Embassy Of Woodview
Inspection Findings
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to monitor a resident's blood glucose levels and oxygen saturations as physician ordered. This affected one (Resident #150) of three residents revied for changes in condition. The facility census was 74. Findings include:Review of the medical record for Resident #150 revealed an admission date of 07/14/25 and a discharge date of 07/16/25. Diagnoses included ischemic cardiomyopathy, type two diabetes mellitus (DM), and heart disease. Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE REDACTED] revealed Resident #150 had intact short-term memory and was independent for daily decision-making abilities. Review of Resident #150's physician orders for July 2025 revealed the orders included Humulin R 500-unit (U) Kwikpen (insulin), inject 40 units subcutaneous in the morning and inject 60 units in the evening for type two DM and Trulicity three milligram (mg) per 0.5 milliliter (ml), inject 0.5 ml subcutaneous once a day, every seven days for DM. There were also orders for blood glucose monitoring four times a day, notify the physician if blood sugar reading was less than 60 milligram per deciliter (mg/dL) or greater than 400 mg/dL. Review of the medication administration record (MAR) and treatment administration record (TAR) for the month of July 2025 revealed Resident #150's blood glucose was not documented as being obtained per physician ordered or monitored while at this facility. Interview on 08/29/25 at 1:39 P.M. with Regional Nurse #185 confirmed Resident #150's blood glucose monitoring and oxygen levels were not being monitored by the facility staff as the physician had ordered them to be. Regional Nurse #185 claimed Resident #150 was wearing a Free Style blood glucose monitoring system that would record blood sugar readings on her personal phone but confirmed
these readings had not been recorded in this resident's medical record. This deficiency represents non-compliance investigated under Complaint Number 2572438.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
EMBASSY OF WOODVIEW in COLUMBUS, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COLUMBUS, OH, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EMBASSY OF WOODVIEW or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.