Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around September 2026
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 Westerville Post Acute. during CMS and state inspections, most recent first.
A resident with multiple wounds did not receive or have documented physician-ordered dressing changes for two consecutive days. The TAR and progress notes lacked evidence of completion or refusal, and the resident reported that wound care was not offered during night shifts. Interviews with the DON and an LPN confirmed that required documentation and care were not provided according to facility policy.
Surveyors found that the facility did not complete required fall investigations or root cause analyses after a resident's fall, failed to document or implement physician-ordered safety interventions such as protective headgear for a resident with neurological risk, and did not ensure fall prevention measures like low beds and fall mats were in place for another resident. Staff confirmed that care plans and orders lacked necessary details, and prescribed interventions were not consistently followed.
A resident with diabetes and multiple comorbidities did not consistently receive insulin as ordered, with several doses of long-acting insulin administered outside the prescribed bedtime window and one dose missed entirely. Staff interviews and MAR review confirmed delays, omissions, and inaccurate documentation of insulin administration, despite facility policy requiring timely medication delivery.
Staff failed to use required PPE, including gowns and gloves, while providing high-contact skin care to a resident with multiple medical conditions and a feeding tube, despite physician orders, posted signage, and facility policy mandating enhanced barrier precautions. Staff incorrectly believed the precautions did not apply, and the DON confirmed the oversight.
Failure to Complete and Document Physician-Ordered Wound Care
Penalty
Summary
The facility failed to ensure that dressing changes for a resident with multiple wounds were completed as ordered by the physician. The resident, who had diagnoses including mild cognitive impairment, diabetes, paraplegia, chronic kidney disease, and both an unstageable pressure injury and a deep tissue injury, had specific physician orders for wound care to the left heel and right buttock. These orders required dressing changes every shift and as needed. Review of the Treatment Administration Record (TAR) and progress notes for two consecutive days showed no documentation that the dressing changes were completed or refused. The resident reported that wound care was not offered or provided during night shifts on those dates, and there was no evidence of refusal. Interviews with the DON and the LPN assigned to the resident confirmed that if treatments were completed or refused, they should have been documented on the TAR, with refusals also requiring a progress note and notification to the wound nurse and physician. The facility's policy required detailed documentation of dressing changes, including date, time, type of care provided, and any refusals. The lack of documentation and failure to provide or record the required wound care constituted non-compliance with physician orders and facility policy.
Failure to Investigate Falls and Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to ensure a complete investigation and root cause analysis was conducted after a resident sustained a fall, and did not implement fall safety interventions as outlined in residents' care plans. For one resident with severe cognitive impairment and a history of behaviors such as rejection of care, there was no evidence of a completed post-fall investigation or review after the resident reported a fall that resulted in an inability to move his right leg and required hospital transfer. Additionally, the resident's annual fall risk assessment was found to be incomplete. Another resident with multiple complex diagnoses, including chronic respiratory failure and hemiplegia, was observed without required protective headgear while in bed, despite hospital discharge instructions indicating helmet use during transfers and when out of bed. There was no documentation in the care plan or physician orders specifying the need, frequency, or rationale for the head protection, and staff confirmed that this information was only added after surveyors requested clarification. Prior to this, there was no system in place to ensure consistent staff guidance regarding the use of head protection for this resident. A third resident, who was alert and oriented with diagnoses including diabetes and paraplegia, had care plan interventions for a low bed and fall mat, but was observed in bed with the bed in a high position and the fall mat folded against the wall. Staff confirmed that the prescribed fall prevention interventions were not in place at the time of observation. These findings demonstrate a failure to follow established care plans and policies for fall prevention and accident hazard mitigation for multiple residents.
Failure to Administer Insulin as Ordered and Document Timely Administration
Penalty
Summary
A deficiency was identified when a resident with type 2 diabetes, severe obesity, dementia, and bilateral lower limb amputations did not consistently receive insulin as ordered. The resident was cognitively intact and required insulin administration per a physician's sliding scale and scheduled long-acting insulin at bedtime. Documentation and interviews revealed that the resident did not receive his evening insulin dose on one occasion, with the MAR indicating a refusal that the resident denied. Additionally, there were multiple instances where the evening long-acting insulin was administered outside the prescribed 7:00 P.M. to 11:00 P.M. window, including one dose given at 3:08 A.M. the following day. Staff interviews confirmed that nurses did not always check previous MAR entries to verify timely administration and sometimes delayed or omitted doses if the resident was not immediately available, even when the resident was present in the facility. The DON and Regional Director of Clinical Services acknowledged that insulin was administered outside the accepted timeframe and that documentation did not always reflect the actual time of administration. The facility's policy required medications to be given within one hour of the prescribed time unless otherwise specified, and the safety data sheet for the insulin emphasized the importance of consistent timing to avoid increased risk of hypoglycemia. The resident reported feeling ignored when requesting insulin and sometimes feeling lightheaded, suggesting possible effects from missed or delayed doses. Review of the MAR for the previous two months showed a pattern of late administration of the evening insulin dose on several dates. The facility failed to ensure the resident was free from significant medication errors by not administering insulin as ordered and not accurately documenting administration times.
Failure to Follow Enhanced Barrier Precautions During Skin Care
Penalty
Summary
During a survey, it was observed that staff failed to follow enhanced barrier precautions (EBP) while providing skin care to a resident with multiple medical conditions, including hemiplegia, diabetes, and a feeding tube. The resident had a physician's order requiring EBP, specifically the use of gowns and gloves during high-contact care activities such as dressing changes and wound care. Despite clear signage on the resident's door and documented policy, both an LPN and a CNA provided direct care without donning the required personal protective equipment (PPE). They touched various items in the resident's environment and performed skin care without gloves or gowns. When questioned, the staff members incorrectly stated that the EBP signage applied to a neighboring resident and that PPE was not necessary for this resident. The Director of Nursing later confirmed that the resident did have current orders for EBP and that staff should have worn gowns and gloves during the care provided. Review of facility policy and posted signage further supported the requirement for PPE during high-contact care activities to prevent the transmission of multi-drug resistant organisms.
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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 Westerville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westerwood Rehabilitation | 1.4 mi | — | 10 | 0 |
| Inniswood Health And Rehabilitation | 1.4 mi | — | 1 | 0 |
| Forest Hills Center | 1.8 mi | — | 6 | 0 |
| Buckeye Terrace Rehabilitation And Nursing Center | 2 mi | — | 10 | 0 |
| Landings Of Westerville Health And Rehab The | 2.6 mi | — | 0 | 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.