fall, and the facility policy stated neurological assessments should be initiated after any obvious head trauma, acute change in mental status, or unwitnessed fall.
Failure to Collect Ordered Laboratory Specimens
Penalty
Summary
The facility failed to ensure physician-ordered laboratory specimens were collected for one resident. Resident #5 was admitted with diagnoses including major depressive disorder, Type II diabetes mellitus, chronic kidney disease, calculus of kidney, and morbid obesity due to excess calories. The care plan identified renal insufficiency with interventions to monitor laboratory reports as ordered and report results to the physician, and also identified Type II diabetes mellitus with an intervention to complete laboratory tests as ordered due to the risk of complications. A physician visit documented follow-up for diabetes mellitus, hypertension, and chronic kidney disease, with a plan to collect an A1C in April 2026 and recheck the BMP in three months. An active physician order was entered for a BMP and A1C on 04/15/26. Review of the quarterly MDS showed the resident was cognitively intact and had no refusals of care. During interview, the DON stated the laboratory results ordered for 04/15/26 could not be located, and later confirmed the results were not found; new laboratory specimens were then drawn and were in process.
Inadequate Monitoring of Long-Term Antibiotic Use
Penalty
Summary
The facility failed to provide adequate monitoring for the long-term use of antibiotics for one resident. Resident #21, who had severe cognitive impairment and multiple chronic diagnoses including dementia, dysphagia, diabetes, and hypertension, had been ordered Macrodantin 50 mg daily for UTI prophylaxis since 05/30/23. Review of her medical record showed no diagnoses of chronic, recurrent, or other urinary conditions from June 2023 through April 2026 to support the ongoing prophylactic antibiotic use, and progress notes showed she had not had a UTI since 05/18/23. Care conference notes from 10/22/25 and 02/04/26 did not include discussion or review of the prophylactic antibiotic with the care team or family. A physician note from 09/29/25 stated she continued Macrodantin 50 mg daily for a history of recurrent UTIs, but also documented that she had not had a UTI in over a year and did not list an active diagnosis of recurrent, chronic, or frequent UTIs. During interview, RN #118 stated the facility discussed long-term antibiotic use and frequent UTIs at care conferences, but confirmed the last two care conferences did not mention the antibiotic or chronic UTIs, and that the facility did not have other monitoring such as lab work or periodic urology appointments to determine the effectiveness or need for the long-term antibiotic.
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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 Granville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Flint Ridge Nrsg & Rehab Ctr | 4.1 mi | ★★★★★ | 2 | 0 |
| Newark Nursing & Rehab | 4.1 mi | ★★★★★ | 37 | 0 |
| Arlington Care Center | 4.7 mi | ★★★★★ | 7 | 0 |
| The Laurels Of Heath | 4.9 mi | ★★★★★ | 23 | 0 |
| Altercare Newark South Inc. | 5.8 mi | ★★★★★ | 3 | 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.