Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ayden Healthcare Of Wauseon during CMS and state inspections, most recent first.
The facility failed to serve meals according to dietary requirements, affecting residents with specific dietary needs. A resident on a double protein diet did not receive the correct protein portion at breakfast. During lunch, residents on regular and mechanical soft diets received incorrect portions due to equipment issues and substitutions. Another resident on a pureed diet did not receive all components of their meal. These deficiencies were confirmed by the dietary manager and staff.
The facility failed to ensure meals were served at the proper temperature and with an attractive appearance, affecting all residents. Multiple residents reported cold food, and observations confirmed food temperatures below the required level. The Dietary Manager acknowledged the issue, noting the lack of equipment to maintain food temperatures. Additionally, a resident received a pureed meal with improperly prepared noodles. Facility policies on food temperatures and tray inspections were not followed.
The facility failed to ensure nutrition supplements were not expired and were used within the appropriate timeframe, affecting several residents. A box of liquid nutrition supplements was found in the residents' snack refrigerator, with one carton expired and others undated, making it impossible to determine when they were thawed. The supplements should be used within 14 days after thawing, but the lack of dating prevented compliance with this guideline. This issue was confirmed by the Social Services Director.
A facility failed to provide a timely written discharge notice to a resident transferred to a behavioral unit due to increased behaviors. The resident, with moderate cognitive function and multiple diagnoses, was transferred following a physician's order for evaluation. The Business Office Manager was unaware of the requirement for a written notice, despite facility policy mandating it for emergency transfers.
A facility failed to perform neurological checks per guidelines and did not ensure fall interventions were in place for a resident with a history of falls. Despite a care plan for a scoop mattress, a standard mattress was observed during a fall incident. Neurological assessments were not completed hourly as required after a fall, as confirmed by the DON.
A facility failed to monitor a resident's hemodialysis access site and maintain communication with the hemodialysis clinic. The resident, with type II diabetes and end-stage renal disease, required hemodialysis thrice weekly. The facility did not complete necessary Pre-Dialysis and Post-Dialysis assessments or document site monitoring, as confirmed by staff interviews. The facility's policy on Hemodialysis Access Care was not adhered to, leading to a deficiency in care.
A facility failed to implement enhanced barrier precautions for a resident with an indwelling urinary catheter, as required by their policy. The resident, who had intact cognition and multiple medical conditions, returned from the hospital with a urinary catheter but was not placed on enhanced barrier precautions. Observations confirmed the absence of necessary signage and PPE, and the DON acknowledged the oversight.
The facility failed to accommodate the food preferences of two residents, leading to a deficiency. One resident with diabetes requested hot dogs but was served spaghetti due to unavailability, while another resident, who disliked spaghetti, was served it after staff oversight. The facility's policy to accommodate resident preferences was not followed.
The facility failed to serve warm and palatable meals, affecting all residents receiving meals from the kitchen. Observations showed meal delivery cart doors left open, leading to cold food. Staff confirmed frequent resident complaints about meal temperatures, and a test tray confirmed cold breakfast sausage. The facility's steam table and plate warmer were broken, and multiple residents expressed dissatisfaction with meal temperatures.
The facility failed to maintain a safe and comfortable environment as hallways were obstructed with equipment, hindering residents' mobility. A resident with multiple health issues was unable to navigate the hall due to wheelchairs, walkers, and other equipment lining the halls. Other residents and staff confirmed this was a frequent issue.
A resident was observed smoking unattended in a non-designated area without a flame-retardant receptacle, contrary to the facility's smoking policy. The resident extinguished the cigarette with their hand and stored it in their pocket, and was later found with cigarettes in their sock. The DON confirmed the lack of supervision and that the new smoking policy had not been communicated to residents or staff.
Dietary Service Deficiencies in Meal Portioning
Penalty
Summary
The facility failed to ensure that food was served according to the facility menu and spreadsheets, affecting residents who required specific dietary modifications. Resident #23, who was on a regular diet with double protein at breakfast, did not receive the correct portion of protein. Instead of receiving two servings of eggs, the resident was given one serving of eggs and yogurt, which did not meet the required protein intake as per the physician's order. The Registered Dietitian confirmed that the resident received only 17 grams of protein instead of the 28 grams required. During lunch service, the facility did not adhere to the menu specifications for residents on regular and mechanical soft diets. The regular diet was supposed to include three meatballs, but due to a substitution with larger meatballs, residents received only two. Additionally, residents on a mechanical soft diet were supposed to receive four ounces of ground meat but were only given two ounces. The dietary manager confirmed these discrepancies, which were partly due to equipment issues that led to the mixing of spaghetti and meatballs in one pan. Resident #33, who was on a pureed diet due to dysphagia, did not receive the complete meal as outlined in the menu spreadsheet. The resident's meal was missing pureed meatballs and a pureed breadstick. The dietary manager and staff confirmed these omissions during meal service. The facility's policies on portion control and food and nutrition services were not followed, resulting in residents not receiving the appropriate portions of food as required by their dietary needs.
Deficiency in Meal Temperature and Presentation
Penalty
Summary
The facility failed to ensure that meals were palatable, delivered at the proper temperature, and had an attractive appearance, affecting all 45 residents. Multiple residents reported that their food was consistently served cold. Observations confirmed that the food temperatures were below the required 135 degrees Fahrenheit, with scrambled eggs and French toast served at significantly lower temperatures. The Dietary Manager acknowledged the issue and noted the absence of a machine to warm plate warmers, which could help maintain food temperatures. Additionally, the facility did not ensure the attractiveness and palatability of pureed meals. A resident received a pureed meal with noodles that had developed a thick skin, indicating improper preparation. The Registered Dietitian confirmed the issue and suggested replacing the noodles with freshly prepared ones. The facility's policies on food temperatures and tray inspections were not adhered to, leading to this deficiency, which was a recite from a previous complaint survey.
Expired Nutrition Supplements Found in Facility
Penalty
Summary
The facility failed to ensure that nutrition supplements were not expired and were used within the appropriate timeframe, potentially affecting eight residents who received these supplements. During an observation, a box containing approximately 25 cartons of four-ounce liquid nutrition supplements was found in the residents' snack refrigerator. One carton was observed to have an expiration date that had already passed, while the remaining cartons were set to expire in 2025. The directions on the supplement cartons indicated that they should be stored frozen and used within 14 days after thawing. However, the box of supplements was undated, making it impossible to determine when they were removed from the freezer to thaw. This issue was confirmed by the Social Services Director, who acknowledged the expired supplement and the lack of dating on the box, which prevented compliance with the 14-day usage guideline after thawing.
Failure to Provide Timely Discharge Notice
Penalty
Summary
The facility failed to provide a timely written discharge notice to a resident who was transferred to a behavioral unit in a local hospital. The resident, who had a moderate cognitive function, was admitted to the facility with diagnoses including schizoaffective disorder, asthma, congestive heart failure, dementia, bipolar disorder, and benign lipomatous neoplasm of skin and subcutaneous tissue. On April 19, 2024, the resident was transferred due to increased behaviors throughout the day, following a physician's order for a hospital/psychiatric evaluation. An interview with the Business Office Manager revealed that neither the resident nor their family or financial power of attorney received a written transfer notification. The Business Office Manager was unaware that such a notification was required. The facility's policy, dated November 2021, mandates that for emergency transfers/discharges, a transfer notice must be provided as soon as practicable to the resident and their representatives.
Failure to Implement Fall Interventions and Conduct Neurological Checks
Penalty
Summary
The facility failed to ensure neurological checks were performed according to their guidelines and did not implement fall interventions as care planned for a resident with a history of falls. The resident, who had diagnoses of anxiety and Alzheimer's disease, was at risk for falls and had experienced multiple falls without injury. Despite the care plan indicating the use of a scoop mattress to prevent falls, observations revealed that a standard mattress was in place at the time of a fall, indicating a lapse in implementing the planned intervention. Additionally, after a fall on 06/23/24, the facility did not complete neurological assessments as required by their protocol. The assessments were conducted initially but not continued hourly for four hours as stipulated. This oversight was confirmed by the Director of Nursing, who acknowledged that the neurological assessments were not completed per facility protocol. These deficiencies highlight a failure in adhering to the facility's fall prevention and neurological assessment policies, impacting the resident's care and safety.
Failure to Monitor Hemodialysis Access and Maintain Communication
Penalty
Summary
The facility failed to provide adequate monitoring and communication for a resident receiving hemodialysis, leading to a deficiency in care. The resident, who had diagnoses of type II diabetes mellitus and end-stage renal disease, was admitted to the facility and required hemodialysis three times a week. The care plan for the resident included monitoring the hemodialysis site for signs of infection or bleeding. However, the facility did not complete the necessary Pre-Dialysis and Post-Dialysis communication assessments on two occasions, and there was no documentation of staff monitoring the resident's hemodialysis site during this period. Interviews with facility staff, including the Nurse Supervisor and Assistant Director of Nursing, confirmed that the required assessments were not completed, and communication sheets were not sent to the hemodialysis clinic. The Director of Nursing also confirmed the absence of documentation regarding the monitoring of the resident's hemodialysis site. The facility's policy on Hemodialysis Access Care, which requires staff to check for signs of infection at the access site, was not followed, contributing to the deficiency in care for the resident.
Failure to Implement Enhanced Barrier Precautions for Resident with Urinary Catheter
Penalty
Summary
The facility failed to implement enhanced barrier precautions for a resident with an indwelling urinary catheter, as required by their policy. The resident, who had intact cognition, was admitted with multiple medical conditions including multiple sclerosis, urinary retention, and neuromuscular dysfunction of the bladder. Upon returning from the hospital with an indwelling urinary catheter, the resident was not placed on enhanced barrier precautions, which are necessary for residents with indwelling medical devices. Observations confirmed the absence of an enhanced barrier precautions sign and personal protective equipment outside the resident's room. The Director of Nursing acknowledged that the resident should have been placed on enhanced barrier precautions, in accordance with the facility's policy for residents with indwelling medical devices.
Failure to Accommodate Resident Food Preferences
Penalty
Summary
The facility failed to adhere to the food preferences of two residents, leading to a deficiency in providing meals that accommodate resident preferences. Resident #26, who has diabetes mellitus and anemia, expressed a preference for a low carbohydrate diet and specifically requested hot dogs for her meals. However, during an observation, it was noted that the facility was out of hot dogs, and instead, Resident #26 was served spaghetti, which was not in line with her dietary preferences. The dietary manager confirmed the unavailability of hot dogs, resulting in the resident receiving a meal that did not meet her stated preferences. Similarly, Resident #20, who has type II diabetes mellitus and mild protein-calorie malnutrition, was served spaghetti despite having a documented dislike for it. During meal service, the dietary staff initially acknowledged the resident's dislike for spaghetti but later served it to her after being distracted by a conversation. This oversight was confirmed by a Licensed Practical Nurse and through an interview with Resident #20, who reiterated her dislike for spaghetti. The facility's policy mandates that reasonable efforts be made to accommodate resident choices and preferences, which was not followed in these instances.
Failure to Serve Warm and Palatable Meals
Penalty
Summary
The facility failed to ensure that food was served warm and palatable, affecting all residents who received meals from the facility's kitchen. Observations on the morning of August 1st revealed that the meal delivery cart doors were left open between tray deliveries in both the south and north halls, which contributed to the food being served at an inadequate temperature. Interviews with State Tested Nursing Assistants (STNAs) confirmed that residents frequently complained about the temperature of their meals, and staff often had to reheat meals upon residents' requests. A test tray sampled by an LPN confirmed that the breakfast sausage was cold and not palatable. Further investigation revealed that the facility's steam table and plate warmer were broken and awaiting replacement, as stated by the Director of Nursing (DON). Multiple residents expressed dissatisfaction with the temperature of their meals, indicating that the food was rarely warm and often required reheating. The facility's policy, dated October 2017, mandates that each resident is provided with a nourishing, palatable, well-balanced diet that meets their nutritional and dietary needs, considering their preferences. This deficiency was investigated under Complaint Number OH00155728.
Obstructed Hallways Compromise Resident Mobility
Penalty
Summary
The facility failed to ensure a safe, clean, and comfortable environment for its residents, as evidenced by the obstruction of hallways with various pieces of equipment. Resident #35, who has multiple medical conditions including severe protein-calorie malnutrition, myocardial infarction, and muscle weakness, was unable to navigate the north hall in their manual wheelchair due to the presence of wheelchairs, a BrodaChair, walkers, a lift, a dining cart, and isolation carts lining the hall. This situation was confirmed by the Director of Nursing (DON) and was a common occurrence according to Resident #35. Further observations revealed similar obstructions in the south hall, with wheelchairs, walkers, lifts, isolation carts, and a portable vital sign machine lining the hall. Interviews with other residents, such as Resident #27 and Resident #7, confirmed that they frequently experienced difficulties navigating both the north and south halls due to the equipment. A State tested Nursing Assistant also acknowledged that it was common for equipment to be present in both facility halls, affecting the mobility and safety of the residents.
Resident Smoking Safety Violation
Penalty
Summary
The facility failed to ensure the safety of a resident who was observed smoking in a non-designated area without supervision. The resident was seen outside the facility at the end of the north hall, smoking a cigarette unattended, and there was no flame-retardant receptacle available for extinguishing smoking materials. The resident extinguished the cigarette with their hand and placed the unused portion in their pocket, which poses a potential safety hazard. Additionally, the resident was found with a package of cigarettes in their sock, indicating that smoking materials were not properly stored as per facility policy. The Director of Nursing (DON) confirmed that the facility was in the process of implementing a new smoking policy, but neither residents nor staff had been educated on it at the time of the observation. The DON also acknowledged witnessing the resident smoking unattended in a non-designated area during morning rounds. According to the facility's smoking policy, smoking is only allowed in designated areas, and all smoking materials should be stored in a smoke bag and given to staff, not left with residents or in their rooms. The incident was discovered during a complaint investigation, highlighting a lapse in adherence to the facility's smoking policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Wauseon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fulton Manor Nursing & Rehab C | 0.7 mi | — | 4 | 0 |
| Fairlawn Haven | 8.1 mi | — | 0 | 0 |
| Northcrest Rehab And Nursing Center | 9.9 mi | — | 1 | 0 |
| Lutheran Home | 11.5 mi | — | 0 | 0 |
| Embassy Of Swanton | 12.9 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.