Ayden Healthcare of Wauseon

In the surveyor’s words

From the most serious findings on record at Ayden Healthcare of Wauseon, in the surveyor’s own words.

• Actual harm, isolatedF686Feb 18, 2022

  Based on observation, staff interview, medical record review, policy review, and review of information from the National Pressure Injury Advisory Panel (NPIAP), the facility failed to assess and monitor pressure ulcers to prevent the deterioration of wounds. This resulted in Actual Harm when Resident #36 was admitted to the facility with a Stage 2 pressure ulcers (partial thickness skin loss into but no deeper than the dermis) to the coccyx and a Stage 2 pressure ulcer to the ankle that were not assessed and monitored regularly. Subsequently, both pressure ulcers declined and was assessed as Unstageable (full thickness tissue loss but is either covered by extensive necrotic tissue or by eschar) 15 days after admission. This affected one (#36) of two residents reviewed for pressure ulcers. […]

• No harm, potential for more than minimal, widespreadF803Aug 22, 2024

  Based on observation, medical record review, resident and staff interview, review of the menu, review of the menu spreadsheet, review of food product information, and review of facility policies, the facility failed to ensure food was served per the facility menu and spreadsheets. This directly affected one (#23) resident who was ordered a mechanical soft diet, directly affected one (#33) resident who received a pureed diet, and had the potential to affect all 45 residents residing in the facility who received food from the facility. The census was 45. Findings include: 1. Review of the medical record for Resident #23 revealed an admitted [DATE] with diagnoses of type II diabetes mellitus and gastroesophageal reflux disease. […]

• No harm, potential for more than minimal, widespreadF804Aug 22, 2024

  Based on observation, staff and resident interviews, review of a test tray, and review of the facility policy, the facility failed to ensure meals were palatable, delivered at the proper temperature, and had an attractive appearance. This had the potential to affect all 45 residents in the facility. The census was 45. Findings include: 1. Interview on 08/19/24 at 9:06 A.M., with Resident #5 revealed the food the facility served was usually cold. Interview on 08/19/24 at 9:19 A.M., with Resident #36 revealed the food was always cold. Interview on 08/19/24 at 9:22 A.M., Resident #10 stated the food was sub-par lately. Resident #10 stated the plates and food were cold. Interview on 08/19/24 at 11:16 A.M., Resident #29 revealed food which should be hot was usually served cold. […]

• No harm, potential for more than minimal, widespreadF804Aug 1, 2024

  Based on observation, staff interview, resident interview, and policy review, the facility failed to ensure food was served warm and palatable. This had the potential to affect all residents who receive food from the facility's kitchen. The facility census was 47. Findings include: Observation on 08/01/24 at 7:40 A.M. of meal delivery to the south hall revealed the door to the meal delivery cart was left open between delivery of each tray. Observation on 08/01/24 at 7:42 A.M. of meal delivery to the south hall revealed 11 plate covers (from previously delivered trays), one undelivered resident tray, and a tote of condiments on top of the meal delivery cart. Interview on 08/01/24 at 7:47 A.M. […]

• No harm, potential for more than minimal, widespreadF727Feb 18, 2022

  Based on review of staff schedules, staff on duty hours daily postings, staff timecards and staff interviews, the facility failed to ensure a Registered Nurse (RN) was on duty for eight hours a day seven days a week. This has the potential to affect 39 of 39 residents in the facility. The census is 39. Findings include: Review on 02/15/22 at 9:00 A.M., of the staff schedules for 02/12/22 revealed no RN was scheduled to work. Registered Nurse (RN) #56 was scheduled from 2:30 A.M. until 6:30 A.M. on 02/13/22. Further review of staff schedules for Sunday, 02/13/22 revealed one (RN) #39 scheduled from 6:30 A.M. […]