Wyant Woods Healthcare Center

Review of facility policy, Medication Regimen Review, undated, revealed the monthly medication review will be performed by a licensed pharmacist according to federal and state regulations meeting current standards of practice and to review and report any identified medication irregularities in accordance with this policy.

The pharmacist will report any irregularities to the attending medical practitioner and DON and these reports must be acted upon in a timely manner that meets the needs of the residents. DON will be responsible for addressing all medication irregularity reports with the medical practitioner in a manner that meets the needs of the resident.

Urgent or significant medication irregularity is communicated the day it is observed and non-urgent irregularities within 72 hours or their last scheduled consultation visit for the month or sooner.

This deficiency represents non-compliance investigated under Complaint Number 2603626.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Wyant Woods Healthcare Center

200 Wyant Rd Akron, OH 44313

SUMMARY STATEMENT OF DEFICIENCIES

Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #117 had intact cognition, with a Brief Interview for Mental Status (BIMS) score of 13 out of 15. Resident #117 was dependent on staff for showers, lower body dressing, footwear and personal hygiene and required substantial assistance for toileting, upper body dressing, and oral hygiene and set up assistance for eating.

Review of the chest x-ray report dated 08/18/25 at 10:14 P.M. revealed resident #117 had left lower lobe atelectasis/infiltrate.

Review of the physician's order dated 08/20/25 revealed Resident #117 was ordered Levofloxacin (antibiotic) 250 milligram (mg) give three tablets, to total 750 mg, by mouth (PO) one time a day for infection for five days at 7:00 A.M.

The order was discontinued on 08/20/25 after administering the dose.

Review of the physician's order dated 08/21/25 revealed Resident #117 was ordered Levofloxacin 250 mg give three tablets, to total 750 mg, by mouth (PO) one time a day for pneumonia until 08/26/25 to start on 08/21/25 at 7:00 A.M.

Review of the Medication Administrator Records (MAR) for August 2025 revealed Levofloxacin 250 mg, three tablets, totaling 750 mg was administered on 08/20/25 and 08/21/25 per the physician's order. On 08/22/25 and 08/23/25 the MAR had a number nine and the nurses initials.

Review of the progress notes for 08/22/25 revealed the Levofloxacin 250 mg, three tablets, totaling 750 mg was on order.

There was no documented evidence that the physician was notified.

Review of the progress notes for 08/23/25 revealed the Levofloxacin 250 mg, three tablets, totaling 750 mg were not available.

There was no documented evidence that the physician was notified.

Interview on 10/07/25 at 3:45 P.M. with Corporate Nurse #800 confirmed Resident #117 did not receive his antibiotic medication as ordered on 08/22/25 and 08/23/25.

Corporate Nurse #800 reported the medication was not available.

Interview on 10/09/25 at 9:19 A.M. with Registered Nurse (RN)# 693 confirmed Levofloxacin for pneumonia was not administered on 08/22/25 and 08/23/25 due to the medication not available from pharmacy. RN #693 reported she checked in the Pixus machine, which usually had the medication, but it was out. RN #693 reported she contacted the pharmacy, and they were supposed to have it drop shipped, but it never came. RN #693 confirmed that there was no documented evidence that the physician was notified that the medication was not available to administer to Resident #117.

Review of the facility policy titled Medication Administration, dated 2013, revealed to administer medications only as prescribed by the provider.

This deficiency is an incidental finding identified during the complaint investigation.

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