Wapakoneta Manor

In the surveyor’s words

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

• Actual harm, isolatedF686May 16, 2024

  Based on medical record review, staff interview, observation, and review of facility policy, the facility failed to ensure interventions were in place to prevent the development of a pressure ulcer. This resulted in actual harm when Resident #07 acquired a stage four pressure ulcer to his left heel while at the facility. Additionally, the facility failed to ensure pressure ulcer treatments were completed as ordered. This affected two (#07 and #51) of three residents reviewed for pressure ulcers. The census was 62. Finding include: 1. Review of Resident #07's medical record revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, patternF641Sep 1, 2022

  Based on resident record review and staff interview; the facility failed to ensure minimum data set (MDS) assessments were accurate. This affected four (#18, #22, #41, and #45) of 14 residents reviewed for accuracy of the MDS assessment. The census was 44. Findings include: 1. Review of the medical record of Resident #18 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the quarterly MDS assessments dated 06/10/22 and 07/15/22 revealed no brief interview of mental status (BIMS) nor mood assessment being completed as required. Interview on 09/01/22 at 8:57 A.M. with Director of Clinical Support #174 provided verification of the MDS assessment incompleteness. 2. […]

• No harm, potential for more than minimal, patternF689Sep 1, 2022

  Based on medical record review, observations and staff interview, the facility failed to maintain a safe environment when medications were left unattended by staff. This directly affected one resident (#31) and had the possibility to affect seven residents (#2, #3, #13, #34, #36, #39, and #43) identified by the facility as being independently mobile and cognitively impaired, residing in the D hall. The facility census was 44. Findings include: Review of the medical record of Resident #31 revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, patternF880Mar 15, 2021

  Based on record review, observation, review of the facility's policy, staff interview, and review of the Center for Disease Control and Prevention (CDC) guidance, the facility failed to implement proper infection control practices including proper hand hygiene and not changing and/or disinfecting personal protective equipment (PPE) in between resident rooms to prevent the spread of COVID-19. This affected three (Resident #4, #5 and #6) of three residents reviewed for infection control. This had the potential to affect six residents (Resident #4,#5, #6, #8, #9 and #10) that resided on the B hall. The facility census was 71. Finding include: Review of the facility's list of residents revealed Resident #4, #5, #6, #8, #9 and #10 resided on the B hall. […]

• No harm, potential for more than minimal, isolatedF755Jul 23, 2026

  Based on record review, resident interviews, and staff interviews the facility failed to ensure medications were administered as ordered related to not having a continuous supply of prescribed medications. This affected two residents, (#3 and #43) of five residents reviewed for medications. The facility census was 67. Findings include:Top of Form1.Record review for Resident #3 revealed the resident was admitted to the facility on [DATE] with a readmission date of 06/14/26. Diagnoses for Resident #3 include paraplegia, fracture of thoracic vertebra, bipolar disorder, neuromuscular dysfunction of bladder, and neurogenic bowel.Review of Resident #3 comprehensive Minimum Data Set (MDS) dated [DATE] revealed the resident had intact cognition and had pain assessed at a 10 out of 1-10 pain… […]