Canal Winchester Care Center

In the surveyor’s words

From the most serious findings on record at Canal Winchester Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Aug 5, 2026

  Based on record review, staff and certified nurse practitioner (CNP) interviews, hospital record review, review of surveillance video footage, review of the emergency medical service (EMS) reports, and policy review, the facility failed to timely identify and seek necessary medical intervention following an acute change in condition for Resident #05. This resulted in Immediate Jeopardy and serious physical harm, injuries, and/or death on [DATE] at 3:49 P.M. when Resident #05 had lethargy (a reduced level of consciousness), was non-responsive to verbal commands, had an elevated blood pressure and was placed in bed. No notification was made to the physician regarding Resident #05's change in condition. […]

• Actual harm, isolatedF689Jun 11, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, record review, review of hospital records, facility policy review and interview, the facility failed to ensure fall risk/safety interventions were in place to prevent falls for one resident (#103) with known history of falls from bed. Actual harm occurred on 04/20/25 when Resident #103 who had a severe cognitive impairment and required extensive assistance from two staff for bed mobility sustained a fall out of bed resulting in hospitalization and surgical repair for a nondisplaced intertrochanteric fracture with of left femur when Certified Nursing Assistant (CNA) #800 left the room with the resident's bed in high position and the fall mat… […]

• Actual harm, isolatedF686Oct 10, 2024

  Based on observation, medical record review, staff interview, hospice staff interview, review of hospice visits notes and review of facility policy, the facility failed to develop and implement a comprehensive and individualized pressure ulcer prevention program to timely identify, assess and implement treatment for Resident #51 related to a pressure ulcer to the left lateral foot. Actual harm occurred on 08/09/24 when Resident #51, who was cognitively impaired and dependent on staff for activity of daily living care was first identified by the facility to have an unstageable (full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because the wound bed is obscured by slough or eschar) pressure ulcer to the left lateral foot. […]

• Actual harm, isolatedF760Jul 19, 2022

  Based on medical record review and interview, the facility failed to ensure Resident #45 was free from a significant medication error. Actual Harm occurred when Resident #45's dose of the medication, [MEDICATION(S)] (used to control symptoms of [CONDITION(S)]) was administered at a decreased/lowered dose, without a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This affected one resident (#45) of five residents reviewed for medication administration. Findings include: Review of the medical record for Resident #45 revealed an admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of March 2022 physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] .M The resident also had an order for [MEDICAL RECORD OR PHYSICIAN ORDER] .M., 10:00 A.M., 2:00 P.M. […]

• No harm, potential for more than minimal, widespreadF812Apr 22, 2026

  Based on observations, record review, Food Committee Minute review, interviews, and facility policy review, the facility failed to ensure food temperatures were monitored to prevent food borne illness. This had the potential to affect all residents residing in the facility. The facility census was 110.Findings include: Review of dietary food temperature logs for March 2026 revealed missing meal temps on 03/18/26 and 03/23/26 for breakfast and lunch; 03/19/26 and 03/31/26 for breakfast, lunch and dinner; 03/12/26 for lunch and dinner; and 03/14/26, 03/15/26, 03/17/26, 03/26/26, 03/27/26, 03/28/26, 03/29/26 and 03/30/26 for dinner.Review of dietary food temperature logs for April 2026 revealed missing meal temps on 04/06/26, 04/08/26, 04/11/26, 04/12/26, 04/15/26, 04/17/26 and 04/18/26 for… […]