Buckeye Care: Untreated Wound for Months - OH
State inspectors found that Buckeye Care and Rehabilitation failed to follow basic wound care protocols for Resident 76, whose right thigh wound went without proper medical oversight from May 9 through August 17.
Certified Nursing Assistant 268 told inspectors on August 18 that the resident "had a wound present to his right thigh which had been there for a while." The CNA confirmed that Licensed Practical Nurse 262 "changed the bandage to the wound and had been doing so for a while."
But when inspectors interviewed Assistant Director of Nursing 263 the next day, they discovered the facility had no physician's treatment orders for the wound care being provided.
The nursing supervisor confirmed that "no wound care treatment orders had been implemented for the blister to Resident 76's right thigh from 05/09/25 through 08/17/25."
Even more concerning, the facility failed to conduct any assessments of the wound's condition during that entire period. The assistant director of nursing admitted "no assessment of the wound had been completed or documented from 05/09/25 through 08/17/25."
This means staff were changing bandages on a wound without knowing if it was healing, worsening, or developing complications. They had no medical guidance on what type of dressing to use, how often to change it, or what signs to watch for.
The facility's own wound care policy, last revised in October 2010, required staff to "verify there is a physician's order for this procedure." The policy also mandated detailed documentation including "the type of wound care given, the date and time the wound care was given, the name and title of the individual performing the wound care, any change in the residents' condition, all assessment data obtained when inspecting the wound, and how the resident tolerated the procedure."
None of this happened for Resident 76.
The policy stated its purpose was "to provide guidelines for the care of wounds to promote healing." Without proper assessment and physician oversight, there was no way to know if the wound was actually healing or if the treatment approach was appropriate.
Wound care in nursing homes requires careful medical supervision because elderly residents often have compromised immune systems, circulation problems, and other conditions that can prevent proper healing. What starts as a minor injury can quickly become a serious infection or chronic wound without appropriate treatment.
The violation came to light during a complaint investigation that inspectors completed on August 19. The state classified it as causing "minimal harm or potential for actual harm" affecting "few" residents.
But for Resident 76, three months without proper wound assessment meant three months of uncertainty about whether a simple injury might be developing into something more serious. The facility's assistant director of nursing acknowledged they should have been following physician treatment orders and conducting weekly wound assessments.
Instead, staff were essentially providing medical treatment without medical oversight, changing bandages based on routine rather than clinical judgment or doctor's instructions.
The inspection report doesn't indicate what finally prompted the facility to address the wound care protocols, or whether Resident 76's injury eventually healed properly. It only documents that for over 100 days, a nursing home resident received wound care that violated the facility's own policies and basic standards of medical practice.
The deficiency represents the kind of oversight failure that can turn minor injuries into major medical problems for vulnerable nursing home residents who depend on staff to follow proper protocols for their care.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Buckeye Care and Rehabilitation from 2025-08-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
BUCKEYE CARE AND REHABILITATION in LANCASTER, OH was cited for violations during a health inspection on August 19, 2025.
They had no medical guidance on what type of dressing to use, how often to change it, or what signs to watch for.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.