Wyant Woods Healthcare Center

F 0656 Level of Harm - Minimal harm or potential for actual harm

meeting was late. Interview on 09/30/25 at 7:44 A.M., via phone with LPN #605 confirmed care plan meetings were to be done quarterly. LPN #605 confirmed Resident #134 did not have a care plan meeting done timely and didn't know why. Review of the undated facility policy titled Plan of Care Overview revealed attendees will sign and date care plan meeting agendas/documents. This deficiency is an incidental finding identified during the complaint investigation.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/09/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Wyant Woods Healthcare Center

200 Wyant Rd Akron, OH 44313

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

confirmed residents on seizure medications should have labs done at least three times a year if stable.

Pharmacist #810 is the pharmacist that did the monthly recommendations. Interview on 09/25/25 at 2:22 P.M. with Physician #815 confirmed for residents on medications for seizures, to include Resident #117 should have labs checked at least a couple times a year. Interview on 09/29/25 at 9:54 A.M. with the DON confirmed there was no lab ordered to monitor Resident #117's three seizure medication since January 2025 prior to the resident being admitted to the hospital on [DATE REDACTED] with a HIGH ALERT Phenobarbital level.

The DON confirmed the pharmacy recommendation form dated 09/17/25 requested the physician to order labs for seizure medications every six months was not addressed. 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.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/09/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Wyant Woods Healthcare Center

200 Wyant Rd Akron, OH 44313

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0760

Ensure that residents are free from significant medication errors.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

record review, interviews and facility policy review, the facility failed to ensure Resident #117's antibiotic medication was administered according to the physician orders. This affected one resident (#117) out of four residents reviewed for medications. The facility census was 162. Findings include:Review of the medical record for Resident #117 revealed an admission date of 11/25/21. Diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, epilepsy, encephalopathy, impulse disorder and mood affective disorder. Resident #117 had a guardian since 2015. Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE REDACTED] 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.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet