Buckeye Care And Rehabilitation
BUCKEYE CARE AND REHABILITATION in LANCASTER, OH — inspection on August 19, 2025.
Found 2 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
from 05/09/25 through 08/19/25.Interview with Certified Nursing Assistant (CNA) #268 on 08/18/25 at 1:02 P.M. confirmed Resident #76 had a wound present to his right thigh which had been there for a while. CNA #268 confirmed LPN #262 changed the bandage to the wound and had been doing so for a while.Interview with Assistant Director of Nursing (ADON) #263 on 08/19/25 at 11:57 A.M. confirmed the facility should implement and follow wound care treatment orders obtained by the physician and wounds were to be assessed and documented weekly. ADON #263 confirmed no wound care treatment orders had been implemented for the blister to Resident #76's right thigh from 05/09/25 through 08/17/25 and also confirmed no assessment of the wound had been completed or documented from 05/09/25 through 08/17/25.Review of the facility policy titled Wound Care, revised 10/2010, revealed the purpose of the procedure was to provide guidelines for the care of wounds to promote healing.
Verify there is a physician's order for this procedure.
The following information should be recorded in the resident's medical record: The type of wound care given, the date and time the wound care was given, the name and title of the individual performing the wound care, any change in the residents' condition, all assessment data obtained when inspecting the wound, and how the resident tolerated the procedure.This deficiency represents non-compliance identified during the investigation of Complaint 1386024.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Buckeye Care and Rehabilitation
1900 East Main Street Lancaster, OH 43130
SUMMARY STATEMENT OF DEFICIENCIES
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and staff interview, the facility failed to ensure residents remained free from burns.
This affected one resident (#76) out of three residents reviewed for accidents.
The facility census was 93.Record review for Resident #76 revealed the resident was admitted to the facility on [DATE] and had diagnoses which included Parkinsonism, dementia, and dysphagia.
Review of the quarterly Minimum Data Set (MDS) assessment, dated 07/01/25, revealed the resident was assessed to have impaired cognition.
Review of the nurses progress note, dated 02/20/25, revealed Resident #76 had spilled coffee on himself during lunch.
The resident would not allow staff to remove his pants to assess the area where coffee had spilled.Review of the nurse progress note, dated 02/20/25, revealed Resident #76 had been brought back from the dining area after he had spilled coffee on himself.
The nurse completed a head-to-toe assessment, and a blister was present to the right outer leg with some redness noted.
The immediate intervention was use of restrictive flow cup for hot liquids.
The physician and responsible party were notified of the area and new intervention.
Review of the Interdisciplinary Team (IDT) Note, dated 02/22/25, revealed the IDT met to review related to occurrence on 02/20/25.
All aspects of the plan of care were in place at the time of occurrence.
All safety interventions were in place and functional at time of occurrence.
Resident was brought back from the dining area and had spilled coffee on himself.
His liquids were in a lidded cup with handles at the time of the occurrence.
The nurse completed a head-to-toe assessment with a blister noted to the right outer leg with some redness present.
The immediate intervention was use of restrictive flow cups with hot liquids.
Provide and responsible party notified. IDT in agreement with intervention and orders and updated POC (Plan of Care).
Review of the facility Skin and Wound Evaluation, dated 02/24/25, revealed there was a second degree burn to the right thigh assessed.
The wound measured 10.5 centimeters (cm) long by 6.6 cm wide. No pain was assessed to be present related to the wound, and no signs or symptoms of infection were noted.Interview with Assistant Director of Nursing (ADON) #263 on 08/19/25 at 11:57 A.M. confirmed Resident #76 sustained a burn from spilling hot coffee on himself on 02/20/25. ADON #263 confirmed the resident had been assessed by Occupational Therapy (OT) prior to the incident and was recommended to have a two handled cup with spouted lid used while consuming liquids to prevent spillage and burns, and the resident was using the cup as ordered at the time of the incident. ADON #263 confirmed treatment orders for the burn were obtained and implemented and the burn was resolved without infection or complications on 04/07/25. ADON #263 confirmed a restrictive flow cup was implemented for use with all hot liquids after the incident on 02/20/25 to further decrease the risk for spills or burns for Resident #76.
This deficiency represents noncompliance investigated under Complaint Number 1386024.
Facility ID:
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 LANCASTER, 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 BUCKEYE CARE AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.