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Complaint Investigation

Edgewood Manor Of Wellston

September 4, 2025 · Wellston, OH · 405 North Park Avenue
Citations 1
CMS Rating 5/5
Beds 50
Provider ID 365939
Healthcare Facility
Edgewood Manor Of Wellston
Wellston, OH  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

EDGEWOOD MANOR OF WELLSTON in WELLSTON, OH — inspection on September 4, 2025.

Found 1 citation. 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

FF0755
Pharmacy Service Deficiencies
Potential for More Than Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident record review, staff interview, and review of hospital discharge instructions, the facility failed to ensure discharge orders for medications were accurately implemented.

This affected one resident (#39) out of the 16 residents whose medications were reviewed.

The facility census was 40.

Findings include: Record review for Resident #39 revealed the resident was admitted to the facility on [DATE] and had diagnoses which included hypertension, diabetes mellitus, and adult failure to thrive.

Review of the admission Minimum Data Set (MDS) assessment, dated 08/07/25, revealed the resident was assessed to have impaired cognition.

Review of the hospital discharge medication instructions, dated 07/30/25, revealed Resident #39 was to continue taking one half of a tablet of 25 milligram (mg) metoprolol (an anti-hypertensive medication) twice a day after discharge from the hospital.

Review of the physicians order, dated 07/31/25, revealed Resident #39 was ordered one whole tablet of 25 mg metoprolol to be administered twice a day while residing in the facility.Further record review for Resident #39 revealed the resident was not documented to suffer any adverse effects as a result of being administered 25 mg of metoprolol twice a day while residing in the facility.Interview with the Director of Nursing (DON) on 09/04/25 at 10:05 A.M. confirmed the hospital discharge instructions for Resident #39 were for the resident to continue taking one half of a tablet of 25 mg metoprolol (to equal 12.5 mg) twice a day but order was transcribed at the facility for one whole tablet (to equal 25 mg) twice a day.

This citation represents non-compliance identified during the investigation of Complaint #2601352 and Complaint #2596195.

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

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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 WELLSTON, 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 EDGEWOOD MANOR OF WELLSTON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.