Brookdale Muirfield — Ohio Facility Report

Inspections on file

Deficiencies cited

Visits with none

Substandard care

Immediate jeopardy

The most recent inspection on file for Brookdale Muirfield took place on April 15, 2026. Across the 9 inspections published by the Ohio Department of Health, surveyors cited 5 deficiencies.

A deficiency is a rule the surveyor found the facility was not meeting. Ohio inspects against two rule books at once, so most findings carry a federal code and an Ohio code for the same problem; each is counted once here, the way the state counts it. Correction dates are the state's confirmation that the issue was fixed.

This report reproduces what Ohio publishes and nothing else. Of the 9 inspections listed, the state publishes the surveyor's written findings for 4; for the other 5 it publishes only the date, the type of visit and the number of deficiencies - 5 of which found none.

Facility Details

Ohio license number

#2208R

County

Franklin

Administrator

Jessica Jones

Director of nursing

Melany Li

Phone

(614) 336-3677

Ownership

For Profit - Corporation

Inspections

9 on file · 5 deficiencies

April 15, 2026Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

January 21, 2026Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

November 13, 2025Licensure survey1 deficiency▼

R-0559Procure, store, prepare, distribute and serve foodsOhio citation▼

What the surveyor found

Based on observations, staff interviews, and policy review, the facility failed to ensure food items were sealed and stored in a manner to prevent spoilage. This had the potential to affect all 69 residents residing in the facility. The facility census was 69.

Findings include:

Initial observation on 11/12/25 at 9:02 A.M. of the kitchen dry stock revealed various unlabeled unsealed food items, including three bags of dry cereal, a bag of mini marshmallows, and three bags of dry pasta.

Interview with the Director of Dining Services (DDS) #116 on 11/12/25 at 9:10 A.M. confirmed opened bags of food are supposed to be labeled with the date the item was opened and sealed properly to prevent spoilage. DDS #116 was unable to identify when the bags had been opened.

Review of policy titled Food Storage

Rule

Ohio Administrative Code - residential care rules

June 4, 2025Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

February 4, 2025Licensure survey2 deficiencies▼

R-0559Procure, store, prepare, distribute and serve foodsOhio citation▼

What the surveyor found

Based on observation, staff interview, and record review, the facility failed to ensure food was stored in a safe and sanitary manner. This had potential to affect all 66 residents who receive food from the kitchen. The facility census was 66.

Findings include:

Observation on 02/04/25 at 11:00 A.M. revealed in the dry storage area, there were several items not dated when opened: an bag of rice, a bag of cheetos, a bag of penne noodles and spiral noodles, a bag of marshmallows, and an bag of brown sugar. In the refrigerator, there was a tray of butter ramikans that was left uncovered. In the freezer, there was a plate of four cheesecake slices left undated, eight frozen pizzas were left undated, over 20 bags of frozen vegetables were left undated.

Interview on 02/04/25 at 11:10 A.M. with Cook #105 confirmed they had been short staffed and without a kitchen manager for about two months. Cook #105 confirmed food should be labeled and dated with the received date and then when opened, given a sticker that includes the open date and use by dates. Cook #105 confirmed the findings in the dry storage, refrigerator, and freezer were undated and the butter was left uncovered.

Review of the facility policy titled Food Storage dated 06/2024 revealed all food must be stored in a manner that maximizes nutrient retention quality and food safety. The policy did not include any guidance related to dating food.

Rule

Ohio Administrative Code - residential care rules

R-0563Food texture meets individual needs, except no syringe feedingsOhio citation · correction confirmed 11/13/2025▼

What the surveyor found

Based on observation, staff interview and record review, the facility failed to ensure puree foods were made to the accurate consistency. This had the potential to affected the two residents (#15 and #37) who were identified to receive puree diets. The facility census was 66.

Findings include:

1. Review of the medical record for Resident #15 revealed an admission date of 01/10/22. Diagnoses included psychosis, Alzheimer's disease, anorexia and dementia.

Review of the physician orders for Resident #15 revealed an order dated 02/13/24 for a puree diet.

2. Review of the medical record for Resident #37 revealed an admission date of 06/19/20. Diagnoses included muscle weakness, and neurocognitive disorder with lewy bodies.

Review of the physician orders for Resident #37 revealed an order dated 02/22/24 for a puree diet.

Observation on 02/04/25 at 12:05 P.M. revealed puree country fried steak was made, for two portions by added two pieces of country friend steak with country gravy. It was blended and scooped onto the resident's plates by Cook #105. Cook #105 did not scape the sides of the blender to get the chunks on the edges of the mixer. A taste test was completed and found pea size chunks of food and breading with food not in a smooth texture.

Interview on 02/04/25 at 12:07 P.M. with Cook #105 confirmed the sides of the blender were not scraped and acknowledged mixture had chunks remaining.

Review of the policy on Approved Diets dated 11/2019 revealed puree diet should be of puree consistency. All foods on this diet should be of mashed potato consistency or pudding.

Rule

Ohio Administrative Code - residential care rules

April 15, 2024Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

January 18, 2024Licensure survey1 deficiency▼

R-0614Notify director when normal business interruption due to emergency/disasterOhio citation · correction confirmed 02/04/2025▼

What the surveyor found

Based on review of facility fire drills, staff interviews and policy review, the facility failed to ensure fire drills were completed once per shift per quarter. Additionally, the facility failed to ensure fire drills were conducted at varied dates/times. This had the potential to affect all 48 residents residing in the facility. Facility census was 48.

Findings include:

Review of facility fire drills for the past 12 months revealed drills were conducted at the following dates/times: on 01/26/23 the alarm started at 10:00 A.M. and was a first shift drill; on 02/27/23 the alarm started at 3:05 P.M. and was a second shift drill; on 03/27/23 the alarm started at 7:30 P.M. and was a second shift drill; on 04/26/23 the alarm started at 2:00 P.M. and was a first shift drill; on 05/30/23 the alarm started at 2:00 P.M. and was a second shift drill; on 06/21/23 the alarm started at 8:00 P.M. and was a second shift drill; on 07/25/23 the alarm started at 3:40 P.M. and was a second shift drill; on 08/28/23 the alarm started at 3:30 P.M. and was a second shift drill; 09/26/23 the alarm started at 7:15 P.M. and was a second shift drill; on 10/30/23 the alarm started at 1:50 P.M. and was a first shift drill; on 11/19/23 the alarm started at 2:15 P.M. and was a second shift drill; and on 12/18/23 revealed the alarm started at 9:00 P.M. and was a second shift drill.

Interview on 01/18/24 at 11:31 A.M. with Health and Wellness Director (HWD) #82 revealed most staff work 12 hour shifts, but facility does have staff that will pick up shifts of less than 12 hours.

Interview on 01/18/24 at 11:50 A.M. with Maintenance Director (MD) #69 revealed he completes fire drills for each of the three shifts and revealed those shifts as 6:00 A.M. to 2:00 P.M., 2:00 P.M. to 10:00 P.M., and 10:00 P.M. to 6:00 A.M. MD #69 then reviewed the dates and times of the fire drills and confirmed no drills were completed between the hours of 10:00 P.M. and 6:00 A.M. MD #69 also confirmed the dates were not varied with nine of 12 months dated the from the 25th to 30th of each month, and also confirmed the times were not varied (seven of 12 months were timed 1:50 P.M. to 3:40 P.M.) with back to back months at 2:00 P.M. for 04/2023 and 05/2023 and a ten minute difference in time from 07/2023 to 08/2023. MD #69 revealed they had been instructed to vary the dates more and so he switched November to the 19th and December to the 18th.

Review of facility policy titled Fire Drills

Rule

Ohio Administrative Code - residential care rules

August 1, 2023Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼

✅

No deficiencies cited

Ohio lists this visit in its inspection index with no deficiencies. The state publishes a findings report only when a visit cites something, so there is no further detail to show.

September 6, 2022Complaint survey1 deficiency▼

R-0331Specify extent and type of personal care services providedOhio citation · correction confirmed 01/18/2024▼

What the surveyor found

Based on medical record review, resident interview, and review of the facility's resident agreement, the facility failed to provide showers on a regular basis and based on resident preference. This affected two (Resident #31 and Resident #2) of three residents reviewed for routine showers. The facility census was 57.

Finding include:

1. Review of the medical record for Resident #31 revealed an admission date of 12/13/21. Diagnoses included arthritis, diabetes mellitus, hypertension, obesity, and neurogenic bowel. She also has a history of chronic kidney disease, macular degeneration, and tremors.

Review of the service plan last revised on 06/12/22 for Resident #31 revealed she required extensive assistance with bathing, dressing, and hygiene. The service plan revealed Resident #31 also required use of a Hoyer lift for transfers as she was unable to walk on her own. Further review revealed Resident #31 was to have showers or a bed bath twice per week on the days of her preference. There was no documentation identifying the resident's preference for shower/bath days and there was no documentation showing Resident #31 refused care.

Interview with Resident #31 conducted on 09/06/22 at 9:10 A.M. revealing she had not had an actual shower since 07/07/22. Resident #31 stated the staff sometimes gave her a bed bath, but not twice per week. Resident #31 stated her last bed bath was on Sunday, 09/04/22. Resident #31 stated her buttocks hurt if she sat too long.

Review of the bathing and showering assistance task documentation from 08/08/22 through 09/06/22 revealed Resident #31 had no documentation she had refused a shower. Further review revealed she received bathing assistance on 08/11/22, 08/12/22, 08/13/22, 08/14/22, 08/16/22, 8/17/22, 8/19/22, 08/20/22, 08/21/22, 08/22/22, 8/22/22, 8/24/22, 08/25/22, 08/26/22, 08/28/22, 8/30/22, 8/31/22, and 09/01/22. However, there appeared to be a discrepancy in documentation because there were multiple occurrences taking place multiple times per day, which was unlikely. The documentation also did not differentiate whether resident received a bed bath or got out of bed for a shower.

Review of shower sheets for Resident #31 revealed the only documented shower was on 07/07/22.

Review of the progress notes from 08/08/22 through 09/06/22 revealed no documentation Resident #31 refused a shower or personal care. Further review revealed no documentation of discussions with the resident and/or the resident's representative of concerns about the resident refusing care.

Interview on 09/06/22 at 9:20 A.M. with Caregiver #29 revealed showers were only conducted twice per week or per resident preference. Caregiver #29 stated if a resident refused any care it was documented in the task documentation and reported to a nurse.

Interview on 09/06/22 at 1:45 P.M. with the Wellness Director revealed showers were conducted twice per week or per resident preference. The Wellness Director stated resident showers and care refusals were to be documented by the nurse in the resident record.

Follow up interview on 09/06/22 at 4:33 P.M. with the Wellness Director revealed Resident #31 frequently refused to get out of bed and refused showers. The Wellness Director verified there was no evidence and/or documentation showing the resident refused care or showers. The Wellness Director further verified there were no other shower sheets (other than the one dated 07/22/22) showing the resident received an actual shower. The Wellness Director mentioned the resident's representative refused to buy a better Hoyer lift so staff could get her out of bed. The Wellness Director also verified there was a discrepancy with the resident's bathing record in August 2022.

2. Review of the medical record for Resident #2 revealed an admission date of 07/31/21 and diagnoses included congestive heart failure, hypertension, obesity, and anxiety.

Review of the service plan last revised on 06/12/22 revealed Resident #2 required extensive assistance with bathing, dressing, and hygiene. Resident #2 was to have showers or bed baths twice per week on the days of her preference, the plan did not identify the resident's preference. There was no documentation stating Resident #2 refused care.

Review of the bathing and showering assistance task documentation from 08/08/22 through 09/06/22 revealed Resident #2 had documentation she had refused a shower on 08/28/22. The task documentation for August also revealed she only received bathing assistance twice on 08/14/22 and 08/21/22, and not at all in September. This documentation also did not differentiate whether the resident received a bed bath or got out of bed for a shower.

Review of the progress notes from 08/08/22 through 09/06/22 revealed no documentation Resident #2 refused a showers or personal care. Additional review revealed no documentation of staff having a discussion with Resident #2 and/or her representative about concerns of refusing care.

Interview with Caregiver #29 on 09/06/22 at 9:20 A.M. revealed showers were conducted twice per week or per resident preference. Caregiver #29 stated if a resident refused any care, it was documented in the task documentation and reported to a nurse.

Interview with Resident #2 on 09/06/22 at 9:40 A.M. revealed she was not sure when her last shower was.

Interview with the Wellness Director on 09/06/22 at 1:45 P.M. revealed showers were conducted twice per week or per resident preference. The Wellness Director stated resident showers and care refusals were to be documented by the nurse in the resident's record.

Review of the facility's document titled, Resident Agreement. revised in April 2021, revealed all residents would have routine personal care assessments and an accurate personal service plan in place.

This violation substantiates Complaint Number OH00135283

Rule

Ohio Administrative Code - residential care rules