Willow Haven: Infection Control Failures in Wound Care - OH
Using those same gloves, she picked up a clean washcloth and rinsed the resident in the same order.
This is what inspectors watched at Continuing Healthcare at Willow Haven on the evening of August 19, 2025, during a 46-minute observation of incontinence care for a male resident who arrived at the facility already carrying multiple wounds. The Stage III ulcer on his coccyx measured roughly an inch and a half wide and nearly two inches long. The wound bed was entirely granulation tissue. Staff had already been educated on keeping the site clean and dry and avoiding contamination.
The licensed practical nurse working alongside the aide that evening did not intervene.
When the two workers rolled the resident onto his right side to tend to the wound area, the LPN, still wearing the gloves she had used throughout the care, placed her thumb on various parts of the skin surrounding the ulcer and on the wound center itself. She then applied triad cream around the wound perimeter. The wound bed received none of it.
The resident was repositioned on his back. His incontinence brief was applied. The head of his bed was raised to 30 degrees. Only then did the LPN remove her gloves and wash her hands.
She told the inspector she had messaged the physician because the wound had changed in appearance. She was waiting for a response.
The CNA changed the bed linens before removing her own gloves.
Both workers confirmed what inspectors had observed. The CNA verified the account at 4:45 that afternoon. The LPN confirmed it at 5:01 and repeated that she had reached out to the physician and hadn't heard back.
The violation was tagged under F0880, which covers infection prevention and control. CMS rated the level of harm as minimal or potential for actual harm, affecting some residents. The deficiency was linked to three separate complaints filed against the facility, numbered 2583878, 2588814, and 2569206.
A Stage III pressure ulcer is an open wound extending through the full thickness of the skin into the tissue beneath. Contaminating such a wound during routine care, by dragging soiled material across it or pressing on it with unclean hands, introduces bacteria directly into tissue that is already compromised and struggling to heal. The resident's wound had already been assessed as unstageable in shape, 75 percent covered in slough, with drainage present.
The education the facility documented providing to this resident, on the importance of keeping the wound clean and dry and avoiding contamination, described exactly what its own staff then failed to do.
The inspection was completed August 21, 2025. The facility is located at 1020 Taylor Street in Zanesville.
What the record does not say is whether the physician ever responded that evening, or what the wound looked like the following morning.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Continuing Healthcare At Willow Haven from 2025-08-21 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: July 3, 2026 · Our methodology
CONTINUING HEALTHCARE AT WILLOW HAVEN in ZANESVILLE, OH was cited for violations during a health inspection on August 21, 2025.
Using those same gloves, she picked up a clean washcloth and rinsed the resident in the same order.
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.