Ayden Healthcare Of Waterville
Inspection Findings
F-Tag F0677
F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, observation, staff interview, and review of the facility policy, the facility failed to ensure a resident who was dependent on staff for activities of daily living (ADL) received adequate assistance with personal hygiene. This affected one (#16) of three residents reviewed for ADL care. The facility census was
- 75. Findings include:Review of the medical record for Resident #16 revealed an admission date of
03/30/18. Diagnoses included chronic respiratory failure, tracheostomy status, ventilator dependent, quadriplegia, and chronic obstructive pulmonary disease (COPD). Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE REDACTED] revealed Resident #16 was severely cognitively impaired and was dependent on staff for all ADL care. Review of the care plan revised 08/2025 revealed Resident #16 was care planned for risk for decline in ADL function with an intervention of total dependent assistance for all ADL care. Review of the facility's shower schedule revealed Resident #16 was scheduled for showers on Tuesday and Friday by the night shift staff. Review of the shower sheet for Resident #16 revealed she received a shower on her regularly scheduled shower day on 09/23/25. Observation on 09/23/25 at 11:28 A.M. revealed Resident #16 was laying in bed, eyes closed, unarousable (comatose) with facial hair on her upper lip and chin that was approximately one to two inches in length resembling a man's goatee. Resident #16's upper lip revealed the hair was hanging beyond the top lip line where it begins to form the top full lip.
The facial hair on Resident #16's chin revealed the hair was nearly touching the drain sponge underneath
the tracheostomy drainage sponge, which was a four-by-four split gauze dressing that was placed around
the tracheotomy opening. Observations on 09/24/25 at 7:29 A.M. and 11:39 A.M. revealed Resident #16 was clean, her hair appeared freshly washed, damp, and combed to the side with the facial hair unchanged from observation on 09/23/25. Interview on 09/24/25 at 11:39 A.M. with Certified Nursing Assistant (CNA) #369 verified she received in report from night shift that Resident #16 was showered. CNA #369 further stated the staff don't want to use the facilities razors on her face so they didn't shave her. Observation concurrent with interview on 09/24/25 at 11:40 A.M. with Licensed Practical Nurse (LPN) #381 verified the long facial hair on Resident #16 and stated the expectations of the CNAs during showering was to trim nails, wash hair, and shave facial hair. Further observation of the facility's razors revealed the razors were
the traditional two blade razor. Review of the facility policy titled Activities of Daily Living (ADLs) revised 03/2018 revealed residents will be provided with care, treatment and services as appropriate to maintain or improve their ability to carry out ADLs. Residents who are unable to carry out ADLs independently will receive the service necessary to maintain good nutrition, grooming, and personal and oral hygiene. This deficiency represents non-compliance investigated under Complaint Number 2607782.
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:
AYDEN HEALTHCARE OF WATERVILLE in WATERVILLE, 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 WATERVILLE, 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 AYDEN HEALTHCARE OF WATERVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.