Presidential Post-acute
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few Note: The nursing home is disputing this citation.
FORM CMS-2567 (02/99) Previous Versions Obsolete
the following key points regarding assistance with ADLs: Residents unable to carry out daily living activities independently will receive necessary services. Residents will be provided with care, treatment, and services to ensure their ADLs do not diminish unless unavoidable due to clinical conditions, with a decline only justified by a resident's medical record or functional decline. Appropriate care and services are provided with resident consent and in accordance with the plan of care, covering hygiene, mobility, elimination, dining, and communication, with efforts to prevent or minimize functional decline through pain management and depression treatment.This deficiency represents non-compliance investigated under Complaint Number OH00165095 (1373756).
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Facility ID:
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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
10/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Presidential Post-Acute
524 James Way Marion, OH 43302
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-Tag F0880
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, medical record review, review of Centers for Disease Control and Prevention (CDC) guidance, and facility policy review, the facility failed to implement enhanced barrier precautions (EBP) as physician ordered during wound care for Resident #67. This affected one (#67) of three residents reviewed for wounds. The facility identified 13 residents who had EBP in place. The facility census was 91. Findings include:Review of Resident #67's medical record revealed she was admitted to the facility on [DATE REDACTED].
Diagnoses included congestive heart failure, chronic kidney disease, diabetes mellitus, and morbid obesity.
Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE REDACTED], revealed Resident #67 had impaired cognition and required assistance from staff with transfers, bed mobility, and bathing.
Residents Affected - Few
Review of Resident #67's care plan dated 05/07/24 revealed a care plan focus of EBP. Resident #67 required EBP during high-contact resident care activities due to the presence of wounds. Interventions included to utilize personal protective equipment (PPE) (gown and gloves, face-shield as indicated) during high contact resident care activities (e.g. Brief changes, toileting assistance, device care and wound care).
Review of Resident #67's physicians orders dated 10/01/25 revealed orders to assist for EBP during high contact resident care every shift and a wound care treatment order to the sacrum/right buttocks every shift.
Observation of wound care on 10/16/25 at 9:45 A.M. revealed Nurse #494 and Wound Nurse #474 provided wound care to Resident #67's sacrum/right buttocks and they did not wear gowns during the wound care.
Interview on 10/16/25 at 10:05 A.M. with Wound Nurse #474 confirmed Resident #67 was on EBP for the wounds and confirmed Nurse #494 and Wound Nurse #474 did not wear a gown during wound care.
Wound Nurse #474 confirmed a gown should have been worn by the nurse during wound care.
Review of the facility's EBP policy dated March 2024 revealed EBP involves the use of gowns and gloves
during high-contact resident care activities, in addition to standard precaution and staff should don appropriate PPE before engaging in high-contact resident care activities.
Review of the CDC guidance titled Implementation of PPE Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms (MDROs) found at https://www.cdc.gov/long-term-care-facilities/hcp/prevent-mdro/PPE.html and dated 04/02/24 revealed MDRO transmission is common in skilled nursing facilities, contributing to substantial resident morbidity and mortality and increased healthcare costs. EBP is an infection control intervention designed to reduce transmission of resistant organisms that employs targeted gown and glove use during high contact resident care activities. EBP may be indicated for residents with any of the following: wounds or indwelling medical devices, regardless of MDRO colonization status.
This deficiency represents non-compliance investigated under Complaint Number OH00166290 (1373764).
FORM CMS-2567 (02/99) Previous Versions Obsolete
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Facility ID:
If continuation sheet
PRESIDENTIAL POST-ACUTE in MARION, 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 MARION, 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 PRESIDENTIAL POST-ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.