Majestic Care of Perrysburg

In the surveyor’s words

From the most serious findings on record at Majestic Care of Perrysburg, in the surveyor’s own words.

• Immediate jeopardy, isolatedF624Jun 27, 2022

  Based on medical record review, resident interview, interview with resident's emergency contact, staff interview, physician interview, wound care staff interview, Adult Protective Services interview, Ombudsman interview, and review of facility policy, the facility failed to ensure adequate preparation for a community discharge to ensure the resident's safety. This resulted in Immediate Jeopardy when Resident #54 was placed at risk for potential imminent danger of serious physical harm, injury and/or death when the facility discharged him to a motel without providing information on how to take medications, any notification to the physician of the discharge, lack of follow up physician appointments, no services in place to provide daily wound care for a Stage IV pressure ulcer and to assist… […]

• Actual harm, isolatedF684Feb 13, 2023

  Based on medical record review, review of hospital documentation, staff interview, and review of facility policy, the facility failed to complete on-going monitoring of a resident's condition to potentially prevent a decline. This resulted in actual harm when Resident #07 had a change in condition and was admitted to the hospital and subsequently diagnosed with urosepsis and required Intravenous (IV) intervention. This affected one (Resident #07) of three residents reviewed for monitoring. The facility census was 60. Findings include: Review of the closed medical record for Resident #07 revealed an admitted [DATE]. […]

• Actual harm, isolatedF770Feb 13, 2023

  Based on medical record review, review of hospital documentation, staff interview, and review of facility policy, the facility failed to complete an ordered urinalysis for Resident #07. This resulted in actual harm when Resident #07 had a change in condition and was admitted to the hospital and subsequently diagnosed with urosepsis and required Intravenous (IV) intervention. This affected one (Resident #07) of three residents review for timely completion of laboratory (lab) orders. The facility census was 60. Findings include: Review of the closed medical record for Resident #07 revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, widespreadF606Apr 24, 2026

  Based on review of personnel files, staff interview and policy review, the facility failed to ensure newly hired staff were checked on the nurse aide registry to verify eligibility for employment prior to working with residents in the facility. This had the potential to affect all 52 residents in the facility. The facility census was 52.Findings include:Review of the personnel file for Licensed Practical Nurse (LPN) #152 revealed a hire date of 02/18/26. Further review revealed no evidence LPN #152 was searched on the nurse aide registry prior to working in the facility.Interview on 04/20/26 at approximately 12:40 P.M. with Human Resources Manager (HRM) #125 revealed he did not perform nurse aide registry searches for applicants prior to hiring into the facility. […]

• No harm, potential for more than minimal, widespreadF880Apr 24, 2026

  Based on observation, staff interview, medical record review, policy review and review of the Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to implement and monitor Legionella control measures. This had the potential to affect all residents. Additionally, the facility failed to ensure enhanced barrier precautions (EBP) were implemented. This affected three (#1, #3 and #47) of three residents reviewed for transmission-based precautions (TBP). The facility census was 52. Findings include:1. […]