Van Wert Manor

In the surveyor’s words

From the most serious findings on record at Van Wert Manor, in the surveyor’s own words.

• Actual harm, isolatedF686May 8, 2025

  Based on medical record review, staff and physician interviews, review of the guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), and policy review, the facility failed to timely identify the resident's pressure ulcer until it reached an advanced stage, and failed to accurately assess and provide timely interventions to treat the pressure ulcer. This resulted in Actual Harm to Resident #52 who was at risk for pressure ulcers and the facility found Resident #52's pressure ulcer as an unstageable pressure ulcer (Slough and/or eschar: Known but not stageable due to coverage of wound bed by slough and/or eschar) and required surgical debridement of the pressure wound. This affected one (Resident #52) of one resident reviewed for pressure ulcers. […]

• No harm, potential for more than minimal, widespreadF727May 8, 2025

  Based on record review and staff interviews, the facility failed to have a Registered Nurse (RN) on duty for eight consecutive hours every day. This had the potential to affect all 53 residents residing in the facility. Findings include: Review of the staffing schedules dated 04/27/25 through 05/03/25 revealed the facility did not have an RN scheduled on 05/03/25. The staffing schedules dated 04/19/24 through 04/20/24 revealed the facility did not have an RN scheduled on 04/19/25. Interview on 05/07/25 at 12:20 P.M. and 1:40 P.M. with the Director of Nursing (DON) stated she (DON) worked 05/03/25 between the hours of 2:30 P.M. and 9:00 P.M., for a total of 6.5 hours. The DON verified there were no RN hours on 04/19/25. Interview on 05/07/25 at 12:10 P.M. […]

• No harm, potential for more than minimal, widespreadF812Dec 7, 2022

  Based on observation, staff interview, and policy reviews, the facility failed to maintain a clean, sanitary kitchen area and store food appropriately. This had the potential to affect 41 (excluding #92) of 41 residents who received meals in the facility. The facility identified Resident #92 as receiving no food from the kitchen. The facility census was 42. Findings include: Observation of the kitchen, on 12/04/22 at 8:15 A.M., revealed debris and a build up of dirt on the floor of the storage area, kitchen, refrigerator, and freezer. Observation of kitchen storage surface areas revealed a heavy build up of dust and dirt. […]

• No harm, potential for more than minimal, isolatedF695May 8, 2025

  Based on observation, record review, and staff interview, the facility failed to ensure oxygen was provided with humidification per physician order. This affected one (#108) of one resident reviewed for oxygen use. The facility identified three (#13, #26, and #28) additional residents who received oxygen with humidification. The facility census was 53. Findings include: Review of the medical record for Resident #108 revealed an admitted [DATE] and a discharge date upon death of 05/07/25. Diagnoses included lung cancer and chronic obstructive pulmonary disease. Resident #108 was admitted to the facility under the care of Hospice. Review of the Clinical Admission Assessment, dated 05/01/25, revealed Resident #108 was alert and oriented to person, place, and time. […]

• No harm, potential for more than minimal, isolatedF655Dec 7, 2022

  Based on observation, record review, staff interviews, the facility failed to ensure a base line care plan included oxygen usage and respiratory treatments. This affected one (#196) of 14 residents reviewed for care plans. The facility census was 42. Findings include: Review of medical record for Resident #196 revealed an admitted [DATE], with diagnoses including: dementia with agitation, respiratory failure with hypoxia, hyperlipidemia, chronic obstructive pulmonary disease (COPD), hypotension, unspecified body in respiratory tract part unspecified causing other injury, cardiomyopathy, paralysis of vocal cords and larynx, allergic rhinitis due to animal hair and dander, atherosclerotic heart disease of native coronary artery, hypertension, depression, anxiety, personal history of… […]