9
Inspections on file
6
Deficiencies cited
5
Visits with none
0
Substandard care
0
Immediate jeopardy

The most recent inspection on file for Carriage Court of Hilliard took place on February 20, 2026. Across the 9 inspections published by the Ohio Department of Health, surveyors cited 6 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
#2248R
County
Franklin
Administrator
Monica Coffelt
Director of nursing
Lindsay Carroll
Phone
(614) 529-7470
Ownership
For Profit - Partnership

Inspections

9 on file · 6 deficiencies
February 20, 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.
October 1, 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.
June 12, 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.
March 10, 2025Licensure 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 27, 2025Complaint survey1 deficiency
R-0712Adequate and appropriate treatment and careOhio citation · correction confirmed 03/10/2025
What the surveyor found

Based on record review, observation, care partner training guide review, review of employee file, resident interview, and staff interview, the facility failed to ensure a resident was provided care in manner the resident was assessed and planned for to be provided by the facility. This affected one (#34) of three residents reviewed for care and treatment. The faciliy identified 24 residents (#4, #6, #7, #10, #13, #16, #20, #21, #22, #23, #26, #31, #32, #33, #34, #35, #37, #39, #41, #47, #49, #52, #58 and #62) who require assistance with incontinence care. The facility census was 73.

Findings include:

Review of the medical record for Resident #34 revealed an admission date of 12/21/23, with diagnoses of diabetes mellitus, displaced bicondylar fracture of left tibia, major depressive disorder and urinary tract infection.

Review of comprehensive resident evaluation dated 12/09/24 revealed Resident #34 required staff assistance with transfer on or off the toilet, partial continence assistance with total incontinence of the bladder. Continence enabling devices and methods included: adult briefs, grab bar or transfer aid, and raised toilet seat. Review of continence goals revealed Resident #34 will receive assistance with continence needs and partial toileting and continence assistance.

Review of Resident #34's undated service plan details revealed goals of receiving assistance with continence needs, with no interventions noted.

Observation on 01/27/25 at 5:30 A.M., of Care Partner (CP) #74 providing incontinence care to Resident #34 revealed upon entering the room, CP #74 did not knock. CP #74 began to gather supplies for incontinence care. Once completed, CP #74 swiftly removed the sheet from on top of Resident #34, exposing Resident #34's soiled incontinence brief. CP #74 removed the side straps from the brief and rolled the front portion into Resident # 34's peri-area. CP #74 then swiftly lifted the resident with the chux without notifying the resident. CP #74 wiped the resident clean and removed the soiled brief entirely. CP #74 then rolled the resident back onto her back, wiping the resident's front area. At this time, this surveyor noticed Resident #34 grimace due to friction and shear of the wipe. CP #74 then again lifted up the absorbent pad without notice to the resident and placed a clean brief under the resident. CP #74 then rolled her back onto her back. During the entirety of this resident-to-care partner interaction, no explanation or conversation was conducted.

Interview on 01/27/25 at 5:35 A.M., with Care Partner #74 confirmed that she did not knock on the door, explain the peri-care process to residents and acknowledged that she did not converse with the resident during care.

Interview on 01/27/25 at 5:37 A.M., with Resident #34 indicated the peri-care was not performed gently, as the staff member was potentially in a rush. Resident #34 also stated that Care Partner #74 never explained the process of care and would always lift her without letting her know.

Review of Care Partner #74's employee file revealed an employee warning notice dated 01/03/24 indicating CP #74 has received complaints from residents about the staff member being rude when providing care. Plans for improvement include working on communication skills with residents and working on being polite. Further actions revealed failure to improve, embracing our company core values and making sure residents are taken care of properly and spoken to with respect, will result in a final warning with corrective action up to termination.

Review of the undated care partner training guide revealed perineal care includes explaining what you are going to do with the residents and ensuring to provide privacy, which includes covering the resident with a towel or sheet.

This violation represents non-compliance investigated under Complaint Number OH00160713.

Rule
Ohio Administrative Code - residential care rules
June 18, 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 29, 2024Licensure survey1 deficiency
R-0624Train all residents in fire drillsOhio citation · correction confirmed 06/18/2024
What the surveyor found

Based on record review and interview, the facility failed to conduct monthly fire safety inspections as required. This had the potential to affect all 80 residents residing in the facility. The census was 80.

Findings include:

Review of the document titled, Fire Safety - Self Inspection Form Nursing Homes & Residential Care Facilities

Rule
Ohio Administrative Code - residential care rules
March 22, 2023Complaint survey1 deficiency
R-0710Safe and clean environmentOhio citation · correction confirmed 01/29/2024
What the surveyor found

Based on medical record review, observation, staff and resident interview, and review of the U.S. Food and Drug Administration (FDA) Guide to Bed Safety Bed Rails in Hospitals, Nursing Homes, and Home Health Care, the facility failed to provide a safe resident environment. This affected three (Residents #20, #21, and #22) of three residents reviewed for safety of side rails. The facility census was 85.

Findings include:

1. Medical record review for Resident #21 revealed an admission date of 06/04/21 with diagnosis including cerebral palsy. Resident #21 required Hoyer lift transfers and used a wheelchair for locomotion. There was no evidence of a physician order or assessment for the use of a bed rail.

Observation and interview on 03/22/23 at 10:35 A.M. with Licensed Practical Nurse (LPN) #50 revealed Resident #21 had one bed rail on his bed that measured 11 inches high by 9.5 inches wide with no bars in between. The finding was verified by LPN #50 at that time.

Interview on 03/22/23 at 1:35 P.M. with Resident #21 revealed the bed rail was on the bed his entire stay at the facility and it helped him move.

2. Medical record review for Resident #20 revealed an admission date of 01/13/17 with diagnoses including cerebral palsy and depression. Resident #20 required the assistance of two staff for most care and a wheelchair for locomotion. There was no evidence of a physician order or assessment for the use of a bed rail.

Observation on 03/22/23 at 10:47 A.M. with LPN #54 revealed Resident #20 had two bed rails on her bed that measured 12 inches high by 15.5 inches wide with two horizontal bars in between with a 4.5 inch in the gap between the lower bar and mattress. The finding was verified by LPN #54 at that time.

Interview on 03/22/23 at 10:50 P.M. with the Resident #20 revealed the two bed rails were on her bed her entire stay at the facility except for about two weeks in 2022. The bed rails helped her move around in bed.

3. Medical record review for Resident #22 revealed an admission date of 08/21/19 with diagnoses including chronic obstructive pulmonary disease and heart disease. Resident #22 ambulated independently. There was no evidence of a physician order or assessment for the use of a bed rail.

Observation on 03/22/23 at 11:00 A.M. with LPN #54 revealed Resident #22 had one bed rail on his bed that measured 8.5 inches high by 29 inches wide with eight vertical bars in between with a 3.5 inches in the gap between the eight bars. The finding was verified by LPN #54 at that time.

Interview on 03/22/23 at 11:00 A.M. with the Resident #22 revealed the bed rail was on the bed his entire stay at the facility and it helped him move around.

Interview with the Administrator on 03/22/23 at 2:02 P.M. verified there were no physician orders or assessments for the use of bed rails for Residents #20, #21 and #22. The Administrator verified there was no policy specific to addressing the use of bed rails.

Review of the U.S. Food and Drug Administration (FDA) Guide to Bed Safety Bed Rails in Hospitals, Nursing Homes, and Home Health Care dated 09/2013 indicated potential risks of bed rails may include: strangling, suffocating, bodily injury or death when patients or part of their body are caught between bed rails, or between the bed rails and mattress. The bed rail entrapment prevention between the bed rail and the mattress (the space between the inside surface of the bed rail and the mattress compressed by the weight of a patient's head) the space should be small enough to prevent head entrapment when considering the mattress compressibility, any lateral shift of the mattress or bed rail, and degree of play from loosened bed rails. A dimension of less than 4 ¾ inches was recommended because the head was presumed to enter the space before the neck. The FDA recommended a dimensional limit of less than 120 millimeters (4 ¾ inches) for the area between the inside surface of the bed rail and the compressed mattress.

This violation represents non-compliance investigated under Complaint Number OH00140279.

Rule
Ohio Administrative Code - residential care rules
November 1, 2022Licensure survey3 deficiencies
R-0559Procure, store, prepare, distribute and serve foodsOhio citation · correction confirmed 01/29/2024
What the surveyor found

Based on observation and staff interview, the facility failed to ensure the kitchen was maintained in a sanitary manner. This has the potential to affect all 77 residents in the facility who receive meals from the kitchen. The census was 77.

Findings include:

1. Observation of the kitchen on 10/31/22 at 10:31 A.M. revealed the range hood panels were discolored with a tan/brown substance.

2. Observation of the kitchen on 10/31/22 at 10:32 A.M. revealed a dark brown substance on the window and wall by the dishwasher.

Interview on 10/31/22 at 10:35 A.M. with Kitchen Manager #21 revealed there was grease on the range hood. Kitchen Manager #21 stated the hood is cleaned quarterly and was last cleaned in July 2022 so it was due to be cleaned soon. Kitchen Manager #21 verified the dark brown substance on the wall and window near the dishwasher and stated the area was hard to reach.

This violation is a recite to the annual survey completed 09/23/20.

Rule
Ohio Administrative Code - residential care rules
R-0614Notify director when normal business interruption due to emergency/disasterOhio citation · correction confirmed 01/29/2024
What the surveyor found

Based on review of fire drills and staff interview, the facility failed to ensure a fire drill was conducted on each shift at least every three months. This had the potential to affect all 77 residents in the facility. The census was 77.

Findings include:

Review of the fire drills for the last year revealed there were three fire drills conducted on second shift in the past 12 months. A fire drill was completed on second shift on 02/17/22 and 09/06/22. There was no fire drill completed on second shift between 02/17/22 and 09/06/22.

Review of the fire drills for the last year revealed there were three fire drills conducted on third shift in the past 12 months. A fire drill was completed on third shift on 03/30/22 and 09/07/22. There was no fire drill completed on third shift between 03/30/22 and 09/07/22.

Interview on 10/31/22 at 11:45 A.M. with the Regional Plant Operations Manager revealed there was no local maintenance person in place in May 2022 so there were no fire drills completed in May or June 2022.

This violation is a recite to the annual survey completed 09/23/20.

Rule
Ohio Administrative Code - residential care rules
R-0660Maintain heating, electrical, bldg services; central heating check Q2 yearsOhio citation · correction confirmed 01/29/2024
What the surveyor found

Based on review of invoices and staff interview, the facility failed to ensure the central heating system was inspected every two years. This had the potential to affect all 77 residents in the facility. The census was 77.

Findings include:

Review of facility invoices revealed the last inspection of the central heating system was 02/25/20.

Interview on 10/31/22 at 3:30 P.M. with the Executive Director verified the last inspection of the central heating system was completed on 02/25/20.

Rule
Ohio Administrative Code - residential care rules

Resident Satisfaction

2025-2026 survey

Ohio interviews residents directly and publishes the results by area. Scores run from 0 to 100.

82.0Overall satisfaction score
85.5Ohio average
Below Ohio average
AreaThis facility 
Care and services85.4
Caregivers83.3
Environment94.6
Facility culture84.1
Meals and dining85.7
Moving in78.8
Spending time73.9