Widows Home Of Dayton
WIDOWS HOME OF DAYTON in DAYTON, OH — inspection on February 24, 2026.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
he was getting shocked.Interview on 02/23/26 at 1:27 P.M., LPN #22 stated she worked on 01/31/26
a urinary tract infection (UTI) because he was not making any sense. LPN #22 stated she unplugged
Resident #52 had an ICD. LPN #22 stated she obtained Resident #52's vital signs but did not document anything in the resident's medical records. LPN #22 stated she put a written entry in the provider's binder to follow up with Resident #52 but never called the provider about the acute change in conditions.
Interview on 02/23/26 at 1:47 P.M., the DON stated the staff should be documenting in the medical records and notifying the provider when a resident experienced an acute change in condition.
The DON stated she was not made aware of any complaints related to the resident being shocked until he was being sent out to the hospital on [DATE] at 1:00 A.M.
The DON verified the provider was not notified when Resident #52 had an acute change in condition on 01/31/26.Review of the facility policy titled, Change in Condition, dated 11/06/25 revealed the facility was to ensure timely and appropriate response to changes in resident's conditions and to facilitate effective communication with physicians.
The nursing staff must be vigilant in monitoring residents for any changes in condition including alterations in vital signs, mobility, cognition, mood, or behavior.
When a nurse was notified of a change, the nurse would perform a comprehensive assessment to evaluate the severity and identify potential causes.
The nurse would document all findings in the resident's medical record.
The nurse must notify the attending physician or on-call physician immediately if the change in condition is significant.This deficiency represents noncompliance investigated under Complaint Number 2735210.
366178 02/24/2026
Widows Home of Dayton 50 South Findlay Street Dayton, OH 45403
During an interview on 02/19/26 at 2:24 P.M., Resident #52 stated he was being shocked and requested to go to the hospital. Resident #52 stated the staff would not send him out at first but explained he was in a lot of discomfort when he was getting shocked, and it woke him up out of his sleep.
During an interview on 02/23/26 at 1:14 P.M., LPN #23 stated she started her shift on 01/31/26 after 11:00 P.M. LPN #23 stated she received a report from RN #30 that Resident #52 had been screaming out in pain most of the day because he was being shocked. LPN #23 stated an hour into her shift, Resident #52 started screaming out in pain. LPN #23 assessed him and reached out to the on-call provider to send him out the hospital to be evaluated.
EMS were called and responded to Resident #52, who was later transported to the hospital.During an interview on 02/23/26 at 1:27 P.M., LPN #22 stated she worked on 01/31/26 from 7:00 A.M. to 8:00 P.M. LPN #22 stated Resident #52 was screaming out and reported to her that a man was shocking him in his room, or the bed was shocking him. LPN #22 stated she thought he had a urinary tract infection (UTI) because he was not making any sense. LPN #22 stated she unplugged the bed and ensured the bed was working properly. LPN #22 stated she did not know Resident #52 had an ICD.
LPN #22 stated she made an entry in the binder for the provider to follow up with Resident #52 the following day. LPN #22 stated she obtained Resident #52's vital signs but did not document anything in the resident's medical records and did not notify the physician. LPN #22 stated she made a note in the provider's binder so a provider could follow-up with the resident.
During an interview on 02/23/26 at 1:47 P.M., the DON stated Resident #52 had behaviors and would scream out.
The DON stated the staff should be documenting changes in residents' condition and behaviors in the medical record.
She was not made aware of any shocking complaints by Resident #52 until he was sent out to the hospital on [DATE].
During an interview on 02/23/26 at 2:04 P.M., RN #30 stated he came in to relieve LPN #22 (day shift nurse) around 8:00 or 9:00 P.M. RN #30 stated he got a report that Resident #52 had been screaming out all day related to being shocked. RN #30 stated Resident #52 was screaming out when he first got on shift, but when he completed his first medication rounds at 8:30 P.M., Resident #52 had his eyes closed in bed.
Around 9:30 P.M., Resident #52 started screaming out and when he went in to assess the resident, he reported he was being shocked by his pacemaker. RN #30 stated he did not know Resident #52 had a pacemaker until the resident mentioned it. RN #30 stated he reviewed the resident's record and verified the resident had a pacemaker. RN #30 stated he listened to the resident's heart and noticed an irregular and elevated rhythm. RN #30 reached out to the on-call provider and did not get an answer. RN #30 stated he was relieved by LPN #23 on 01/31/26 at approximately 11:00 P.M. and mentioned in his report that Resident #52 had complained of being shocked by his pacemaker. RN #30 instructed LPN #23 to send Resident #52 out to the hospital if it occurred again.
Review of the facility policy titled, Change in Condition, dated 11/06/25 revealed the facility was to ensure timely and appropriate response to changes in resident's conditions and to facilitate effective communication with physicians.
Nursing staff must be vigilant in monitoring residents for any changes in condition including alterations in vital signs, mobility, cognition, mood, or behavior.
When the nurse was notified of change, the nurse would perform a comprehensive assessment to evaluate the severity and identify potential causes.
The nurse would document all findings in the resident's medical record.
The nurse must notify the attending physician or on-call physician immediately if the change in condition is significant.This deficiency represents noncompliance investigated under Complaint Number 2735210.
366178 02/24/2026
Widows Home of Dayton 50 South Findlay Street Dayton, OH 45403
Review of CNA #13's timecard for February 2026 revealed 12-hour shifts were completed on [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], and [DATE], and [DATE].Interview on [DATE] at 10:04 A.M., the Director of Nursing (DON) verified CNA #13 was not licensed as a CNA.
The DON stated CNA #13 finished her online CNA program in [DATE] but never took the state test for licensure.
The DON stated CNA #13 was initially hired as a housekeeper and worked her way up to being a CNA.
Interview on [DATE] at 11:17 A.M., CNA #13 verified she was not licensed as a CNA and was providing personal care to residents. CNA #13 reported she was late scheduling her state test for licensure, but it was cancelled during the government shutdown. CNA #13 stated the DON and Human Resources #70 were not aware that she did not complete her state test for licensure.Interview on [DATE] at 11:39 A.M., Human Resources #70 verified CNA #13 was not licensed as a CNA. HR #70 reported she missed following up with CNA #13 after her test was cancelled due to the shutdown.
Review of the facility policy titled, Nursing Services and Sufficient Staff, dated [DATE], revealed the facility was to provide sufficient staff with appropriate competencies and skill sets to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care.
Review of the facility policy titled Required Training, Certification and Continuing Education of Nurse Aides revised on [DATE], revealed the facility would employ nurse aides that have successfully completed a state approved NATCEP and are awaiting certification results.
Staff may be employed full-time and permanent but must provide documentation of certification within four months of their hire date.
Facility would verify certification through the appropriate state's nurse aide registry. If an individual has not successfully completed a NATCEP at the time of employment, that individual may only function as a nurse aide if the individual has been verified to be currently enrolled in a State approved NATCEP and is a permanent employee in his/her first four months of employment in the facility.
Review of the State of Ohio Nurse Aide Registry website at (https://odh.ohio.gov/know-our-programs/nurse-aide-registry/nurseaideregistry), revealed no current nor expired CNA license for CNA #13.
This deficiency represents noncompliance investigated under Complaint Number 2784304 and 2723229.
366178 02/24/2026
Widows Home of Dayton 50 South Findlay Street Dayton, OH 45403
Review of the facility policy titled, Change in Condition, dated 11/06/25 revealed the facility was to ensure timely and appropriate response to changes in resident's conditions and to facilitate effective communication with physicians.
Nursing staff must be vigilant in monitoring residents for any changes in condition including alterations in vital signs, mobility, cognition, mood, or behavior.
When the nurse was notified of change, the nurse would perform a comprehensive assessment to evaluate the severity and identify potential causes.
The nurse would document all findings in the resident's medical record.
The nurse must notify the attending physician or on-call physician immediately if the change in condition was significant.This deficiency represents noncompliance investigated under Complaint Number 2735210.