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Oakwood SNF: Injury Investigation Gaps After Dialysis Trip - MD
Nobody collected a statement from any of them....
Latest reports, citations, and penalties from CMS data
Nobody collected a statement from any of them....
The deficiency was documented under a complaint investigation, meaning someone had already raised a concern before inspectors arrived....
The violation centered on a single five-minute window, recorded on October 7, 2025, between 12:15 and 12:20 in the afternoon....
The resident, whose name is withheld in inspection records, was physically independent and capable of handling daily activities without assistance....
The inspection, completed October 3, 2025, followed a complaint....
Inspectors who arrived at the Marion, Ohio facility on October 9, 2025, were there because someone had filed a complaint....
The citation, issued October 7, 2025, covered how the facility procures, stores, prepares, distributes, and serves food to its residents....
The citation at Afton Oaks Nursing and Rehabilitation Center, on Kingsley Street in Houston, landed under F0698, the federal tag covering dialysis care....
It wasn't administered on time....
No clinical note recorded that she had fallen....
Ambulation was listed as impossible....
A PICC line, a peripherally inserted central catheter, runs from a vein in the arm directly toward the heart....
The resident, identified in inspection records only as R1, had asked to complete a new power of attorney document....
The inspection, triggered by a complaint, cited the facility on Sarno Road for a deficiency affecting a small number of residents....
The violation, cited under federal tag F0686, was classified as causing minimal harm or potential for actual harm and affected a small number of residents....
Inspectors documented the deficiency as having potential for more than minimal harm....
The deficiency was cited under F0880, with inspectors determining the lapse created potential for actual harm to some residents....
The error came to light during a complaint inspection completed October 8, 2025....
The resident, identified in inspection records only as Resident 1, had become shaky....
Inspectors rated the harm level as minimal or potential for actual harm, and noted that few residents were affected....