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Oaks of West Kettering: Wound Tracking Failures - OH
The inspection was triggered by a complaint, assigned case number OH00164606....
Latest reports, citations, and penalties from CMS data
The inspection was triggered by a complaint, assigned case number OH00164606....
Federal inspectors documented the violation on August 20, 2025, following a complaint....
The care plan for the resident, identified in inspection records only as Resident 11, was initiated on March 24, 2025....
Lovenox, an injectable blood thinner, is commonly used following strokes to reduce the risk of further clotting....
The August 20 inspection was triggered by a complaint....
Federal inspectors classified the violation as causing actual harm....
The August 2025 inspection, triggered by a complaint, identified 14 separate deficiencies at the facility....
The finding came during a complaint inspection at Immanuel Skilled Care Center, completed August 20, 2025....
That was the explanation a Licensed Practical Nurse gave to inspectors during a complaint investigation completed August 20, 2025....
Inspectors found Meridian Center was not meeting that deadline....
Inspectors classified the violation as a pattern, meaning this was not an isolated lapse....
What remained in the kitchen was a single set of printed slips from whenever that manager walked out....
The nurse, identified in inspection records as LVN 2, administered Tresiba to Resident 1 at 5:40 AM on August 9, 2025, at Madera Post Acute Center....
It had started, according to a nurse interviewed during the investigation, roughly the size of a dime....
The admission came on August 12, 2025, when inspectors sat down with the administrator....
The inspection, triggered by a complaint, was completed August 20, 2025....
The citation, issued August 21, falls under a category that covers pharmacy service failures....
A pattern means inspectors didn't find an isolated slip....
Inspectors classified the violation as isolated, with no documented actual harm to any resident, but with the potential for more than minimal harm....
The deficiency was cited under the federal standard requiring facilities to treat residents with dignity, respect, and kindness....