The Shores of Worthington

In the surveyor’s words

From the most serious findings on record at The Shores of Worthington, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Jan 15, 2025

  Based on observation, interview, and document review the facility failed to implement infection control strategies for respiratory protection to mitigate the risk and spread of Respiratory Syncytial Virus (causes infections of the respiratory tract) (RSV). As a result, the facility developed an outbreak where 13 residents (R4, R10, R5, R1, R14, R3, R2, R7, R8, R15, R13, R16, and R12) tested positive for RSV, and 7 residents were suspected to have RSV (R17, R19, R18, R21, R20, R6, R9); 3 residents (R4, R5, and R10) had to be seen in the emergency room , and 2 residents (R7, and R8) were hospitalized with RSV. These practices resulted in an immediate jeopardy (IJ) due to the likelihood of spread to the remaining 48 residents in the facility. […]

• Immediate jeopardy, isolatedF600Feb 19, 2026

  Based on observation, interview, and record review, the facility failed to protect 1 of 10 residents (R1) reviewed for sexual abuse, from sexual abuse by another resident (R2) who had a known history of sexually inappropriate behaviors. This resulted in an Immediate Jeopardy (IJ) when R1, who had severe cognitive impairment was sexually abused by R2 and was unable to independently protect herself from unwanted sexual contact. The IJ began on 2/5/26, when staff found R2 in a resident common area with his hand under R1's shirt touching her breast while she was resting in a recliner. R2 was placed on 1:1 supervision on 2/6/26; however, he was removed from 1:1 supervision on 2/11/26 and placed on 30-minute safety checks. […]

• Immediate jeopardy, isolatedF689Aug 29, 2024

  Based on interview, observation and document review the facility failed to safely use a mechanical lift per manufactures recommendations to transfer 1 of 1 resident (R1), who required a mechanical lift for transfers. This resulted in an immediate jeopardy (IJ) when R1 fell from a full body mechanical lift causing R1 to suffer three fractures to his thoracic and lumbar spine (T1, T6, and L1) requiring hopsital admission. In addition, the facility failed to ensure a system for completed comprehensive assessments for sling size and/or care plan developement and/or the care plan was followed for for 8 of 8 residents (R1, R2, R3, R5, R6, R7, R8, R9) reviewed who required full body mechanical lifts. […]

• Immediate jeopardy, isolatedF689May 1, 2024

  Based on interview and record review the facility failed to comprehensively assess and implement interventions to provide adequate supervision for 1 of 1 residents (R1) who had a history of exit seeking behaviors. R1's elopement from the facility in an unlocked motor vehicle, resulted in an immediate jeopardy (IJ). The facility implemented immediate corrective action and was issued as past non-compliance. The immediate Jeopardy (IJ) began on 4/22/24, when R1 exited the facility and staff did not respond timely to the activation of a door alarm by R1's WanderGuard bracelet. R1 got into an unlocked vehicle and drove around the city for 1.5 hours until police stopped him. […]

• Immediate jeopardy, isolatedF689May 4, 2022

  Based on interview and document review, the facility failed to ensure 1 of 1 resident (R4) was transferred with the appropriately sized mechanical lift sling, ensure nursing staff were appropriately trained to the manufactures instructions-for-use of the mechanical lift, and ensure staff followed facility policies and procedures by utilizing 2 staff for transfers. The deficient practice caused actual harm when R4 fell from the lift and sustained a laceration to her head and broken ribs. The IJ began on 4/29/22, when R4 was placed into a total body mechanical lift using the incorrect sling size by staff who were not trained to manufacturer's instructions for use or follow facility policy using 2 staff for transfer. R4 fell from the lift sling and received a head laceration and broken ribs. […]