Presidential Post-acute
PRESIDENTIAL POST-ACUTE in MARION, OH — inspection on October 20, 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
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).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Presidential Post-Acute
524 James Way Marion, OH 43302
SUMMARY STATEMENT OF DEFICIENCIES
Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE], revealed Resident #67 had impaired cognition and required assistance from staff with transfers, bed mobility, and bathing.
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).
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