Salem West Healthcare Center
SALEM WEST HEALTHCARE CENTER in SALEM, OH — inspection on August 25, 2025.
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
During an interview on [DATE] at 2:10 P.M., LPN #115 stated she nor Registered Nurse (RN) #150 understood what the A at the end of the DNRCC-A meant. CPR was initiated with one set of chest compressions and one set of breaths delivered before they stopped and verified they could not detect a pulse or respirations. It was during this assessment that EMTs arrived and scanned Resident #73 ' s hospital bracelet and determined he had a DNR order and confirmed Resident #73 was absent of breaths and heart beat. CPR was discontinued.This deficiency represents noncompliance investigated under Complaint Number 1374412 (OH00167460)
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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Salem West Healthcare Center
2511 Bentley Drive Salem, OH 44460
SUMMARY STATEMENT OF DEFICIENCIES
Review of the nurse's note dated 10/31/25 at 5:30 P.M. revealed Resident #35 was readmitted from the hospital with a one by one (no standard unit listed) scab, dark in color with no drainage noted.
The top of the right foot had a dry dressing.
Review of the November 2025 physician's orders revealed Resident #35 did not have an order for a treatment to his right foot.
Review of the November 2025 Treatment Administration Record revealed no documentation of a treatment being completed to the right foot of Resident #35.An observation on 11/03/25 at 1:00 P.M. revealed Resident #35 was sitting at the nurses station with a border foam dressing on the top of the right foot dated 11/01.
Licensed Practical Nurse #101 stated she did not know why it was there.
She checked the orders and verified there was no order for him to have a dressing to the top of his right foot. An interview on 11/04/25 at 10:35 A.M. with Regional Director of Clinical Operations (RDCO) #100 revealed the dressing to the right foot was placed for a pad and protect.
She stated they notified the nurse practitioner on 11/01/25; However, the nurse did not put the order in the computer, but it was just a pad and protect, she stated the resident did not have any open areas or scabbed areas to the right foot.
She stated they would have caught it when they completed his weekly skin check.
Observation on 11/04/25 at 11:00 A.M. of Resident #35's right foot, with the Director of Nursing (DON) and RDCO #100, revealed the resident had a border foam dressing to the area of his right foot where his great toe used to be.
The DON pulled the dressing back halfway to just expose his healed surgical incision.
When the dressing was completely removed it exposed a dime sized scabbed area to the top of his foot, close to the second toes, and three pea sized scabs to the top of the second toe.
The DON stated they did not have a treatment to the scabs because they were closed wounds.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Salem West Healthcare Center
2511 Bentley Drive Salem, OH 44460
SUMMARY STATEMENT OF DEFICIENCIES
1374412 (OH00167460).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Salem West Healthcare Center
2511 Bentley Drive Salem, OH 44460
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited SALEM WEST HEALTHCARE CENTER in SALEM, OH for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-08-25.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of SALEM WEST HEALTHCARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.