Dixon Healthcare Center
DIXON HEALTHCARE CENTER in WINTERSVILLE, OH — inspection on November 17, 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
Review of Resident #7 September Medication Administration Record (MAR) revealed Percocet oral tablet 7.5-325 mg give one tablet one time a day was given on 09/25/25 at 2:00 A.M. and was not given on 09/26/25 at 2:00 A.M.
Review of Resident #7 September MAR revealed Percocet oral tablet 7.5-325 mg give one tablet by mouth four times a day for pain was not given on 09/25/25 for any occurrence as ordered for 8:00 A.M., 12:00 P.M., 4:00 P.M., and 8:00 P.M Interview on 10/07/25 at 10:10 A.M. with anonymous staff member (ASM) #33 confirmed they just switched to a new pharmacy, within the last month it became official. ASM #33 stated they had an issue with narcotics, their understanding was it was supposed to be in one shipment and when that shipment came it wasn't there, and they were unable to get into the emergency stock. ASM #33 stated they do not recall which resident the prescription was for.
Interview on 10/07/25 at 1:38 P.M. with Resident #7 revealed she was out of her pain medication for almost 30 hours a couple weeks ago. Resident #7 stated the longest she goes without her pain medication six hours, between 2 A.M. and 8 A.M., this is when its scheduled.
The staff told her there was a pharmacy mix up. Resident #7 stated this has happened before, and they told her they were going to start ordering their pain medication seven days before it runs out due to the frequency she takes it. Resident #7 stated she was worried she was going to withdraw.
The did offer her to go to the hospital but she did not feel that was necessary.
Interview on 10/07/25 at 2:05 P.M. with Pain Clinic staff #54 revealed on 09/24/25 at 4:29 P.M. their office had a call, which was placed on voice mail due to it being after hours, from the facility regarding Resident #7 pain medication. It wasn't until the next day on 09/25/25 the pharmacy received the call from the answering machine. On 09/26/25 the provider sent the prescription to pharmacy solutions.
Prior to 09/24/25 the last time Resident #7 pain medication was called in was on 09/05/25.Interview and review of Resident #7 MAR with Director of Nursing on 10/07/25 at 2:08 P.M. confirmed Resident #7 was last administered her pain medication on 09/25/25 at 2:00 A.M. and did not receive the next dose until 09/26/25 at 9:00 A.M., totaling 30 hours without their ordered pain medication and missing five ordered doses due to the medication not being available.
This deficiency represents non-compliance investigated under Complaint Number 2631072.
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