Axia Care Center: Missing Wound Treatment Records - NJ
Federal inspectors examining the facility's Treatment Administration Records found systematic gaps in documentation spanning July and August 2025....
Latest reports, citations, and penalties from CMS data
Federal inspectors examining the facility's Treatment Administration Records found systematic gaps in documentation spanning July and August 2025....
Wexner Heritage House permitted nursing aide CNA #201 to resume work at 6:00 P.M....
But the facility kept the problematic blue detergent as backup, using it whenever the safer product ran out....
She also didn't take vital signs or complete a pain assessment following what she observed....
The directors found the reports when they arrived at work October 16....
Despite having a near-perfect cognitive score of 13 out of 15 on their quarterly assessment, the resident required complete help from staff for toilet use....
The facility's own assessment classified the resident as high risk for wandering, with a score of 14 on their Wandering Risk Scale....
The medication error came to light only after Resident #2 fell and staff discovered two rivastigmine patches on his body during examination....
The resident told inspectors she was last changed at 1:30 AM on October 14....
The MOLST documents guide critical decisions about cardiopulmonary resuscitation and other emergency interventions....
The resident, who scored just 4 out of 15 on a cognitive assessment indicating severe impairment, had wandered outside the 37-bed facility unattended....
Federal inspectors responding to a complaint found Resident #44 at Avon Place Healthcare Center in distress on the morning of October 22....
Resident #3 fell on September 26 at 8:12 PM, sustaining a hematoma on the face with discoloration around the left eye....
The resident's caregiver was notified and authorized that medication, according to inspection records....
CNA #20 admitted multiple safety violations during her interview with inspectors....
The October 23 complaint investigation centered on Resident #3, who developed blisters on both hips during their stay....
Federal inspectors documented the complaints during an October 27 visit following concerns about the facility's environment....
The facility failed to read initial test results and document whether residents tested negative before proceeding with additional testing....
The 84-bed Columbus facility discharged the resident on September 3, 2025, after a stay that began earlier in the summer....
Federal inspectors discovered the medication error during a complaint investigation in October....