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Complaint Investigation

Dixon Healthcare Center

Inspection Date: November 17, 2025
Total Violations 1
Facility ID 365629
Location WINTERSVILLE, OH
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Inspection Findings

F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

09/26/25 at 9:01 A.M. that Physician #100 placed new order for Ultram 50 mg every four hours for seven days until supply arrives of Percocet for pain clinic order and Resident #7 aware. 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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📋 Inspection Summary

DIXON HEALTHCARE CENTER in WINTERSVILLE, 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 WINTERSVILLE, 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 DIXON HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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