Manor at Perrysburg: Missed Wound Care on Christmas Eve - OH
The incident at Manor at Perrysburg, a nursing facility at 250 Manor Drive, came to light during a complaint inspection on December 24, 2025. Inspectors reviewed the chart of a resident identified as Resident 13 and found that physician-ordered wound treatments had not been completed on December 23. There was nothing in the record to explain why.
The director of nursing told inspectors she had reviewed the progress notes herself and confirmed the same thing. No documentation. No explanation. No indication anyone had flagged the missed care before inspectors arrived.
She then contacted LPN 202, the nurse who had charted on Resident 13's record that day. The nurse confirmed she had not completed the wound treatments. Her reason, as relayed by the director of nursing to inspectors: she ran out of time on her shift.
Wound care is ordered by a physician for a reason. When a course of treatment is prescribed, the expectation is that it gets done. Wound treatments that are skipped, even once, can allow a wound to deteriorate, introduce infection risk, or delay healing that is already fragile in an elderly patient. The inspection report classified the harm level as minimal or potential, and noted that few residents were affected. But the classification describes what inspectors could confirm, not necessarily what a missed day of wound care means for a person whose physician decided the treatment was necessary in the first place.
What the record shows is a gap. A nurse had a patient with a wound requiring treatment. She did not complete that treatment. She did not document why. She did not, as far as the inspection record reflects, flag the missed care to anyone who might have stepped in, or ensured the treatment would be picked up before the next scheduled time.
The director of nursing learned what happened only because inspectors came asking.
The finding was described in the inspection report as incidental, identified during a complaint survey focused on something else. Inspectors were at Manor at Perrysburg on December 24 for a separate reason. Resident 13's missed wound care surfaced in the course of that investigation, not because anyone at the facility had reported it.
The facility received a deficiency citation under F0684, which covers the standard that residents receive care in accordance with professional standards of practice and their physician's orders. The harm level was rated at minimal harm or potential for actual harm.
Manor at Perrysburg is located in Perrysburg, Ohio, a city of roughly 25,000 people in Wood County, southwest of Toledo. The facility's provider identification number is 366022.
For Resident 13, the wound that went untreated on December 23 was still there on December 24, when inspectors arrived and started asking questions.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Manor At Perrysburg from 2025-12-24 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: August 19, 2026 · Our methodology
MANOR AT PERRYSBURG in PERRYSBURG, OH was cited for violations during a health inspection on December 24, 2025.
The incident at Manor at Perrysburg, a nursing facility at 250 Manor Drive, came to light during a complaint inspection on December 24, 2025.
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.