Inspection Reports for
Wesley Woods at New Albany
4588 WESLEY WOODS BOULEVARD, NEW ALBANY, OH, 43054
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
7% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
40% occupied
Based on a December 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 14
Deficiencies: 2
Date: Dec 23, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding food storage and sanitation practices at the facility.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number 2685017.
Findings
The facility failed to store food and drink items in a safe and sanitary manner, including expired, unlabeled, undated, and uncovered food items. Sanitizer levels in the red bucket used for cleaning were found to be inadequate, indicating non-compliance with sanitation standards.
Deficiencies (2)
F 0812: The facility failed to procure food from approved sources and store, prepare, distribute, and serve food in accordance with professional standards. Multiple food items were expired, unlabeled, undated, or uncovered in various kitchen storage areas.
F 0812: Sanitizer levels in the red bucket used for cleaning did not register on the test strip, indicating improper sanitization. The sanitizer solution had been prepared almost 4 hours prior and was ineffective.
Report Facts
Residents affected: 14
Expired nutritional shakes: 21
Expired vanilla shakes: 23
Uncovered chicken breasts: 8
Uncovered waffles: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager #20 | Interviewed and confirmed expired, unlabeled, undated, and improperly stored food items and sanitizer issues |
Inspection Report
Complaint Investigation
Census: 15
Deficiencies: 4
Date: Jun 12, 2025
Visit Reason
The inspection was conducted to investigate complaints related to feeding tube care, oxygen tubing maintenance, medication error rates, and infection prevention and control practices at the facility.
Complaint Details
The visit was complaint-related, investigating issues with PEG tube care, oxygen tubing maintenance, medication administration errors, and infection control practices. The complaints were substantiated as deficiencies were found affecting multiple residents.
Findings
The facility failed to provide proper PEG tube care, maintain and date oxygen tubing per policy, ensure medication error rates were below 5%, and implement Enhanced Barrier Precautions (EBP) timely and correctly for residents requiring them. Multiple residents were affected by these deficiencies.
Deficiencies (4)
F 0693: The facility failed to provide proper PEG tube care including checking placement and flushing the tube prior to medication administration for Resident #2.
F 0695: The facility failed to ensure oxygen tubing was dated and changed per policy for four residents (#3, #7, #115, #116).
F 0759: The facility failed to maintain medication error rates below 5%, with three errors out of 32 opportunities observed for Resident #2.
F 0880: The facility failed to implement Enhanced Barrier Precautions timely and properly for Residents #2, #7, and #114, including improper PPE use during medication administration and wound care.
Report Facts
Residents affected: 1
Residents affected: 4
Residents affected: 3
Medication error rate: 9.38
Facility census: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #155 | Named in multiple findings related to PEG tube care, oxygen tubing, medication administration, and infection control | |
| Director of Nursing (DON) | Interviewed regarding infection control and Enhanced Barrier Precautions | |
| Certified Nursing Assistant #113 | Interviewed regarding Enhanced Barrier Precautions for Resident #7 |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Nov 8, 2022
Visit Reason
The inspection was conducted as part of the annual survey to assess compliance with regulatory requirements including timely submission of Minimum Data Set (MDS) assessments and appropriate use of psychotropic medication orders.
Findings
The facility failed to submit MDS 3.0 assessments within required timeframes for two residents and failed to limit PRN psychotropic medication orders to 14 days for three residents. These deficiencies were identified during record reviews and staff interviews.
Deficiencies (2)
F 0640: The facility failed to properly submit Minimum Data Set (MDS) 3.0 assessments within required timeframes for two residents during the annual survey.
F 0758: The facility failed to ensure PRN psychotropic medication orders were limited to 14 days or less for three residents; current orders lacked stop dates and exceeded the 14-day limit.
Report Facts
Residents affected: 2
Residents affected: 3
Sampled residents reviewed: 14
Residents reviewed for PRN medication use: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Nurse #200 | Interviewed regarding MDS assessment submission delays and PRN medication orders |
Inspection Report
Routine
Census: 9
Deficiencies: 5
Date: Mar 11, 2020
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to resident rights, assessments, accident prevention, respiratory care, and medication use.
Findings
The facility was found deficient in multiple areas including failure to have signed advanced directives, incomplete significant change assessments for hospice residents, inadequate fall prevention interventions, unlabeled oxygen tubing, and inappropriate use of antipsychotic medication without proper indication.
Deficiencies (5)
F 0578: The facility failed to ensure a signed advanced directive was available for Resident #113. The resident's advanced directive was not signed by the physician until after admission.
F 0637: The facility failed to complete a significant change assessment within 14 days after Resident #9 was admitted to hospice services.
F 0689: The facility failed to ensure fall interventions were in place for Resident #113, including bed in lowest position, floor mats, and non-slip socks during multiple observations.
F 0695: The facility failed to ensure oxygen administration tubing was properly labeled with the date for Residents #9 and #161, contrary to facility policy.
F 0758: The facility failed to ensure appropriate indication was in place for Resident #3 receiving antipsychotic medication Seroquel, which was prescribed for agitation without a diagnosis of schizophrenia or bipolar disorder.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Facility census: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Confirmed findings related to advanced directive, fall interventions, significant change assessment, and antipsychotic medication use |
| Assistant Director of Nursing #1 | Assistant Director of Nursing (ADON) | Verified oxygen tubing labeling policy and non-compliance |
| Registered Nurse #68 | Registered Nurse (RN) | Provided information about code status and advanced directive placement |
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