Continuing Healthcare of Gahanna: Wound Care Neglect - OH
That moment, captured by inspectors at Continuing Healthcare of Gahanna on the morning of May 21, is at the center of a complaint investigation completed this spring at the 88-bed nursing home on North Stygler Road.
The resident, identified in inspection records only as Resident 7, came to the facility on May 12 with two hard, calloused areas on the bottom of her right foot. Her diagnoses included idiopathic peripheral neuropathy, a condition that damages the nerves in the extremities and can make it difficult to feel pain or detect worsening injury, as well as aphasia, hemiplegia, and hemiparesis, leaving her with limited ability to communicate or move.
Her admission skin assessment noted the two areas. They were described as hard calloused areas that were not open. No size was recorded. No color was recorded. There was no indication her physician had been told.
A physician order dated the same day directed staff to conduct weekly skin evaluations and to notify the doctor of new skin conditions every Tuesday. Over the nine days that followed, neither happened. Inspectors reviewing her medical record found no additional skin assessments of the foot areas and no evidence of any treatment.
When inspectors observed the encounter on May 21, Registered Nurse 101 put on gloves and pulled off the resident's nonskid sock. The two white calloused areas were visible on the sole of her right foot, each about 1.5 centimeters across. They appeared closed, with no drainage. The nurse told inspectors the resident had come in with those "last week." The medical record showed it had been nine days.
The nurse also said she had been padding the areas to protect them while waiting for the doctor to see the resident. At the moment she said it, there was no padding on the foot. Nothing was protecting the areas.
Five days later, on May 26, inspectors interviewed the nurse again. She confirmed that as of that conversation, Resident 7 had received no treatment, her physician had never been notified about the foot wounds, and no weekly measurements had been taken at any point since admission.
The facility's own wound documentation policy, in place since 2019, requires that all wounds be tracked weekly on a Wound Tracking Worksheet. That did not happen here.
What makes this case particularly stark is the resident's medical profile. Peripheral neuropathy can mask the sensation of worsening injury, meaning a patient may not feel a wound deteriorating until significant damage has occurred. Aphasia limits a person's ability to speak or find words. This resident, unable to easily communicate distress, resorted to stopping a nurse in the hall and pointing at her foot to make herself understood. That was the moment the wound got any attention at all, and only because an inspector happened to be watching.
CMS rated the harm level as minimal, affecting one of three residents reviewed for wound care during the inspection. The complaint, filed under Complaint Number 3007833, was investigated during a survey completed May 29.
The resident had pointed at her foot and made clear it hurt. For nine days before that, no one had written down how big the wounds were, no one had called her doctor, and the padding that a nurse said was protecting her foot was not there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Continuing Healthcare of Gahanna from 2026-05-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 21, 2026 · Our methodology
CONTINUING HEALTHCARE OF GAHANNA in GAHANNA, OH was cited for neglect violations during a health inspection on May 29, 2026.
Her admission skin assessment noted the two areas.
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.