Landings of Westerville Health and Rehab the

In the surveyor’s words

From the most serious findings on record at Landings of Westerville Health and Rehab the, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 13, 2025

  Based on medical record review, staff and resident interviews, and policy review, the facility failed to ensure proper positioning technique was implemented during incontinence care which resulted in a fall out of bed with a major injury. Actual Harm occurred on 10/16/24 when Resident #30, who was cognitively intact, at risk for falls and dependent on staff for turning, repositioning, and toileting sustained a fall out of bed when one staff member was providing incontinent care, and the resident fell to the floor fracturing her left femur due to improper positioning technique. This affected one (Resident #30) of three residents reviewed for falls. The census was 113. Findings included: Medical record review for Resident #30 revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, isolatedF550Sep 2, 2025

  Based on medical record review, staff interviews, and facility policy review, the facility failed to honor Resident #15 's right to have a camera surveillance in her room when her camera was unplugged and not reconnected to power. This affected one resident (Resident #15) out of 15 residents identified by the facility as having surveillance cameras in their rooms. Facility census was 109. Findings include: Review of Resident #15's medical record revealed an admission date of 11/27/2023 with diagnoses that included but were not limited to cerebral infarction, emphysema, acute chronic respiratory failure with hypoxia, diabetes mellitus, atrial fibrillation and depression.Review of Resident # 15's most recent Minimum Data Set (MDS) 3.0 assessment dated , 07/25/25 revealed a Brief Interview… […]

• No harm, potential for more than minimal, isolatedF684Sep 2, 2025

  Based on medical record review, review of facility training, and staff interviews, the facility failed to ensure that residents with Nothing by Mouth (NPO) orders did not receive any liquids by mouth during oral care. This affected one (Resident #15) out of 17 residents the facility identified as NPO. The facility census was 109.Findings include:Review of Resident #15's medical record revealed an admission date of 11/27/2023 with diagnoses that included but were not limited to cerebral infarction, emphysema, acute chronic respiratory failure with hypoxia, diabetes mellitus, atrial fibrillation, tracheostomy dependent and depression.Review of Resident # 15's most recent Minimum Data Set (MDS) 3.0 assessment dated , 07/25/25 revealed a Brief Interview for Mental Status (BIMS) score of six… […]

• No harm, potential for more than minimal, isolatedF657Mar 13, 2025

  Based on interview, observation, record review, and facility policy review, the facility failed to ensure residents had updated accurate care plans for two Residents (#30 and #65) out of six Residents reviewed for care plans. The facility census was 113. Findings Include: Review of the medical record for Resident #65 revealed an admitted [DATE] with diagnoses of encephalopathy, asthma with acute exacerbation, morbid obesity, chronic kidney disease, anxiety and depression. Resident was documented to be alert and oriented to person, place and time with no cognitive deficits. On 04/06/23 Resident #65 saw the facility contracted eye doctor and was diagnosed with cataracts in both eyes. Optometrist recommended removal of the cataracts and Resident #65 declined. […]

• No harm, potential for more than minimal, isolatedF685Mar 13, 2025

  Based on observations, resident interview, and medical record review, the facility failed to implement physician orders causing a delay in treatment for one resident (#65) . The census was 113. Findings Include: Review of the medical record for Resident #65 revealed an admitted [DATE] with medical diagnoses of encephalopathy, asthma with acute exacerbation, morbid obesity, chronic kidney disease, anxiety and depression. Resident #65 was documented to be alert and oriented to a person, place and time with no cognitive deficits. Review of Resident #65's annual eye examination dated 04/06/23 the Resident #65 revealed the resident was seen by the facility eye doctor and was diagnosed with cataracts in both eyes. Optometrist recommended removal of the cataracts and Resident #65 declined. […]