Presidential Post-Acute: Infection Control Failures - OH
The violation occurred at Presidential Post-Acute during an October 16 wound care session involving Nurse #494 and Wound Nurse #474....
Latest reports, citations, and penalties from CMS data
The violation occurred at Presidential Post-Acute during an October 16 wound care session involving Nurse #494 and Wound Nurse #474....
The dangerous reading occurred on September 16, 2025, at Ossian Care Center....
She returned six minutes later carrying a box of medication....
The September incident involved a complex antibiotic regimen prescribed by a nurse practitioner to treat the UTI....
The October 15 incident involved treatment of a resident's "very large deep unstageable wound" covered with yellow slough on their lower back....
The discovery occurred during Resident #681's respite stay at Austintown Healthcare Center....
The resident's family filed a complaint on September 9 with the state agency, expressing concerns about their loved one's wounds and care....
Her care plan, updated October 16, specifically requires a mechanical aid sling and full mechanical lift for transfers....
But the plan contained no section addressing the pacemaker or directing staff how to ensure it was working properly....
CNA-F told inspectors during a 3:21 PM interview that she had been "in-serviced over the past couple of days" on these critical topics....
LPN #150 crushed Resident #105's MS Contin on September 30, delivering 15 milligrams of morphine instantly instead of slowly over 12 hours as designed....
She also stated there was no evidence in the resident's medical record that the facility took any actions to provide the monthly injection....
Resident 60, who has been at the facility since November 2021, carries Extended Spectrum Beta Lactamase (ESBL) â bacteria resistant to common antibiotics....
The incident occurred on September 13 at 2:30 pm in the dining room during bingo activities....
Electronic health records showed no documented refusals during that time....
The facility's own Director of Nursing admitted she was unaware of the missing documentation until inspectors pointed it out....
Federal inspectors cited the facility for immediate jeopardy to resident health and safety after the October 20 incident....
Staff B, a registered nurse, committed multiple infection control breaches during an 11:30 AM wound care session on October 19....
Resident 2 fell from his wheelchair on September 30, 2025, sliding slowly to the floor despite having his brakes locked....
Video from June 6 shows the aide at Jennings Hall using a ceiling lift by herself to move Resident #74 from a recliner to her bed....