Jenkins Care Community: Injury Notification Failure - OH
That sequence of events at Jenkins Care Community is what brought federal inspectors to the facility under a complaint investigation, and what inspectors ultimately cited as a failure to provide care consistent with the facility's own standards.
The resident at the center of the complaint is identified in inspection records only as Resident 22, a woman. At some point before the inspection, she sustained a head wound. LPN 111, one of the nurses involved, told inspectors that the wound was cleaned and bacitracin was applied. Staff could not place a dressing on the wound because of her hair.
That was not the end of it.
Later the same day, RN 100 called LPN 111 again. This time, the reason was more serious. Resident 22's left eye was fixed. RN 100 said he wanted to send her to the emergency room. She went. She returned the same day.
The inspection record does not describe what caused the head wound, how long it had been present before treatment, or what the emergency room found. What it does describe is what the facility's own written policy required, and where the response fell short.
An undated facility policy titled "Notification of Physician and Family" sets out the circumstances under which staff must notify a resident's physician and family. The list is specific. It includes any incident or accident involving a resident that results in injury. It includes any fall. It includes a significant change in mental or psychosocial status. It includes life-threatening conditions, clinical complications, and any need to alter treatment. It includes decisions to transfer or discharge. It includes any bruise or injury of unknown origin. And it includes any change in medical condition that, in the professional judgment of staff, requires notification.
A fixed eye following a head wound touches several of those categories at once.
Inspectors cited the facility under F0684, which covers the standard of care residents are entitled to receive. The level of harm was recorded as minimal harm or potential for actual harm. The deficiency was cited as affecting few residents.
Those classifications can obscure what the underlying record actually shows. A resident sustained a head wound. A nurse applied bacitracin because a dressing wasn't an option. Hours passed. The same nurse was called again, this time because the resident's eye had stopped responding. An emergency room visit followed. The facility's own policy, written in plain language, required physician and family notification under exactly these circumstances.
Whether that notification happened before the emergency room visit, after it, or not at all is not stated in the inspection record. What inspectors found was non-compliance with the notification standard. That finding was enough to generate a citation.
The complaint that triggered the inspection carries the number 2611114. Someone filed it. The inspection record does not say who.
Jenkins Care Community is a long-term care facility in Wellston, in Jackson County in southeastern Ohio. The inspection that produced this citation was completed in September 2025 and covered four pages of findings. This citation appears on the final page.
Resident 22 returned from the emergency room the same day she was sent. The record ends there. Whether her eye recovered, whether her family was ever reached, whether the physician was notified before or after she left the building, none of that is in the inspection report.
What is in the report is a policy that said notify, and a sequence of events that raised the question of whether anyone did.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Jenkins Care Community from 2025-09-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 15, 2026 · Our methodology
Jenkins Care Community in WELLSTON, OH was cited for violations during a health inspection on September 19, 2025.
The resident at the center of the complaint is identified in inspection records only as Resident 22, a woman.
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.