Wayside Farm Inc

Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to ensure nutritional orders were monitored and completed. This affected one (Resident #29) of three residents reviewed for nutritional status. The census was 88. Findings Include: Resident #29 was admitted to the facility on [DATE]. His diagnoses were schizoaffective disorder, dementia, hyperlipidemia, hypertension, tachycardia, osteoarthritis, seborrheic dermatitis, muscle weakness, dysphagia, and unsteadiness on feet. Review of his minimum data set (MDS) assessment, dated 06/26/25, revealed he was cognitively intact. Review of Resident #29's physician orders, starting date of 06/11/25, revealed the facility was to complete weekly weight checks. There was no end date listed. [...]

Inspectors wroteBased on observation, record review, facility policy review and interview, the facility failed to ensure Resident #36's risk of elopement was properly and timely re-assessed, and failed to ensure comprehensive care planned interventions were updated and implemented to prevent Resident #36 from eloping from the facility. This affected one resident (#36) of three residents reviewed for wandering and elopement. The facility census was 92.

Inspectors wroteBased on medical record review, review of a fall incident report and related facility investigation, review of hospital documentation, interviews with staff and review of facility policy, the facility failed to provide timely and necessary medical intervention to Resident #41 following a fall with injury and severe pain. Actual harm occurred on 01/24/24 when Resident #41, who had moderate cognitive impairment, muscle weakness, and was known by the facility to be a safety risk for falls with injury, fell to the floor while ambulating in a common area, and was picked up off the floor by Speech Therapist (ST) #899 and walked back to his room prior to completion of a thorough nursing assessment by Licensed Practical Nurse (LPN) #898. [...]

Inspectors wroteBased on record review and staff interview the facility failed to ensure residents personal funds accounts with balances greater than 100 dollars were deposited into an interest-bearing account as required. This affected four (Residents #33, #47, #55, and #69) of five residents reviewed for personal funds. The facility census was 91. Findings Include: 1. Review of the statement for Resident #33 revealed month ending account balance of $154.15 for the month of May 2024, $141.15 for the month of June 2024 and $289.99 for the month of July 2024. No interest was noted credited to Resident #33's account during these three months. 2. Review of the statement for Resident #47 revealed month ending account balance of $1,285.30 for the month of May 2024, $1,327.30 for the month of June 2024 and $1,373.30 for the month of July 2024. [...]

Inspectors wroteBased on observation, interview, and review of the facility policy, the facility failed to ensure stock medications used for residents were not expired. This had the potential to affect 15 residents (Resident #57, #2, #65, #9, #79, #84, #74, #30, #45, #61, #342, #76, #49, #43, and #10) the facility identified as receiving stock medications out of 91 residents residing in the facility.

Inspectors wroteBased on observation, interview, and policy review, the facility failed to serve pureed foods at a smooth consistency for safe swallowing. This had the potential to affect nine residents (#10, #16, #18, #23, #27, #39, #45, #50, #62) the facility identified as receiving pureed diets of 91 residents who consumed meals from the facility's kitchen. No residents were identified as nothing by mouth (NPO). The facility census was 91.

Inspectors wroteBased on record review and staff interview the facility failed to ensure resident funds were conveyed timely upon resident discharge from the facility. This affected one (Resident #242) of five residents reviewed for resident funds. The facility census was 91. Findings Include: Resident #242 was admitted to the facility on [DATE] and expired on [DATE]. Review of the business records for Resident #242 revealed a check for $2,169.85 was dispersed to the Treasurer of Ohio State on [DATE]. Interview on [DATE] at 8:34 A.M. with Business Office Manager (BOM) #837 verified that Resident #242's funds were dispersed on [DATE] and Resident #242 expired on [DATE]. BOM #837 stated that he thought he had up to 90 days after the resident's death. BOM #837 stated that according to the Revised Ohio Code that the 90 days was because of an open application for release filed. [...]

Inspectors wroteBased on observation, interview, record review, and review of the facility policy, the facility failed to ensure residents were provided a facility phone they could use timely and in a private area. This affected two residents (Resident #31 and #21) out of 20 residents reviewed for right to forms of communication with privacy. The facility census was 91.

Inspectors wroteBased on medical record review, review of a fall incident report and related facility investigation, interviews with staff and review of facility policy, the facility failed to timely notify Resident #41's primary care physician of a fall. This affected one (Resident #41) of two residents reviewed for accidents/hazards. The facility census was 91.

Inspectors wroteBased on interview, record review and facility policy review, the facility failed to complete a baseline care plan within 48 hours after admission as required. This affected one (Resident #342) of 20 residents reviewed for care plans. The facility census was 91.

Inspectors wroteBased on observation, interview, record review and review of the facility policy, the facility failed to ensure Resident #82 received routine showers/bathing to meet his care needs. This affected one (Resident #82) of three residents reviewed for showers/bathing. The facility census was 91.

Inspectors wroteBased on observation, interview, record review and review of facility policy, the facility failed to maintain appropriate hand hygiene during the tracheostomy (trach) care. This affected one (Resident #15) of one resident who was identified by the facility as having a trach. The facility census was 91.

Inspectors wroteBased on record review and staff interview the facility failed to ensure the state ombudsman was notified of a residents transfer to the hospital. This affected four residents (#41, #43, #59, #242) of four reviewed for hospitalization. The facility census was 91. Findings Include: 1. Review of the medical record for Resident #43 revealed an admission date of [DATE] with medical diagnoses including schizoaffective disorder, cellulitis of right lower limb, and morbid obesity. Review of the medical record revealed Resident #43 required hospitalization from [DATE] through [DATE] for right leg cellulitis. 2. Review of the closed medical record for Resident #242 revealed an admission date of [DATE] with diagnoses including dementia, type two diabetes, major depressive disorder, and chronic obstructive pulmonary disease. [...]

Inspectors wroteBased on medical record review, facility bed hold policy and staff interviews, the facility failed to ensure four (#41, #43, #59, #242) of four residents reviewed for hospitalization were provided bed hold notification. The facility census was 91.

Inspectors wroteBased on observation, record review, review of facility Self-Reported Incidents (SRIs), local police report review, review of the facility's Abuse policy and procedure and interviews, the facility failed to ensure Resident #28 was free from resident-to-resident physical abuse. This resulted in Immediate Jeopardy and actual harm beginning on 08/28/23 at 4:30 P.M., when Resident #37, who was cognitively intact and known to be verbally and physically aggressive, was observed by Licensed Practical Nurse (LPN) #123 entering Resident #28's room, where he squeezed Resident #28's hands in a forceful manner. Resident #28, who was non-verbal, was heard screaming in pain, LPN #123 responded and removed Resident #37 from Resident #28's room. Resident #28 was assessed to have bilateral hand edema, bruising and pain. [...]

Inspectors wroteBased on observation, interview, record review and review of the facility policy, the facility failed to initiate and or maintain restorative care services including range of motion for two residents, Resident #52 and #80 and failed to provide splinting programs and palm protectors for two residents, Resident #52 and #65. This affected three residents, Resident #80, #65, and #52, of four residents reviewed for services provided to prevent or maintain highest practicable level. The facility census was 93.

Inspectors wroteBased on observation and interview, the facility failed to prevent possible physical contamination of food during tray line service. This affected all 95 residents who received food from the kitchen. Facility census was 95.

Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain accurate assessments on all residents. This affected two (Resident #68 and #74) of three residents reviewed to for resident assessments. The facility census was 95. Findings Included: 1. Review of medical records for Resident #68 revealed an admission date of 06/15/17 with diagnoses including limitation of activities, schizophrenia, amputation and bipolar disorder. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment, dated 10/01/18, revealed the resident had impaired cognition. He had a physical restraint in the chair indicating the chair prevented rising. Observation on 05/01/19 at 9:00 A.M. of Resident #68 revealed no restraint was in use on the wheelchair. Interview on 05/01/19 at 9:05 A.M. [...]

Inspectors wroteBased on record review, pharmacy reviews and interview, the facility failed to follow physician orders. This affected one (Resident #40) of five residents reviewed for unnecessary medications. The census was 95. Findings Include: Review of the medical record for Resident #40 revealed an admission date of 02/13/06 with diagnoses including Vitamin D-3 deficiency, depression and heart failure. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #40 had impaired cognition. Review of the pharmacy consultation report dated 12/19/18 revealed Resident #40 had an order for Vitamin D-3 5000 units was to be given one tablet by mouth in the evening every Monday, Tuesday, Wednesday, Thursday, Friday and Saturday. Resident #40 had an above normal Vitamin D level, and Vitamin D-3 medication should be adjusted. [...]