Pickerington Care and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Pickerington Care and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF760Jul 7, 2021

  Based on staff interview and record review the facility failed to ensure physician's orders for insulin were followed and given as ordered for Resident #50. Actual harm occurred when Resident #50 received insulin at the incorrect time, without the required blood sugar test, causing a low blood sugar level with the resident becoming unresponsive to both verbal and physical stimuli. Resident #50 continued to be unresponsive and was sent out to the hospital. This affected one of four residents (Resident #50), reviewed for medication administration. The facility census was 68. Findings Include: Review of the medical record for Resident #50 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident cognition was intact. […]

• No harm, potential for more than minimal, widespreadF577Nov 17, 2025

  Based on observations, resident and staff interviews and policy review, facility failed to ensure the survey results binder was easily accessible to all residents. This had the potential to affect all facility residents. Facility census was 71. Findings include Observation on 09/25/25 at 11:34 A.M. revealed the survey book was located in the front hallway between the administration offices and the staff and visitor bathrooms. It was sitting in a folder shelf and the binder was bolted to the wall. The shelf sat about chest high on the wall and was pointed upward requiring a person to lift the binder up and out of the shelf which would be difficult for a resident sitting lower to the ground in a wheelchair. […]

• No harm, potential for more than minimal, widespreadF921Nov 17, 2025

  Based on observations, staff interviews, and record review, the facility failed to maintain flooring for two residents (#53 and #67) out of 25 residents observed for environment. Additionally, the facility failed to ensure carpeting throughout facility was maintained in clean and sanitary manner. This had the potential to affect all 71 facility residents.Findings include 1. Observation on 09/22/25 at 2:08 P.M. of Resident #53 and #67's room revealed flooring under and around the room air conditioner was peeling up about an inch off the floor and about eight tiles were affected. Observation and interview on 09/23/25 at 12:10 P.M. […]

• No harm, potential for more than minimal, widespreadF761Aug 5, 2024

  Based on observation, interview and review of manufacture's guidelines, the facility failed to dispose expired Covid 19 vaccine syringes. This had the potential to affect any resident receiving a Covid 19 vaccine or booster vaccine. The facility census was 72. Findings Include: Observation on [DATE] at 10:58 A.M. revealed an opened box of Spikevax (Covid 19) vaccine located in the back drawer of the medication storage refrigerator located in the North unit's medication storage room. Inside the opened box were two pre-filled syringes remaining out of the original ten pre-filled syringes with lot number #3032713 and expiration date [DATE]. There were no opened dates observed on the box or on the syringes. Interview on [DATE] at 11:10 A.M. […]

• No harm, potential for more than minimal, patternF688Nov 17, 2025

  Based on medical record review, observation, staff interview and facility policy and procedure, the facility failed to ensure splints ordered and care planned for residents with decreased range of motion were applied. This affected five (Resident #5, Resident #20, Resident #76, Resident #81 and Resident #87) of seven residents reviewed for mobility and position. The facility census was 71. 1. Review of Resident #87's medical record revealed he was admitted on [DATE]. Diagnoses included non-traumatic intracerebral hemorrhage, acute respiratory failure, seizures, encephalopathy, dysphagia, tracheostomy and gastrostomy. Review of the quarterly minimum data set assessment dated [DATE] revealed his cognition was not intact (Rarely/Never understood). […]