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 Worthington Christian Village during CMS and state inspections, most recent first.
A resident with Parkinson’s disease, neuropathy, cerebrovascular disease, and other mobility-impairing conditions, assessed as needing substantial/maximal assistance for bed mobility and care planned for two-person assistance with all bed mobility, was being repositioned and having bed linens changed by a single CNA. The CNA rolled the resident to one side of the bed while the bed was in a high position and continued changing the sheet after noticing the resident holding the bed rail, after which the resident fell from the bed. An RN responded, found the resident in pain, and, after the resident requested hospital evaluation and the physician was contacted, the resident was sent to the hospital, where a leg fracture was identified. The facility’s investigation confirmed that only one staff member was present despite the documented requirement for two-person assistance.
A resident with hypertension and spinal stenosis had multiple antihypertensive medications ordered with parameters to hold doses and notify the physician or NP if SBP was below a specified threshold, and a PRN opioid ordered only for mild to moderate pain. Review of the MAR showed that all three BP medications were administered when the SBP was below the ordered parameter, without documented provider notification, and a PRN Oxycodone dose was given when the documented pain level was zero. The DON confirmed these medications should only be given within ordered parameters or with documented provider authorization, and facility policy required checking vital sign instructions and documenting the reason for PRN use, which did not occur.
A resident with severe cognitive impairment and swallowing difficulties had a physician-ordered mechanical soft diet with honey thick liquids, while hospice documentation listed a soft/puree diet with honey thick liquids. Hospice staff reported they had soft/puree diet orders on file, and the facility’s MR staff stated they only uploaded hospice records without reviewing their contents. The DON confirmed that hospice records were not being reviewed for consistency, despite an agreement and policy requiring coordination and alignment between the hospice plan of care and the facility plan of care.
Care plans did not reflect prescribed medications for two residents. One resident with dementia, HF, and other diagnoses had a Lasix order for chronic HF, but diuretic use was not addressed in the care plan. Another resident with severely impaired cognition had APAP orders for pain, but pain medication use was not addressed. The MDS Coordinator verified the omissions.
Failure to document a mouth lesion and the reason for mupirocin use. A resident with COPD, metabolic encephalopathy, dysphagia, mood disorders, anxiety, and sialoadenitis had an order for mupirocin ointment for a mouth lesion, but the chart lacked documentation describing the lesion or why the antibiotic was started. The DON confirmed there was no documentation for the lesion or the ointment indication, and noted the areas were about an inch above the resident’s mouth.
Pharmacy review failed to include recommendations for a resident with severe cognitive impairment who was receiving psychotropic meds for anxiety and depression. Monthly pharmacist reviews were completed, but only a lipid panel was recommended and no GDR or other recommendations were made for Buspirone or Citalopram; the DON confirmed no pharmacy recommendations had been made since admission, while the pharmacist noted a GDR was scheduled for 4/26.
Failure to Provide Required Two-Person Assistance During Bed Mobility Resulting in Fall and Fracture
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate physical assistance with bed mobility to a resident who required two-person assistance, resulting in a fall from bed and a leg fracture. The resident had diagnoses including Parkinson’s disease, hereditary and idiopathic neuropathy, cerebrovascular disease, spondylosis, degenerative disease of the nervous system, and fibromyalgia. An MDS assessment showed the resident was cognitively intact but required substantial/maximal assistance for rolling in bed and returning to a lying position, and a fall risk assessment identified the resident as being at moderate risk for falls. The resident’s care plan documented a risk for ADL decline related to impaired mobility and specified that two staff were to assist with all bed mobility, turning, and repositioning for comfort. On the date of the incident, a CNA entered the resident’s room and changed the bed sheet while the resident remained in bed, performing this task alone despite the care plan requirement for two-person assistance with bed mobility. The CNA rolled the resident to the left side of the bed, away from herself, to change the sheet. While the CNA was changing the sheet, she observed the resident holding onto the bed rail but continued the task. The CNA later saw the resident fall from the bed; she reported that the bed was in a high position at the time the resident fell. Following the fall, an RN was called to the room by the CNA and found the resident in pain. The RN assessed the resident, and the resident requested to be sent to the hospital rather than have an X-ray performed at the facility. The RN contacted the primary care physician, who agreed to send the resident to the hospital. The facility’s investigation confirmed that the CNA was alone in the room during the bed sheet change, contrary to the resident’s care plan requiring two staff for bed mobility. The DON stated she was informed that the resident had sustained a leg fracture as a result of the fall, although specific details of the injury were not documented in the investigation summary.
Failure to Follow Ordered Parameters for Antihypertensive and PRN Pain Medications
Penalty
Summary
The deficiency involves the facility’s failure to administer blood pressure and pain medications within ordered parameters for one resident. The resident was admitted with diagnoses including spinal stenosis, essential hypertension, alcohol dependence, and hyperlipidemia, and had no documented cognitive deficit on the admission MDS. Physician orders included Carvedilol 25 mg twice daily, Hydrochlorothiazide 25 mg daily, and Lisinopril 40 mg daily, all with parameters to hold the medications and notify the physician or NP if the systolic blood pressure (SBP) was less than 110 mmHg, and for Carvedilol also if the pulse was less than 60. Review of the MAR showed that on 01/05/26 all three antihypertensive medications were administered when the resident’s SBP was documented as 108 mmHg, and there was no corresponding documentation in the progress notes that the physician or NP had been notified or had given an order to administer the medications outside the established parameters. The resident also had an order for PRN Oxycodone 5 mg every four hours as needed for mild to moderate pain, defined as pain levels one to five. Review of the MAR revealed that Oxycodone was administered on 01/13/26 when the resident’s documented pain level was zero, indicating administration outside the ordered pain parameters. The DON confirmed in interview that blood pressure medications should not be given when vital signs fall outside ordered parameters unless the physician provides an order, and that PRN pain medications should only be administered within the ordered parameters or with documented physician authorization to deviate. Facility policy on Medication Administration required the nurse to check special instructions and contraindications, including vital signs and other assessments, before giving medications, and to document the reason for administering PRN medications in the MAR and resident chart. These requirements were not followed in this case, resulting in the cited noncompliance.
Failure to Reconcile Hospice Diet Documentation With Facility Orders
Penalty
Summary
The deficiency involves the facility’s failure to ensure hospice documentation was reviewed and consistent with facility physician orders and the resident’s plan of care for a hospice patient. The resident was admitted with diagnoses including cerebral atherosclerosis, vascular dementia, anxiety disorder, hypertension, and bipolar disorder, and had severe cognitive impairment per the MDS. The MDS and quarterly nutrition reviews documented that the resident held food in the mouth/cheeks, had residual food after meals, and experienced coughing or choking during meals or when swallowing medications. The physician’s diet order specified a regular diet with mechanical soft texture and honey thick liquids. In contrast, hospice reports documented the resident’s diet as soft/puree with honey thick liquids, and the hospice nurse stated that hospice had diet orders on file for soft/puree and honey thick liquids. The DON reported that when hospice records are sent to the facility, the medical records department receives them and uploads them into the documentation system but does not review the contents. The DON further confirmed that the medical records department was not reviewing hospice records and could not confirm that anyone else was reviewing them. The hospice agreement and facility hospice policy required collaboration and consistency between the hospice plan of care and the facility plan of care, but hospice was documenting an incorrect diet that did not match the facility’s physician orders, and the facility did not have a process in place to review and reconcile these discrepancies.
Care Plans Did Not Reflect Prescribed Medications
Penalty
Summary
The facility failed to ensure Resident #28's care plan accurately reflected her prescribed diuretic medication. Resident #28 was admitted with diagnoses including dementia, heart failure, dysphagia, hypertension, low back pain, anorexia, major depressive disorder, anxiety disorder, and hallucinations. Her MDS assessment showed moderately impaired cognition and that she received diuretics during the lookback period. A physician order dated 10/15/25 included Lasix 20 mg by mouth one time a day for chronic heart failure, but the care plan dated 01/21/26 did not address diuretic use. The facility also failed to ensure Resident #2's care plan accurately reflected his prescribed pain medication. Resident #2 was admitted with diagnoses including cerebral infarction due to unspecified occlusion or stenosis of the left anterior cerebral artery, hypertension, anxiety disorder, history of malignant neoplasm of bladder, and osteoarthritis. His MDS assessment showed severely impaired cognition. Physician orders included Acetaminophen 500 mg by mouth every eight hours as needed for pain and later Acetaminophen 500 mg by mouth three times a day for pain, but the care plan did not address pain medication use. The MDS Coordinator verified that no care plan was in place for the resident's diuretic use or pain medication use.
Failure to Document Mouth Lesion and Antibiotic Justification
Penalty
Summary
The facility failed to document a new skin area for Resident #9 and failed to provide documented justification for starting an antibiotic ointment. Resident #9 was admitted with diagnoses including COPD, metabolic encephalopathy, dysphagia, unspecified mood disorder, major depressive disorder, anxiety disorder, and sialoadenitis, and the quarterly MDS indicated moderately impaired cognition. A physician order dated 01/19/26 to 01/24/26 directed Mupirocin External Ointment 2% three times daily for five days for a mouth lesion, but review of the resident’s progress notes and assessments on 01/21/26 at 8:00 A.M. found no documentation describing the mouth lesion or explaining why the ointment was needed. During interviews on 01/21/26, the DON verified there had been no documentation to describe the mouth lesions or why they required an ointment, and stated the areas were about an inch above the resident’s mouth and that the physician was to evaluate them when he came in next. The facility’s skin policy stated that daily skin checks were to be performed by CNAs and any changes documented and reported to the nurse.
Pharmacy Review Lacked Recommendations for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that a licensed pharmacist completed monthly drug regimen reviews, including review of the medical chart, in accordance with irregularity reporting guidelines in its policies and procedures. This deficiency involved Resident #32, who was admitted with diagnoses including cerebral infarction, muscle wasting and atrophy, dysphagia, cognitive communication deficit, wedge compression fracture of the first lumbar vertebra, hypertension, Alzheimer's disease, heart failure, atrial fibrillation, anxiety disorder, depression, mood disorder, and vascular dementia. Her MDS dated 01/08/26 showed severe cognitive impairment. Review of the resident's physician orders showed psychotropic medications including Buspirone HCl 5 mg twice daily for anxiety, started on 04/17/25, and Citalopram Hydrobromide 20 mg daily for depression, started on 04/03/25. Monthly pharmacy reviews from April 2025 through December 2025 showed the pharmacist reviewed the medications each month, but pharmacy recommendations during that period included only one recommendation for a lipid panel. There were no recommendations for gradual dose reduction or any other recommendation regarding Citalopram or Buspirone. The DON confirmed there were no pharmacy recommendations, including GDR recommendations, for the resident since admission, and the pharmacist stated in an email that a GDR was scheduled for 4/26.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 848 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willow Brook Christian Home | 0.5 mi | ★★★★★ | 8 | 0 |
| Highbanks Care Center | 0.6 mi | ★★★★★ | 8 | 0 |
| Laurels Of Norworth The | 2 mi | ★★★★★ | 5 | 0 |
| Laurels Of Worthington, The | 2.6 mi | ★★★★★ | 0 | 0 |
| Capri Gardens | 3.9 mi | ★★★★★ | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Worthington Christian Village.
100% money-back within 48 hours.
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.