Pickerington Care and Rehabilitation

Inspectors wroteBased on closed record review, discharge notice review, hospital record review, discharge hearing document review, interview and policy review the facility failed to ensure residents were provided timely and appropriate discharge planning after the administration of a discharge notice and failed to ensure residents were permitted to return to the facility following a hospitalization. This affected one resident (#72) of two reviewed for discharge with a 30-day notice. The facility census was 68.

Inspectors wroteBased on observation, interview and record review the facility failed to provide hair care to a dependent resident. This affected one resident (#67) of four residents reviewed for assistance with activities of daily living. The facility census was 68.

Inspectors wroteBased on observation, interview, record review and policy review the facility failed to provide a clean, comfortable environment. This affected one resident (#67) of four residents reviewedt. The facility census was 68.

Inspectors wroteBased on observations, resident and staff interviews and policy review, facility failed to ensure the survey results binder was easily accessible to all residents. This had the potential to affect all facility residents. Facility census was 71.

Inspectors wroteBased on observations, staff interviews, and record review, the facility failed to maintain flooring for two residents (#53 and #67) out of 25 residents observed for environment. Additionally, the facility failed to ensure carpeting throughout facility was maintained in clean and sanitary manner. This had the potential to affect all 71 facility residents.

Inspectors wroteBased on medical record review, observation, staff interview and facility policy and procedure, the facility failed to ensure splints ordered and care planned for residents with decreased range of motion were applied. This affected five (Resident #5, Resident #20, Resident #76, Resident #81 and Resident #87) of seven residents reviewed for mobility and position. The facility census was 71. 1. Review of Resident #87's medical record revealed he was admitted on [DATE]. Diagnoses included non-traumatic intracerebral hemorrhage, acute respiratory failure, seizures, encephalopathy, dysphagia, tracheostomy and gastrostomy. Review of the quarterly minimum data set assessment dated [DATE] revealed his cognition was not intact (Rarely/Never understood). Resident #87 was dependent for oral hygiene, toileting, shower/bathing, dressing, personal hygiene and turning and repositioning. [...]

Inspectors wroteBased on observation, staff interview, and facility policy review the facility failed to store and label frozen food in a sanitary manner. This deficient practice had potential to affect 49 residents receiving prepared food from the facility's kitchen. The facility's census was 71. Findings Include:An observation on 09/22/25 at 8:45 A.M. [...]

Inspectors wroteBased on observation, interview, manufacturers guidelines, and policy and procedure review the facility failed to maintain infection control practices during finger stick blood glucose monitoring. This affected one (Resident #15 ) of one reviewed for Fingerstick blood glucose monitoring. It had the potential to affected three additional residents (Resident #51, #57 and #80) on 100 hall who receive a finger stick blood sugar. The facility also failed to perform hand hygiene during meal service. This affect three residents (Residents #20, #26, and #69) out of nine residents observed eating the lunch meal in the main dining room. The census was 71.

Inspectors wroteBased on medical record review, observation, staff interview, and review of facility policy and procedure, the facility failed to ensure residents were treated in a dignified manner by providing privacy during care and treatment. This affected three (Resident #52, #73 and #87) of 22 residents in the survey sample. The census was 71.

Inspectors wroteBased on medical record review, observation, staff interview, and facility policy and procedure, the facility failed to maintain a clean and sanitary environment. This affected two residents (#25 and #26) of 25 residents rooms observed. The census was 71. Findings Include: 1. Review of Resident #26's medical record revealed an admission date of 05/22/23 with the diagnoses including, but not limited to, respiratory failure, epilepsy, anxiety, and schizoaffective disorder. Review of Resident #26's quarterly minimum data set (MDS) assessment dated [DATE] revealed Resident #26 had impaired cognition with a Brief Interview of Mental Status (BIMS) score of 10 out of 15, he was dependent on staff for completion of bathing and personal hygiene tasks, was independent with eating and used a wheelchair for mobility. [...]

Inspectors wroteBased on record review, staff interviews, and facility policy review, the facility failed to develop and implement a comprehensive care plan addressing the use of hand splints for a resident with contractures. This deficient practice affected one resident (Resident #5) out of three residents reviewed for care planning. The facility census was 71. Findings Include: Review of Resident #5's medical record revealed admission date 03/03/23 with diagnoses including but not limited to congestive heart failure (CHF), anoxic brain damage, respiratory failure, ventilator dependent, high blood pressure and anxiety. Review of Resident #5's quarterly [NAME] Data Set (MDS) dated [DATE] revealed Resident #5 had severe impaired cognition and was dependent on staff for all care. [...]

Inspectors wroteBased on observations, resident and staff interviews and record review, facility failed to revise a dental care plan for two Residents (#32 and #60) and a vision care plan for one Resident (#82). This affected three residents (#32, #60 and #82) out of 25 residents in the survey sample. Facility census was 71.

Inspectors wroteBased on record review, observations, staff interviews, and facility policy review, the facility failed to ensure nail care was provided for dependent care residents. This deficient practice affected three residents (Residents #26, #77, and #80) out of seven residents reviewed for activities of daily living (ADL) care for dependent residents. The facility's census was 71. Findings Include: 1. Review of Resident #26's medical record revealed an admission date of 05/22/23 with the diagnoses including, but not limited to, respiratory failure, epilepsy, anxiety, and schizoaffective disorder. Review of Resident #26's quarterly minimum data set (MDS) assessment dated [DATE] revealed Resident #26 had impaired cognition with a Brief Interview of Mental Status (BIMS) score of 10 out of possible 15 and was dependent on staff for completion of bathing and personal hygiene tasks. [...]

Inspectors wroteBased on medical record review, observation and staff interview, the facility failed to ensure ongoing resident centered activities program that incorporated the resident's interests, hobbies and cultural preferences. This affected one (Resident #87) of four residents observed for activities. The census was 71.

Inspectors wroteBased on record review, staff interviews, and facility policy review, the facility failed to prevent a delay in treatment for a resident requiring antibiotic use (Resident #1). This affected one resident (Residents #1) out of four residents reviewed for quality of care. The facility census was 71. Findings Include: Review of Resident #1's medical record revealed admission date of 08/14/25 with diagnoses including but not limited to pleural effusion, chronic obstructive pulmonary disease (COPD), pneumonia, depression, high blood pressure, and anxiety. Review of Resident #1's progress notes revealed on 09/10/25 at 9:33 P.M. Resident #1 showed the nurse a medication cup with brown/tan colored sputum in it. Notification was made to MedOne and an order was received for a chest X-ray and to complete a SARS-CoV-2 (COVID-19) test, with the COVID-19 test results being negative at 10:17 P.M. [...]

Inspectors wroteBased on resident and staff interviews, record review, and review of facility policy, the facility failed to ensure timely follow up for ophthalmology services for one Resident (#82) of one reviewed for ophthalmology services. Facility census was 71.

Inspectors wroteBased on resident and staff interviews, record review, and review of facility policy, the facility failed to ensure appropriate care and services for Resident #32 who utilized a Foley catheter. This affected one resident (#32) of one reviewed for catheters. Facility census was 71.

Inspectors wroteBased on record review, observation, staff interview and review of facility policy the facility failed to ensure dietary adaptive equipment was provided for a dependent resident. This deficient practice affected one resident (Resident #20) out of two residents reviewed for adaptive equipment use. The facility census was 71. Findings Include:Review of Resident #20's medical record revealed admission date 11/14/22 with diagnoses including but not limited to high blood pressure, depression, dementia, contractures, and dysphagia. Review of the quarterly minimum data set (MDS) dated [DATE] revealed Resident #20 had impaired cognition with a brief Interview of mental status (BIMS) score of 9 out of a possible score of 15. Resident #20 required assistance with meal set and was dependent for cares. [...]

Inspectors wroteBased on medical record review, observation, staff interview and facility policy and procedure review, the facility failed to ensure enteral feedings were labeled and dated when the feeding was initiated and hung for administration. This affected three (Resident #10, #39 and #81) of six residents with enteral feedings. The census was 71.

Inspectors wroteBased on staff interview and record review, facility failed to follow pain order parameters for Resident #61. The facility also failed to offer non-pharmacological interventions to two Residents (#8 and #61) of two reviewed for pain. Facility census was 71.

Inspectors wroteBased on observations, resident and staff interviews and record review, facility failed to ensure resident requests were follow up on in a timely manner. This affected one Resident (#93) of four observed for call lights. Facility census was 71.

Inspectors wroteBased on medical record review, staff interview and review of facility policy and procedure, the facility failed to act upon the pharmacy recommendations in a timely manner. This affected two (Resident #8 and Resident #60) of five residents reviewed for unnecessary medications. he census was 71.

Inspectors wroteBased on observation, resident and staff interviews, record review, and review of facility policy, the facility failed to ensure timely follow up for dental services for one Resident (#32) of three reviewed for dental services. Facility census was 71.

Inspectors wroteBased on resident and staff interviews and policy review, facility failed to ensure mail was available to residents on Saturdays. This affected three residents (#13, #19 and #71) out of four residents interviewed in the resident council, and had the potential to affect all facility residents. Facility census was 71.

Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to provide adequate care and services to treat pressure ulcers for Resident #100. This affected one resident (#100) of three residents sampled for pressure ulcers. The facility census was 65.

Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to maintain accurate medical records for Resident #100. This affected one resident (#100) of three residents sampled. The facility census was 65.

Inspectors wroteBased on observation, medical record review and interview, the facility failed to maintain acceptable infection control practices and ensure accurate isolation precaution sign were removed when ordered. This affected two residents (#9 and #103) during random observations. The facility census was 65.

Inspectors wroteBased on observation and interview, the facility failed to ensure daily nursing staff data was posted as required. This had the potential to affect all 65 residents residing within the facility.

Inspectors wroteBased on observation, interview and review of manufacture's guidelines, the facility failed to dispose expired Covid 19 vaccine syringes. This had the potential to affect any resident receiving a Covid 19 vaccine or booster vaccine. The facility census was 72. Findings Include: Observation on [DATE] at 10:58 A.M. revealed an opened box of Spikevax (Covid 19) vaccine located in the back drawer of the medication storage refrigerator located in the North unit's medication storage room. Inside the opened box were two pre-filled syringes remaining out of the original ten pre-filled syringes with lot number #3032713 and expiration date [DATE]. There were no opened dates observed on the box or on the syringes. Interview on [DATE] at 11:10 A.M. [...]

Inspectors wroteBased on observation, record review, interview and facility policy review, the facility failed to ensure one resident (#175) was treated with respect and dignity. This affected one of one resident reviewed for dignity. The facility census was 72. Findings Include: [...]

Inspectors wroteBased on record review, interview and Long Term Care Facility Resident Assessment Instrument 3.0 Manual review, the facility failed to complete an initial comprehensive, accurate standardized Minimum Data Assessment (MDS) within the first 14 days following admission to the facility for two residents (#175 and #177) and failed to accurately assess and code the oral status of one resident (#30) on the annual MDS. This affected three residents (Resident #175,#177, and #20) of 20 sampled residents. The facility census was 72. Findings Include: 1. [...]

Inspectors wroteBased on observations, medical record review, staff interview, and policy review, the facility failed to comprehensively assess residents for possible medication side effects. This affected two (Resident #11 and Resident #19) of 20 sampled residents. The facility census was 72.

Inspectors wroteBased on record review, interview and facility policy review, the facility failed to document the reason for decline in gradual does reduction of antipsychotropic medications for one resident (#8). This affected one (Resident #8) of five residents reviewed for unnecessary medications. The facility census was 72. Findings Include: [...]

Inspectors wroteBased on observation, record review, interview and facility policy review, the facility failed to maintain infection control practices to prevent the potential spread of infection in the area of droplet isolation. This affected one resident (#175) of three residents reviewed for transmission based precautions (TBP). The facility census was 72. Findings Include: [...]

Inspectors wroteBased on observation, interview and facility policy review, the facility failed to ensure one resident's (#181) call light was within reach to call staff for assistance. This affected one of 20 sampled residents. The facility census was 72. Findings Include: On 07/30/24 at 1:59 P.M., observation of Resident #181 revealed his call light was laying on the floor on a floor mat next to his bed out of reach. On 07/30/24 at 2:30 P.M., interview with State Tested Nursing Assistant (STNA) #553 revealed the resident had no speech, was dependent on staff for activities of daily living and the call light was the only means to alert staff of any needs. STNA #553 verified the resident's call light was on the floor out of his reach. On 07/31/24 at 1:59 P.M., observation of Resident #181 revealed the resident's call light was laying on the floor on a floor mat next to his bed. [...]

Inspectors wroteBased on record reviews, facility policy, family and staff interviews the facility failed to allow Resident #61 and #31 to exercise their right to be informed, choice and participate in the care being provided. This affected two of two residents, (#61, #31) reviewed for planning and implementing care. The facility census was 70.

Inspectors wroteBased on observation, interviews, and record review the facility failed to document communication of change of condition requiring new antibiotic treatments of one resident (#64) out of one resident reviewed for change in condition and failed to provide failed to provide documentation of communication for resident's dental service needs and antibiotic orders for one resident (#61) out of one reviewed for dental services. The facility census was 70.

Inspectors wroteBased on medical record review, staff interview, observations, and facility comprehensive care plan policy, this facility failed to develop a person center care plan to accurately reflect a resident target behavior of yelling. This affected one (Resident #30) of the two residents reviewed for mood and behavior care. The facility census was 70.

Inspectors wroteBased on medical record review, staff interview, dialysis center interview, and facility Dialysis policy review, this facility failed to ensure Dialysis care plans were up to date to accurately reflect residents current Dialysis center and treatment days. This affected one (Resident #54) of the one resident reviewed for Dialysis care. Facility census was 70.

Inspectors wroteBased on record review, resident and staff interviews, the facility failed to provide activities services for two out of two residents, (Resident #17 and #35 ) reviewed for activities services. The census was 70.

Inspectors wroteBased on interview and record review the facility failed to timely implement a new treatment for Resident #40's pressure ulcer as recommended by the wound doctor. This affected one resident (#40) of eight residents with pressure ulcers reviewed. The facility census was 70.

Inspectors wroteBased on medical record review, observations, staff interview, facility fall investigations, and facility fall policy, the facility failed to ensure fall interventions were in place for residents with a history of falls or who were at risk for falls. This affected two (Resident #36 and #24) of the three residents reviewed for fall interventions. The facility census was 70.

Inspectors wroteBased on medical record review, staff interview, Dialysis center agreement review and facility Dialysis policy, this facility failed to have a signed agreement between the facility and dialysis center affecting one (Resident #54) of the one resident reviewed for Dialysis services. The facility census was 70.

Inspectors wroteBased on interview and medical record review, the facility failed to ensure pain medication parameters were followed for Resident #62. This affected one resident (#62) of five residents reviewed for unnecessary medications. The facility census was 70.

Inspectors wroteBased on observation, interview, medical record review, and facility policy review, the facility failed to complete behavior monitoring for two residents (#16 and #30) on antianxiety medication. This affected two residents (#16 and #30) of two residents reviewed for mood and behavior. The facility census was 70.

Inspectors wroteBased on interview ,record review, and facility policy review, the facility failed to document wound treatments as completed for three residents (#40, #48, and #60). This affected three residents (#40, #48, and #60) of eight residents reviewed for pressure ulcers. The facility further failed to provide documentation of oral assessments and usage of antibiotics and communication for resident's dental service needs and antibiotic orders for one resident (#61) out of one reviewed for dental services. The facility census was 70.

Inspectors wroteBased on observation and interviews the facility failed to ensure the urine collection bags were kept off the floor. This was observed for two residents (#33 and #60) out of 14 residents with indwelling catheters. The facility census was 70. 1. Resident #33 was admitted to the facility on [DATE] with the most recent readmission [DATE]. Diagnoses include acute and chronic respiratory failure with hypoxia, dependence on ventilator, dementia, myoclonus, dysphagia, seizures, chronic kidney disease, contracture of left knee, left shoulder, and right shoulder, cystostomy, neurogenic bladder and urine retention, tracheostomy, and gastrostomy. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #33 is in a persistent vegetative state with no discernible consciousness. Resident #33 is totally dependent for all mobility and sell care categories. [...]

Inspectors wroteBased on medical record review, staff interview, and facility antibiotic stewardship policy review, the facility failed to ensure residents who had orders for receiving antibiotic cream had the location for the cream to be applied and a stop date for the antibiotic cream. This effected one (Resident #222) of the five residents reviewed for appropriate medication regimen. The facility census was 70.