Pickaway Manor Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF686Jan 29, 2026

  Based on record review, observation, resident and staff interviews, wound physician interview, review of wound notes, review of hospital records, review of information from the National Pressure Injury Advisory Panel (NPIAP), review of specifications for air mattresses, and policy review, the facility failed to ensure the physician ordered treatments were completed as directed and failed to ensure interventions were implemented to prevent the development of, worsening of and promote the healing of an avoidable facility acquired pressure ulcer for Resident #5. […]

• Immediate jeopardy, isolatedF684Jul 22, 2025

  Based on medical record review, hospital record review, review of the University of Pittsburgh Medical Center information, review of facility policy and procedures, and staff interviews, the facility failed to provide timely, necessary and adequate care and services following an acute change in condition on 05/21/25 involving Resident #22, when the resident was assessed to have a decline in health including lethargy, a poor appetite, confusion, increased hallucinations, and low oxygen saturation, without evidence of timely or adequate interventions and medical treatment. This resulted in Immediate Jeopardy and serious life-threatening harm, and/or injuries when Resident #22 developed new deep tissue injuries (DTIs) and suffered a continued decline in health status. […]

• Actual harm, isolatedF689Feb 28, 2023

  Based on medical record review, staff interviews, review of hospital records, and review of facility policy, the facility failed to conduct a thorough investigation of falls to determine the root cause analysis to identify potential hazards to reduce and/or eliminate falls with major injury. This resulted in Actual Harm when Resident #19's falls on 12/21/22 and 12/22/22 were not thoroughly investigated to include a root cause analysis being done to identify potential hazards and resident-specific interventions to reduce and/or eliminate falls without injury, and the resident sustained an unwitnessed fall with injuries on 12/28/22. […]

• No harm, potential for more than minimal, widespreadF865Jan 29, 2026

  Based on record review, staff interview, and facility policy review, the facility failed to implement and maintain a comprehensive Quality Assurance Improvement Program (QAPI) program and plan to address care issues and/or concerns in the facility. This had the potential to affect all 84 residents who reside in the facility. The facility census was 84.Review of the Quality Assurance (QA) committee attendance records for the previous 12 months revealed QA meetings were held at the end of each month starting with January 2025. […]

• No harm, potential for more than minimal, widespreadF801Nov 8, 2021

  Based on staff interviews and record review, the facility failed to have a qualified dietary service manager. This had the potential to affect all 76 residents receiving food from the kitchen. The facility census was 76. Findings include: Review of the facility's staff roster revealed the facility did not employee a full-time registered dietician. Review of the personnel file for Dining Services Manager (DSM) #238 revealed an absence of required degrees or certifications necessary for employment in the held position. Interview with Human Resource Assistant (HRA) #333 on 11/04/21 at 1:55 P.M. verified DSM #238 had not submitted any proof of certifications or degrees required to be employed as the facilities dietary service manager. Interview with the Administrator on 11/04/21 at 2:05 P.M. […]