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Complaint Investigation

Wayside Farm Inc

Inspection Date: September 15, 2025
Total Violations 1
Facility ID 366323
Location PENINSULA, OH
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Inspection Findings

F-Tag F0692

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0692

Provide enough food/fluids to maintain a resident's health.

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, staff interview, and facility policy review, the facility failed to ensure nutritional orders were monitored and completed. This affected one (Resident #29) of three residents reviewed for nutritional status. The census was 88. Findings Include: Resident #29 was admitted to the facility on [DATE REDACTED]. His diagnoses were schizoaffective disorder, dementia, hyperlipidemia, hypertension, tachycardia, osteoarthritis, seborrheic dermatitis, muscle weakness, dysphagia, and unsteadiness on feet. Review of his minimum data set (MDS) assessment, dated 06/26/25, revealed he was cognitively intact. Review of Resident #29's physician orders, starting date of 06/11/25, revealed the facility was to complete weekly weight checks. There was no end date listed. Review of Resident #29's weight documentation, dated 06/11/25 to 09/12/25, revealed the following weights were not taken on a weekly basis: 07/08/25 and 07/21/25. Also, there were no weights taken between 08/06/25 and 09/04/25. Review of Resident #29's nutritional notes, dated 06/11/25 to 09/12/25, revealed no documentation to support an end date to the weekly weights, or a recommendation/order from the dietitian/physician to end to weekly weights. Interview with Director of Nursing (DON) on 09/12/25 at 12:53 P.M. and 1:40 P.M. confirmed there was a current order for Resident #29 to have weekly weights, which had been in place since 06/11/25. She stated there was no documentation to support the dietitian or any other clinician had ordered the weekly weights to be stopped. She also confirmed the above missing weights were not documented as being completed. Review of facility Nutrition (Impaired)/Unplanned Weight Loss - Clinical Protocol, undated, revealed the nursing staff will monitor and document the weight and dietary intake of residents in a format which permits comparison over time. The physician will review for medical causes of weight gain, anorexia, and weight loss before ordering interventions. For individuals with recent or rapid weight gain or loss (for example, more than a pound a day), the staff will review for possible fluid and electrolyte imbalance as a cause. The staff and physician will identify pertinent interventions based on identified causes and overall resident condition, prognosis, and wishes. The physician and staff will monitor nutritional status, an individual's response to interventions, and possible complications of such interventions. The physician and staff will document the medical and ethical rationale for recommending, not recommending, or discontinuing tube feedings, consistent with the clinical situation, and applicable to laws and regulations about the withholding or withdrawing of artificial nutrition and hydration. This deficiency represents non-compliance found during the investigation of complaint number 1320053.

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:

📋 Inspection Summary

WAYSIDE FARM INC in PENINSULA, OH inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 PENINSULA, 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 WAYSIDE FARM INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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