State officials are working to move Bon-Ing Care and Rehabilitation Center residents following violations that put them in "real and present danger."

State officials are working to move Bon-Ing Care and Rehabilitation Center residents following violations that put them in "real and present danger."

The Ohio Department of Health conducted four complaint investigations and one biannual inspection of the Gahanna center, 121 James Road, between March 14 and Aug. 11, said Russ Kennedy, health department spokesman.

He said Bon-Ing has been cited for both uncorrected and new violations of state and federal regulations, including the most serious violations known as "immediate jeopardy" and "real and present danger" to residents.

Five residents of Bon-Ing hit, punched, shoved or kicked 10 other residents, causing cuts, bruises and other physical harm, between December and March, according to health department inspection reports.

The health department has put the 93-resident-capacity facility on notice of its plan to revoke its license as a result of noncompliance with state regulations. As of Aug. 8, the center had 39 residents.

Because of the alleged findings, the federal Centers for Medicare and Medicaid Services terminated Bon-Ing's Medicare and Medicaid provider agreements effective Aug. 14

Beverley Laubert, the Ohio Department of Aging's long-term-care ombudsman, is leading a team of state and local partners, working with Bon-Ing residents and their families to coordinate the relocation of residents to other long-term-care facilities or home and community-based care settings of their choice, Kennedy said.

The facility remained out of compliance, according to state health department reports, based on surveys completed March 14, May 6, June 9 and July 2.

An Aug. 8 survey by the health department found areas where the center hadn't met standards, such as not providing care or services for the highest well-being of residents, failing to keep the environment free of accident hazards, maintaining inadequate staffing, failing to provide or obtain specialized rehabilitation services and not providing an effective administration of well-being.

During the complaint survey process, concerns were identified through observation, record reviews and staff interviews in such areas as resident assessment and care plans, pain management, supervision, pharmacy services, specialized rehabilitation services, resident rights, medications, narcotic medication administration, abuse/neglect investigations, competency of nurse aides and medical director services, according to the health department. A harm-level concern was identified regarding pain, and an incident of immediate jeopardy allegedly was identified regarding adequate supervision for residents who smoke.

A July 30 interview with administrators revealed they hadn't identified or addressed any concerns related to inadequate assessments related to smoking and elopements.

During various interviews with the director of nursing, he said he was aware of concerns, but he was busy working on the plan of correction for the state agency related to the annual survey completed July 2, and he didn't have time to implement anything new, according to the health department.

Bon-Ing didn't respond to ThisWeek's requests for comment.