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Wexner Heritage House: Hand Hygiene Violations - OH
The aide raised the head of the bed and set up the meal tray without washing their hands before or after....
Latest reports, citations, and penalties from CMS data
The aide raised the head of the bed and set up the meal tray without washing their hands before or after....
The resident remained unattended until RN C arrived for the 7:20 a.m....
Resident #1 had been without her Percocet since the weekend when federal inspectors arrived on November 11....
The nurse blamed a "typo" when confronted three months later....
Federal inspectors found the facility failed to protect residents from physical abuse by other residents....
The medication error at Cascade Terrace Post Acute involved temozolomide, a cancer drug that was supposed to stop after five days in April 2025....
The footage shows the aide becoming frustrated when residents wandered into the wrong room, then physically assaulting both patients within seconds....
The November inspection revealed confusion among nursing staff about proper sling sizing based on resident weight and body measurements....
The resident also developed edema, or swelling....
Administrator interviews revealed staff confusion about supervision requirements....
The facility's own policy requires an interdisciplinary team to review every fall within 72 hours and modify prevention strategies as needed....
The boots had vanished after the resident returned from a hospital stay....
The resident was admitted with multiple diagnoses including dementia, heart failure and diabetes....
The resident's representative had signed legal documents directing the facility to provide all possible life-saving interventions....
Federal inspectors found the facility failed to complete required care plans during a complaint investigation in November....
Licensed Vocational Nurse B told inspectors that nursing aides typically performed the weighings and reported results to her for entry into medical records....
Federal inspectors found the facility violated basic notification requirements during the November incident....
The allegations came in an email from the resident's healthcare proxy on September 30, 2025, at 8:08 PM....
Resident #1 told inspectors during a November 10 phone interview that their roommate had been taking their clothes, shoes and food for an extended period....
Resident 1, who has multiple sclerosis and no cognitive impairment, had declined authorization for any photographs on January 4, 2023....