Inspection Reports for Worthington Healthcare Center

Annual Recertification survey conducted to assess compliance with federal and state regulations for the healthcare facility.

The facility was found deficient in several areas including failure to maintain and inspect fire dampers, failure to conduct required fire drills quarterly on each shift, lack of a remote manual emergency stop station for the generator, use of a job-made extension cord, and failure to ensure fire doors latch properly. Plans of correction were initiated for all deficiencies.

An unannounced annual recertification, annual relicensure, and complaint investigation survey was conducted at Worthington Healthcare Center from March 31 to April 2, 2025.

The facility was found deficient in several areas including failure to obtain physician-ordered labs for Resident #41, improper administration of pain medication for Resident #4, food safety violations including improper food storage and hygiene practices, failure to maintain ice machine water filters, and inadequate aid with advance care planning for Resident #75.

Complaint #34605 Unsubstantiated; Complaint #32829 Unsubstantiated; Complaint #32710 Unsubstantiated; Complaint #29648 Unsubstantiated; Facility Reportable Incident (FRI) #36594 Unsubstantiated; FRI #35896 Substantiated; FRI #32065 Substantiated.

The visit was conducted as an annual recertification and annual relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility was found to be in substantial compliance with the applicable federal and state regulations, with plans of correction accepted in lieu of an onsite revisit. Previously cited deficient practices were addressed satisfactorily.

Annual Recertification survey conducted to assess compliance with regulatory requirements and facility standards.

The facility was found to be in compliance with the provisions of NFPA 101, Life Safety Code, 2012, following a follow-up survey that confirmed correction of previously cited deficiencies.

An unannounced revisit was conducted at Worthington Healthcare Center from 06/17/24 to 06/18/24 for the complaint investigation survey concluding on 04/09/24.

The facility was found to have corrected the previously cited deficient practices, as reflected on the CMS-2567B.

The revisit was conducted to verify correction of deficiencies cited during the complaint investigation survey concluding on 04/09/24.

An unannounced revisit was conducted at Worthington Healthcare Center from 06/17/24 to 06/18/24 for the complaint investigation survey concluding on 04/09/24.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

The revisit was conducted following a complaint investigation survey. The facility corrected the previously cited deficiencies.

A review of the plans of correction and credible evidence was accepted in lieu of an onsite revisit for the complaint survey concluding on 02/23/2024.

Worthington Health and Rehabilitation is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. The facility is in substantial compliance with the previously cited deficient practices.

The plan of correction was accepted in lieu of an onsite revisit for the complaint survey concluding on 02/23/2024.

An unannounced onsite revisit was conducted at Worthington Healthcare Center on 04/09/24 for the complaint investigation survey concluding on 02/23/24.

The facility was found to remain out of compliance with deficiencies related to resident records and infection prevention and control. Specifically, the facility failed to maintain complete and accurate medical records for one resident and failed to maintain appropriate infection control standards regarding cleaning dwell time and linen cart coverage.

The revisit was conducted due to a complaint investigation survey concluding on 02/23/24. The facility was found to remain out of compliance with cited deficiencies F842 and F880.

An unannounced complaint investigation survey was conducted at Worthington Healthcare Center from 04/01/24 to 04/09/24 based on substantiated complaints #30894 and #29874.

The facility was found deficient in maintaining 1:1 supervision for a resident with suicidal ideation, failing to develop and implement comprehensive care plans for four residents, and failing to follow physician's orders for wound care and treatments for four residents.

Complaint #30894 and Complaint #29874 were substantiated. Immediate jeopardy was identified related to Resident #46's 1:1 supervision status due to potential for serious injury or death from suicidal ideation and attempts. The immediate jeopardy was abated on 04/08/24 after the facility implemented corrective actions.

An unannounced complaint survey was conducted at Worthington Healthcare Center from 04/01/24 to 04/09/24 based on Complaint #31811 which was substantiated with related citation.

The facility failed to implement policies to prohibit and prevent abuse, neglect, exploitation of residents, and misappropriation of resident property by not ensuring provisional employment screening and completion of background checks before allowing staff to work. The facility also failed to require fingerprint-based background checks before hiring staff. The facility identified and corrected these issues prior to the survey.

Complaint #31811 was substantiated with related citation.

An unannounced complaint survey was conducted due to multiple substantiated and unsubstantiated complaints regarding abuse and resident rights violations.

The facility failed to prevent physical abuse of residents, specifically Resident #43 and Resident #11, who were physically restrained improperly. The facility also failed to maintain accurate medical records and implement fall interventions. Immediate jeopardy was identified but abated after corrective actions including staff suspensions, re-education, and policy reviews.

Multiple complaints were investigated, including substantiated complaints #29515, #29833, and #29332 related to abuse and resident rights violations. Immediate jeopardy was declared and later abated.

The inspection was conducted as a complaint survey concluding on 08/28/2023, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Worthington Healthcare Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule, with the facility in substantial compliance with previously cited deficient practices.

The complaint survey concluded on 08/28/2023, and the facility was found in substantial compliance with previously cited deficient practices.

An unannounced complaint investigation survey was conducted at Worthington Healthcare Center on 09/25/23 from 8:15 AM to 1:00 PM.

The facility was found to be in substantial compliance with applicable long term care requirements. Complaint #29132 was unsubstantiated with no related or unrelated deficiencies.

Complaint #29132 was unsubstantiated with no related or unrelated deficiencies.

An unannounced complaint survey was conducted based on complaint #28657 to investigate allegations of neglect and failure to report incidents involving residents.

The facility failed to report and investigate allegations of neglect related to three residents who experienced delayed or inadequate care. The administrator did not consider the incidents reportable, resulting in failure to notify appropriate authorities and conduct thorough investigations.

Complaint #28657 was substantiated. The facility failed to report and investigate neglect allegations for residents #2, #3, and #4. The administrator did not feel the concerns rose to the level of neglect requiring reporting or investigation.

The visit was conducted as a complaint investigation survey concluding on June 22, 2023, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Worthington Healthcare Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules. The facility is in substantial compliance with previously cited deficient practices.

The complaint investigation survey concluded on June 22, 2023, and the facility was found in substantial compliance with previously cited deficient practices.

An unannounced complaint investigation survey was conducted at Worthington Healthcare Center from June 21-22, 2023, based on complaints received.

The facility was found to have deficiencies related to failure to follow physician's orders for wound care, failure to develop a behavior care plan for a resident with behaviors, inaccurate assessments on the MDS regarding refusals of care, and incomplete physician orders for pain medication.

Complaint #28576 was substantiated related to wound care deficiency (F684). Other unrelated citations were cited at F641 (MDS accuracy), F656 (behavior care plan), and F842 (medical record completeness).

An unannounced annual recertification, annual relicensure, and complaint investigation survey was conducted at Worthington Healthcare Center from March 20-22, 2023.

The survey identified multiple deficiencies including failure to provide respiratory care according to professional standards, failure to assist dependent residents with eating, failure to assess a resident after a fall, incomplete medication management, failure to maintain accurate advance directive paperwork, incomplete medical records, failure to provide ordered supplements, and failure to provide evening snacks to residents.

Complaint #27611 and Complaint #27317 were substantiated with related deficiencies cited at F684.

The visit was conducted as an annual recertification and annual relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility was found to be in substantial compliance with the applicable federal and state regulations, with credible evidence accepted in lieu of an onsite revisit. The facility was in substantial compliance with previously cited deficient practices.

The inspection was conducted to assess compliance with the NFPA 101, Life Safety Code, 2012, and to verify compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2012, and all applicable Federal, State, and local Emergency Preparedness requirements.

The inspection was conducted to review facility documentation and staff interviews to determine compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

The document is a plan of correction related to a previous survey of Worthington Healthcare Center, addressing compliance with long term care facility regulations.

Worthington Healthcare Center is in substantial compliance with 42 CFR Part 483 and state nursing home licensure rules. The plan of correction and credible evidence were accepted in lieu of an onsite revisit for the survey concluding on 2022-01-06.

An unannounced annual recertification, annual relicensure, and complaint investigation survey was conducted at Worthington Healthcare Center from January 3-6, 2022.

The survey identified multiple deficiencies including improper completion of POST forms for advance directives, failure to timely notify the Ombudsman of resident transfers, failure to provide bed hold notices, incomplete ADL care, failure to follow physician orders for neuro checks and weights, unlocked refrigerator posing accident hazard, improper tube feeding management, incorrect oxygen flow rates, unsanitary kitchen conditions, and incomplete immunization documentation.

Complaint 24987 was unsubstantiated with no deficiencies cited. Complaints 25575, 25711, 26105, and 26285 were substantiated with related deficiencies cited at F684 and/or F685.

The inspection was conducted as an annual survey to assess compliance with federal and state regulations related to resident rights, fire safety, electrical equipment maintenance, and staff training on medical gas equipment.

The facility was found deficient in multiple areas including failure to maintain smoke and fire barriers with appropriate fire resistance ratings, inadequate testing and maintenance documentation for patient-care electrical equipment, and lack of documented staff training on safe handling of oxygen cylinders. These deficiencies could affect all residents, staff, and visitors.

The visit was a Focused Infection Control survey to assess compliance with infection control regulations and CMS/CDC recommended practices related to COVID-19.

The facility was found to be in substantial compliance with 42 CFR 483.80 infection control regulations and related CMS and CDC recommended practices. A review of plans of correction and credible evidence was accepted in lieu of an onsite revisit.

The document is a plan of correction related to a survey that concluded on 2020-11-10, addressing previously cited deficient practices and compliance with infection control regulations.

Worthington Healthcare Center is in substantial compliance with infection control regulations and CMS/CDC recommended practices for COVID-19 preparation, with credible evidence supporting correction of previously cited deficiencies.

A COVID-19 Focused Infection Control Survey was conducted to assess compliance with infection control regulations and CMS/CDC recommended practices for COVID-19 preparation.

The facility failed to implement adequate infection control policies, including improper use of PPE by staff on COVID-19 units and incomplete staff screening protocols. Visitors were also not properly screened upon entry.

An unannounced complaint investigation was conducted at Worthington Healthcare Center due to allegations received.

The allegations were unsubstantiated with no related or unrelated deficient practices identified. The facility was in substantial compliance with applicable regulations.

Complaints WV00023680, WV00024541, and WV00023623 were unsubstantiated with no related or unrelated deficiencies cited.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency to assess compliance with infection control regulations and CMS/CDC recommended practices related to COVID-19.

The facility failed to adhere to proper infection control practices by reusing dirty personal protective equipment (PPE) gowns on the quarantine unit, with gowns hanging outside resident rooms touching the floor and each other, potentially exposing residents to infection.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on June 15, 2020.

The facility was found in compliance with infection control regulations and CMS and CDC recommended practices to prepare for COVID-19.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

Worthington Healthcare Center was found to be in substantial compliance with the cited federal and state regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced annual re-certification and annual re-licensure survey was conducted at Worthington Healthcare Center from 09/09/19 through 09/12/19 to assess compliance with state and federal regulations.

The survey identified multiple deficiencies including failure to make reasonable accommodations for residents' needs, incomplete advanced directives documentation, failure to notify physicians and representatives of changes in condition, privacy violations during care, inaccurate Minimum Data Set (MDS) assessments, incomplete care plan revisions, failure to follow physician orders, unsafe storage of smoking materials, improper food storage and sanitation, incomplete infection control surveillance, failure to offer pneumococcal vaccines according to guidelines, and failure to document clinical rationale for medication use.

The inspection was conducted as a routine visit to assess compliance with federal, state, and local regulations, including emergency preparedness and sprinkler system maintenance.

The facility was found to be in compliance with all applicable emergency preparedness requirements. However, a deficiency was identified related to the sprinkler system maintenance, where the third quarter 2018 inspection was not conducted timely due to a billing/payment issue, resulting in two inspections during the fourth quarter of 2018.

The inspection visit was conducted to assess the facility's compliance with applicable Federal, State, and local Emergency Preparedness requirements.

The facility was found to be in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

The inspection was conducted as a complaint investigation survey triggered by complaint reference #22154, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Worthington Healthcare Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules, with previously cited deficient practices corrected.

Complaint reference #22154; the complaint investigation survey concluded on 04/24/19 with substantial compliance found and no onsite revisit required.

An unannounced complaint survey was conducted at Worthington Health Care Center on 04/23/19 to 04/24/19 based on complaint #22154 which was substantiated with related deficiencies.

The facility was found deficient in multiple areas including resident rights violations such as lack of knocking before entering rooms, uncovered catheter bags, resident exposure, call lights out of reach, privacy breaches with medication cards and resident exposure, failure to develop comprehensive care plans especially for catheterized residents, lack of physician orders for catheter and oxygen use, environmental hazards, inadequate catheter assessments, improper respiratory care, and failure to post isolation precaution signs.

Complaint #22154 was substantiated with related deficiencies cited at F550, F558, F583, F656, F684, F690, and F695 and unrelated deficiencies cited at F689 and F880.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and state nursing home licensure rules.

The facility was found to be in substantial compliance with federal and state requirements based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit. Previously cited deficient practices were addressed.

An unannounced annual re-certification, annual re-licensure survey and a complaint investigation was conducted at Worthington Healthcare Center from 08/20/18 through 08/24/18.

The facility was found deficient in multiple areas including timely meal delivery, incomplete advance directives documentation, failure to update care plans, medication administration errors, infection control deficiencies, and environmental safety issues. Complaint #20900 was not substantiated.

Complaint #20900 was investigated and not substantiated with no related or unrelated deficiencies cited.

The inspection was conducted as part of an annual survey to assess compliance with federal and state regulations related to fire safety, electrical equipment maintenance, emergency preparedness, and resident rights.

The facility was found deficient in several areas including failure to inspect and test fire-rated doors annually, maintain smoke barrier doors according to NFPA 101 standards, maintain testing and maintenance records for patient-care electrical equipment, and develop and maintain a comprehensive emergency preparedness plan updated annually. These deficiencies could affect all residents, staff, and visitors.

An unannounced complaint investigation was conducted June 11, 2018 to June 12, 2018 at Worthington Healthcare Center for Complaint Reference #20366.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

Complaint Reference #20366 was unsubstantiated with no related or unrelated deficient practices identified.

The document is a plan of correction related to a Quality Indicator and Licensure Survey concluding on 08/08/2017, accepted in lieu of an onsite revisit.

The facility, Worthington Nursing and Rehabilitation Center, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices addressed through plans of correction and credible evidence.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted from July 31, 2017 to August 8, 2017, including a concurrent complaint investigation which was unsubstantiated.

The report identified multiple deficiencies including failure to notify a resident of a room change, failure to ensure personal privacy during medical treatments, failure to provide reasonable accommodation for call light placement, inaccurate comprehensive assessments, incomplete care plans for hospice and behavioral residents, failure to implement care plan interventions, unsafe storage of razors, serving food at improper temperatures, unsanitary food handling practices, and incomplete medical records.

Complaint reference #18501 was investigated concurrently with the annual survey and was unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code 2012 Edition.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code 2012 Edition.

The inspection was conducted as a complaint investigation following a complaint referenced as #16654, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Worthington Nursing and Rehabilitation, was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

Complaint investigation concluded on 10/07/16 with substantial compliance found and previously cited deficient practices corrected.

The inspection was conducted as a complaint investigation, reviewing plans of correction and credible evidence in lieu of an onsite revisit for complaint reference #16374.

The facility, Worthington Nursing and Rehabilitation Center, was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

Complaint Reference: #16374. The complaint investigation concluded on August 9, 2016, and the facility was found in substantial compliance with previously cited deficiencies.

An unannounced complaint survey was conducted at Worthington Nursing and Rehabilitation Center from October 4 to October 7, 2016, based on complaint #16654 which was substantiated with related deficiencies cited.

The facility failed to notify physicians and responsible parties of significant changes or injuries for residents #98 and #100, failed to provide necessary care and services for residents #22, #97, #98, and #100, failed to complete root cause analysis for bruising of resident #100, and failed to maintain accurate and complete medical records for residents #97 and #100.

Complaint #16654 was substantiated with related deficiencies cited based on observations, clinical record reviews, resident and family interviews, and staff interviews.

An unannounced revisit was conducted at Worthington Nursing and Rehabilitation Center from October 3, 2016 to October 4, 2016 for the Quality Indicator Survey and complaint investigation concluding on June 21, 2016.

The facility was found to have corrected the previously cited deficient practices, as reflected on the CMS-2567B.

The revisit survey was conducted in response to a complaint investigation (reference #15644) concluding on June 21, 2016.

The inspection was conducted as a complaint investigation with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

The complaint investigation concluded on 2016-08-17 with the facility in substantial compliance based on accepted plans of correction and credible evidence.

An unannounced complaint survey was conducted at Worthington Nursing and Rehabilitation Center from September 6 to September 9, 2016, based on Complaint #16374 which was substantiated with related and unrelated deficiencies cited.

The facility was found deficient in monitoring a resident's apical pulse prior to administering Lanoxin, failure to provide required face-to-face physician visits for a resident, and the pharmacist's failure to identify irregularities in medication monitoring. These deficiencies had the potential to affect more than a limited number of residents.

Complaint #16374 was substantiated with related and unrelated deficiencies cited. The complaint sample consisted of 8 residents, and the facility census on the first day of the complaint investigation was 98 residents.

An unannounced complaint survey was conducted at Worthington Nursing and Rehabilitation Center on August 16-17, 2016, based on complaints alleging neglect and other issues.

The facility failed to operationalize written policies and procedures to prohibit neglect, specifically failing to investigate and report an allegation of neglect involving Resident #55. The complaint was found unsubstantiated but with one unrelated deficiency.

Complaint survey #16334 was unsubstantiated. Complaint survey #16269 was unsubstantiated with one unrelated deficiency. The allegation involved Resident #55 who was reportedly left wet and not toileted timely. The facility did not investigate or report the allegation to required state agencies.

Unannounced annual Quality Indicator and State Licensure Surveys, and Complaint Investigation #15644 were conducted at Worthington Nursing and Rehabilitation Center, LLC from June 14, 2016 through June 21, 2016.

The facility was found deficient in multiple areas including failure to timely notify physicians of significant changes in residents' conditions, failure to maintain confidentiality of resident information, failure to prevent neglect and abuse, failure to respect residents' dignity and privacy, failure to develop and revise comprehensive care plans, failure to provide care according to care plans, medication errors, improper medication storage, infection control deficiencies, and failure to maintain a safe environment.

Complaint #15644 was substantiated with related citations.

The inspection was conducted to assess compliance with the NFPA 101 Life Safety Code Standard, specifically focusing on the maintenance and condition of the facility's automatic sprinkler system.

The facility failed to maintain sprinkler piping free from obstructions, as data/phone cables and ceiling insulation were found draped over sprinkler pipes in the interstitial space, potentially affecting all 98 residents and an indeterminable number of staff and visitors.

The inspection was conducted as a complaint investigation based on complaint reference #15136, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected as of the complaint investigation concluding on 03/04/16.

Complaint investigation concluded on 03/04/16 with the facility in substantial compliance and previously cited deficient practices corrected. Complaint reference #15136.

An unannounced complaint survey was conducted at Worthington Nursing and Rehabilitation Center on March 3-4, 2016, triggered by Complaint #15136 which was substantiated.

The facility failed to provide pharmaceutical services accurately, specifically a medication error where Resident #2 was given Primaxin intramuscularly (IM) despite the vial being labeled for intravenous (IV) use only. The pharmacy dispensed the medication incorrectly, and the facility took corrective actions including staff education and monitoring medication orders.

Complaint #15136 was substantiated based on observations, clinical record reviews, resident, family, and staff interviews, and other documentation.

An unannounced complaint investigation was conducted from January 11, 2016 to January 13, 2016 at Worthington Nursing and Rehabilitation Center for Complaint Reference #14963.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

Complaint Reference #14963 was investigated and found to be unsubstantiated with no deficient practices identified.

The inspection was conducted as a complaint investigation, with the facility undergoing review following a complaint referenced as 14236.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities. The plans of correction and credible evidence were accepted in lieu of an onsite revisit, concluding the complaint investigation.

Complaint Reference: 14236. The facility was found in substantial compliance with previously cited deficient practices after review of Informal Dispute Resolution findings.

The document is a plan of correction related to a prior Quality Indicator and Licensure Survey, accepted in lieu of an onsite revisit for the survey concluding on 06/04/2015.

The facility, Worthington Nursing and Rehabilitation Center, LLC, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices addressed through plans of correction and credible evidence.

An unannounced complaint investigation was conducted at Worthington Nursing and Rehabilitation Center, LLC for Complaint Reference 13875.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with applicable regulations.

Complaint Reference 13875 was unsubstantiated with no deficient practices identified.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted at Worthington Nursing and Rehabilitation Center, LLC from June 1, 2015 through June 4, 2015.

The survey identified multiple deficiencies including failure to convey personal funds upon resident death, incomplete criminal background checks for employees, inadequate care plan updates for residents, unclear nurse staffing postings, unsanitary kitchen conditions, and incomplete hospice documentation for a resident receiving hospice care.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing for compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

An unannounced complaint investigation was conducted from May 18, 2015 to May 21, 2015 at Worthington Nursing and Rehabilitation Center for Complaint Reference #13343.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

Complaint Reference #13343 was investigated and found to be unsubstantiated with no deficiencies identified.

An unannounced complaint investigation was conducted from 10/20/14 to 10/22/14 at Worthington Nursing and Rehabilitation Center for Complaint Reference 12104.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with applicable regulations.

The complaint allegations were unsubstantiated.

An unannounced complaint investigation was conducted from August 25, 2014 to August 27, 2014 at Worthington Nursing and Rehabilitation Center, LLC for Complaint Reference 11895.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

Complaint Reference 11895 was investigated and found to be unsubstantiated.

An unannounced complaint investigation (#11709) was conducted at Worthington Nursing and Rehabilitation Center from July 28, 2014 through July 30, 2014.

The deficiencies contained in this report are based on observations, review of residents' clinical records, staff interviews, and review of other facility documentation. The complaint was substantiated with related deficiencies.

The complaint was substantiated with related deficiencies.

The document is a plan of correction related to a prior Quality Indicator and Licensure Survey for Worthington Nursing and Rehabilitation Center, LLC, addressing previously cited deficient practices.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted at Worthington Manor from February 3, 2014 through February 6, 2014 to assess compliance with regulatory requirements.

The facility was found deficient in maintaining a surety bond for resident funds and in infection control practices, specifically hand hygiene during medication administration for multiple residents.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The inspection was conducted as a complaint investigation based on complaint reference numbers 8471 and 13160.

The complaint was found to be unsubstantiated and no citations were issued.

Complaint reference 8471 / 13160 was investigated and found to be unsubstantiated with no citations.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Worthington Healthcare Center.

The report includes a deficiency related to the facility's failure to properly inform residents of their rights, rules, services, and charges as required by regulation.

The inspection was a Quality Indicator and Licensure Survey conducted from 06/25/12 to 06/28/12 to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in multiple areas including failure to investigate abuse allegations, incomplete criminal background checks for employees, failure to develop comprehensive care plans for residents, lack of parameters for medication administration, use of unnecessary medications, and incomplete medical records.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Worthington Healthcare Center.

The document includes a summary statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights, services, charges, and Medicaid benefits.

The inspection was conducted as a complaint investigation involving two complaints, #11289 (unsubstantiated) and #11301 (substantiated with deficiencies).

The facility failed to provide hot breakfast foods at acceptable temperatures, as confirmed by resident interviews, food temperature measurements, and staff interviews. Five of six sampled residents who ate breakfast in their rooms reported that their food was often served cold, and food temperature tests showed hot foods below the acceptable 120 degrees Fahrenheit.

Complaint #11289 was unsubstantiated. Complaint #11301 was substantiated with deficiencies related to food temperature at breakfast.

The document is a Plan of Correction related to a Statement of Deficiencies issued to Worthington Healthcare Center following a survey completed on July 30, 2011.

The document references a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation related to a substantiated complaint regarding failure to notify a resident's family/legal representative of significant changes in condition and issues with medication record accuracy.

The facility failed to notify the medical power of attorney (MPOA) of Resident #102 about a significant change in condition and new physician orders in a timely manner, resulting in family notification only after the resident's unexpected death. Additionally, the facility inaccurately transcribed the start date of a prescribed medication on the medication administration record (MAR) for the same resident.

Complaint reference #11135 was substantiated. The complaint involved failure to notify the resident's MPOA of a significant change in condition and new treatment orders in a timely manner, which was confirmed by record review and staff interviews.

The inspection was conducted as a complaint investigation based on complaint reference #11078.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #11078 was unsubstantiated with no deficiencies cited.

Complaint investigation triggered by complaint reference #10234 regarding allegations of resident mistreatment and failure to report abuse.

The facility was found to have substantiated deficiencies related to failure to thoroughly investigate and immediately report an allegation of abuse, failure to implement care plans correctly for residents, and failure to provide adequate supervision and assistive devices leading to resident injuries.

Complaint reference #10234 was substantiated with deficiencies cited related to abuse investigation and resident care.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Worthington Healthcare Center.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand. The deficiency is identified as F 156 with a severity of SS=C.

The inspection was conducted as a complaint investigation referencing complaints #10081 and #10091, which were substantiated with deficiencies cited.

The facility failed to notify the medical power of attorney representative (MPOA) of a change in medical treatment for one of four sampled residents. Specifically, inhaler treatments for Resident #78 were discontinued without notifying the resident's MPOA as required.

Complaint references #10081 and #10091 were substantiated with deficiencies cited.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the Life Safety Code provisions.

The inspection was conducted as part of the annual survey to assess compliance with federal regulations related to resident rights, housekeeping, care planning, infection control, medication management, and other care standards.

The facility was found deficient in multiple areas including failure to maintain sanitary conditions in resident shower and toilet areas, inadequate comprehensive care plans for residents especially related to elopement prevention and urinary tract infection (UTI) prevention, improper respiratory care with empty oxygen tanks in use, unnecessary prolonged use of certain medications without proper monitoring, failure to maintain sanitary food preparation and storage conditions, and lapses in infection control practices during dressing changes.

The inspection was conducted as a complaint investigation based on complaint reference #9249.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #9249 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced by complaint #9177.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #9177 was unsubstantiated with no deficiencies cited.

The inspection was conducted in response to complaint references #9151 and #9153.

The complaint records were found to be unsubstantiated with no deficiencies cited.

Complaint references #9151 and #9153 were investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically regarding the maintenance and emergency lighting of the facility generator.

The facility failed to maintain battery-powered emergency lighting in the generator transfer switch room as required by NFPA 110. An interview with the maintenance supervisor confirmed the absence of such emergency lighting.

The inspection was conducted as an annual survey to assess compliance with federal regulations related to resident rights, accommodations, treatment devices, and drug regimen management.

The facility was found deficient in several areas including failure to ensure proper positioning of residents during meals, failure to assist a resident in maintaining use of hearing aids, and failure to ensure a resident's drug regimen was free from unnecessary drugs due to inadequate indications for increasing an anti-anxiety medication dose.

The inspection was conducted as a complaint investigation referenced as #2-8298.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-8298 was unsubstantiated with no deficiencies cited.

This document is a plan of correction related to a paper revisit survey conducted at Worthington Healthcare Center.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation related to substantiated deficiencies for non-compliance with Federal Medicare/Medicaid certification requirements and State nursing home licensure rules.

The facility was found to have deficiencies including failure to ensure that six of seven new employees had proof that statewide criminal background checks had been initiated, despite the facility policy requiring such checks.

Complaint reference #2-8076 was substantiated with deficiencies cited for non-compliance with Federal Medicare/Medicaid certification requirements and State nursing home licensure rules.

The inspection was conducted as a complaint investigation referenced as #2-8031.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-8031 was unsubstantiated with no deficiencies cited.

The document is a plan of correction related to a paper revisit survey conducted at Worthington Healthcare Center.

The document includes a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights, services, charges, and Medicaid benefits in writing and orally.

This document is a plan of correction submitted in response to a prior deficiency identified during a survey of Worthington Healthcare Center.

The document references a deficiency related to the facility's obligation to inform residents of their rights and services, including Medicaid-related information, but does not provide detailed findings beyond this.

The inspection was conducted as a comprehensive annual survey of Worthington Healthcare Center to assess compliance with federal regulations regarding resident rights, dignity, environment, quality of care, accident prevention, sanitary conditions, drug regimen review, and clinical record maintenance.

The facility was found deficient in multiple areas including failure to ensure resident privacy during medication administration, maintaining comfortable sound levels at night, adherence to bowel management protocols, accident hazards related to environmental safety, improper sanitary conditions in food service, incomplete monthly drug regimen reviews, and inadequate clinical record documentation of bowel elimination patterns.

The inspection was conducted to assess compliance with the NFPA 101 Life Safety Code Standard, specifically regarding the use of electrical wiring and equipment within patient care areas.

The facility was found to be using relocatable power taps (electrical power strips) within patient care areas, which are not intended or approved for use in general or critical patient care areas according to NFPA 70 National Electrical Code standards.

The inspection was conducted in response to two complaint references (#2-7164 and #2-7177).

The complaint record #2-7164 was unsubstantiated with no deficiencies cited, and complaint record #2-7177 was substantiated but also had no deficiencies cited.

Complaint reference #2-7164 was unsubstantiated with no deficiencies cited. Complaint reference #2-7177 was substantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-7026.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-7026 was unsubstantiated with no deficiencies cited.

This document is a paper revisit for approval of the facility's plan of correction.

The report indicates a paper revisit related to the approval of the plan of correction; no new deficiencies or findings are detailed.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements related to facility safety, including smoke barriers, smoke detectors, smoking regulations, means of egress, and emergency power systems.

The facility was found deficient in maintaining smoke barriers with proper fire resistance, failure to inspect and test smoke detectors as required, lack of metal containers with self-closing covers in designated smoking areas, obstructed egress doors due to decorations, and inadequate maintenance and monitoring of the emergency generator and its annunciator panel.

Annual comprehensive inspection of Worthington Healthcare Center to assess compliance with federal regulations including resident rights, protection of resident funds, staff treatment of residents, comprehensive assessments, care planning, medication use, infection control, and laboratory services.

The facility was found deficient in multiple areas including failure to obtain written authorization for managing resident funds, failure to report abuse allegations timely, incomplete resident assessment protocols, inadequate comprehensive care plans, use of unnecessary medications without proper monitoring or non-pharmacologic interventions, unsafe side rail cover application, improper feeding technique risking infection, and failure to file and notify physicians of abnormal lab results.

The inspection was conducted as a substantiated complaint investigation related to resident safety and care concerns, including physical and chemical restraints, social services, and accident prevention.

The facility was found deficient in multiple areas including failure to prevent injury from bed side rails causing entrapment, improper use and monitoring of chemical restraints (Ativan), inadequate provision of medically-related social services for a resident with behavioral symptoms, unsafe lifting practices for a dependent resident, and failure to provide adequate protective guard rail pads for residents with side rails.

Complaint reference #2-6116 was substantiated with deficiencies cited related to resident safety and care.

The inspection was conducted in response to complaint reference #2-6011.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-6011 was unsubstantiated with no deficiencies cited.

This document is a plan of correction related to a paper revisit survey conducted at Worthington Healthcare Center.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation referenced as #2-5114.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-5114 was unsubstantiated with no deficiencies cited.

The document is a paper revisit (re-inspection) of Worthington Healthcare Center to verify correction of previous deficiencies.

The report contains a statement of deficiencies and plan of correction related to resident rights and notification requirements, but no specific findings or deficiencies are detailed in the provided page.

The inspection was conducted as a comprehensive annual survey of the nursing facility to assess compliance with federal regulations and quality of care standards.

The facility was found deficient in multiple areas including residents' rights to food choice, failure to thoroughly investigate bruising of unknown origin, improper medication administration practices, inadequate pain assessment and monitoring, failure to monitor fluid intake and output, improper food storage temperatures, and incomplete clinical record documentation.

The inspection was conducted as an annual survey to assess compliance with health and safety regulations, including life safety code standards.

The facility was found to have deficiencies related to incomplete sprinkler coverage in certain areas such as the loading dock, and fire extinguishers not placed within the required maximum travel distance of 75 feet. The facility census at the time was 104 residents.

The inspection was conducted in response to a complaint referenced as #2-5076.

The complaint was unsubstantiated and no deficiencies were cited during the inspection.

Complaint reference #2-5076 was unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation related to a substantiated complaint record with deficiencies cited regarding the facility's failure to follow its bed-hold and readmission policy.

The facility failed to follow its written policy to allow a resident whose hospitalization exceeded the bed-hold period to return to the facility. Specifically, Resident #99 was hospitalized and the facility did not offer the resident's responsible party a bed upon discharge despite available capacity.

Complaint reference 2-4172 was substantiated with deficiencies cited related to the facility's failure to readmit a resident following hospitalization as required by policy.

The inspection was conducted as a complaint investigation referenced as #2-4179.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-4179 was unsubstantiated with no deficiencies cited.

Complaint investigation due to substantiated complaint record with deficiencies cited related to resident rights, transfer and discharge requirements, quality of care, drug regimen, physician services, infection control, and clinical record documentation.

The facility was found deficient in multiple areas including failure to provide required discharge notice information, failure to promote resident dignity, failure to submit timely resident assessments, failure to provide necessary care and services for residents, unnecessary drug use, physician visits not conducted personally as required, failure of pharmacist to report drug irregularities, infection control issues with equipment and catheter care, and inaccurate clinical record documentation of medication dosage.

Complaint reference #2-4018 substantiated with deficiencies cited related to resident rights, quality of care, drug regimen, physician services, infection control, and clinical record documentation.

The inspection was conducted as a routine survey to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements for the healthcare facility.

The facility failed to maintain corridor walls, hazardous room doors, exit doors, exit signs, smoke detectors, rangehood fire extinguishing system, and emergency power system in accordance with applicable NFPA standards. Multiple deficiencies were observed including non-self-closing doors, inoperable exit door latches, non-illuminated exit signs during emergency power test, smoke detectors failing sensitivity tests, lack of monthly inspections for fire extinguishing systems, and inadequate generator maintenance documentation.

The inspection was conducted as a complaint investigation related to allegations concerning resident supervision and safety.

The facility failed to provide adequate supervision to prevent a resident (#36) from eloping through an open door to a patio and falling on concrete. The door alarm was turned off and the resident's bed alarm was not heard by staff, resulting in the resident exiting the building unnoticed. The registered nurse on duty the night of the incident was terminated.

Complaint reference #2-3285 was substantiated with deficiencies cited. Complaint references #2-3291 and #2-3186 were unsubstantiated with no deficiencies cited.

The inspection was conducted to investigate a complaint with reference number CI#2-3143 at Worthington Manor.

The complaint was found to be unsubstantiated due to lack of sufficient evidence. The exit conference was conducted on the same day.

Complaint investigation was unsubstantiated due to lack of sufficient evidence.

The visit was conducted in response to complaint number 23096 to investigate the allegations.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint 23096 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 1967.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 1967.

The inspection was conducted as an annual survey to assess compliance with federal regulations regarding quality of care, medication administration, physician services, pharmacy services, and clinical record maintenance at Worthington Healthcare Center.

The facility was found deficient in multiple areas including improper use and monitoring of antipsychotic medications, medication administration errors exceeding acceptable rates, failure to comply with West Virginia Health Care Decisions Act regarding capacity statements, inadequate alternation of physician visits with nurse practitioner visits, pharmacist failure to report drug irregularities, improper labeling of medications, and incomplete clinical records documentation.

The inspection was conducted as a complaint investigation (#2-2255) at Worthington Manor.

No deficient practice was identified at Worthington Manor as a result of this complaint investigation.

Complaint Investigation #2-2255 was conducted with entrance on 11/25/02 and exit on 11/26/02. No deficiencies were found.

The inspection was conducted as an annual survey to assess compliance with federal regulations governing nursing facilities.

The facility was found deficient in multiple areas including resident rights, quality of life, resident assessments, care planning, quality of care, medication management, physical environment, and laboratory services. Specific issues included unauthorized health care decisions, lack of privacy in telephone and bathroom use, inadequate resident assessments and care plans, inappropriate use of bed and chair alarms, failure to provide reasonable accommodations, and failure to obtain ordered laboratory tests.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 1967.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 1967.

Complaint investigation #22084 was conducted to address concerns raised about the facility.

The complaint investigation was substantiated but no deficiencies were found during the survey.

Complaint investigation #22084 was substantiated with no deficiencies found.

The inspection was conducted as a complaint investigation related to the facility's compliance with transfer and discharge requirements and resident assessment procedures.

The facility failed to provide a discharge notice containing all required components for one resident, Resident #29, including the reason for discharge, right of appeal, and ombudsman contact information. Additionally, the facility did not revise the care plan for Resident #29 to reflect changes in the resident's condition, such as bruising and risk of injury, and failed to update care approaches related to visitation restrictions and assessments.

Complaint #21274 regarding failure to comply with transfer and discharge notice requirements and resident assessment care plan revisions for Resident #29.

The inspection was conducted in response to a complaint (Complaint ID: 2-1255) regarding the facility's failure to maintain a pest-free environment and promote resident dignity.

The facility failed to provide a pest-free environment, with flying gnats observed in the dining room and multiple resident rooms, negatively impacting residents' dignity and comfort. Resident and staff interviews confirmed the pest problem was significant and ongoing.

Complaint ID: 2-1255. The complaint was substantiated based on observations and interviews confirming the presence of flying gnats in resident rooms and the dining area, causing distress to residents.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance of Worthington Healthcare Center, addressing deficiencies identified during a prior inspection.

The report identifies a deficiency related to the facility's failure to properly inform residents of their rights and rules, and a life safety code deficiency regarding corridor fire resistance ratings.

The inspection was conducted to assess compliance with the NFPA 101 Life Safety Code Standard, specifically regarding fire rated and smoke resistant construction of corridors.

The facility was found deficient in maintaining the required one-hour fire resistive rating and smoke resistant construction in corridor walls. Specifically, ceiling tiles were cupped preventing proper seating, and there was approximately two inches of unsealed space above corridor walls compromising fire and smoke barriers.

The inspection was conducted in response to a complaint (Complaint ID: 2-1235) regarding the facility's policies and procedures related to staff treatment of residents and administration requirements for nurse aides.

The facility failed to develop and implement adequate policies addressing how to handle positive criminal background checks for employees, potentially compromising resident safety. Additionally, the facility did not verify nurse aide registry information from all relevant states before hiring, failing to ensure employee fitness to serve as CNAs.

Complaint ID 2-1235 triggered the investigation. The complaint involved concerns about staff treatment of residents and the facility's failure to properly handle criminal background checks and registry verifications for nurse aides. Substantiation status is not explicitly stated.

This document is a Statement of Deficiencies and Plan of Correction for Worthington Healthcare Center, detailing regulatory deficiencies identified during a survey completed on October 11, 2001.

The report identifies multiple deficiencies related to resident rights, quality of life, resident assessment, quality of care, dietary services, infection control, and clinical record maintenance. Each deficiency is accompanied by regulatory citations and completion dates for corrective actions.

The inspection was conducted as an annual survey to assess compliance with state and federal regulations governing nursing home operations, resident care, and facility environment.

The facility was found deficient in multiple areas including failure to properly appoint health care surrogates according to state law, inadequate promotion of resident dignity during meal times, lack of reasonable accommodations for residents using wheelchairs, incomplete restorative nursing programs, inadequate care planning, failure to provide necessary assistance during meals, use of unnecessary medications without proper monitoring, improper food storage and sanitation practices, infection control issues related to mattress protection, and incomplete clinical records.

The inspection was conducted as a comprehensive annual survey to assess compliance with federal regulations governing nursing facilities, including resident rights, physical restraints, staff treatment of residents, resident assessments, quality of care, dietary services, and infection control.

The facility was found deficient in multiple areas including failure to ensure residents were free from unnecessary physical restraints, failure to report and investigate abuse and injuries of unknown origin, improper medication administration practices, incomplete discharge summaries, unsecured medication carts, unsanitary food handling, and inadequate infection control practices including improper handwashing.

The inspection was conducted based on a review of facility documentation, staff interview, and observation to assess compliance with the provisions of 483.70 Physical Environment.

The facility was determined to be in compliance with the provisions of 483.70 Physical Environment.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101:10-2; Life Safety Code, 1967 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the Life Safety Code provisions.

The inspection was conducted to evaluate compliance with health and safety regulations, nursing and resident care staffing requirements, and adequacy of housekeeping and maintenance in the facility.

The facility was found to have deficiencies in maintaining a safe and appropriate environment for consumers, including inadequate supervision during weekend nights and physical maintenance issues. Additionally, the facility failed to meet the minimum certified nursing aide staffing hours required for several days reviewed.

The inspection was conducted to determine compliance with regulations regarding construction plans for facility additions, renovations, and alterations.

The facility did not comply with the requirement to submit detailed construction plans for three additions to the existing building to the Office of Health Facilities Licensure and Certification prior to starting construction.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, including fire safety features such as smoke barrier doors, sprinkler systems, and exit access.

The facility was found to have multiple deficiencies related to life safety code compliance, including smoke barrier doors not equipped with self-closing devices, unsealed penetrations in smoke barrier walls, smoke barrier doors not maintaining required fire resistance rating, inaccessible exit access, delayed sprinkler flow alarm activation, and sprinkler heads impeded by privacy curtains.

The inspection was conducted as a standard annual survey to assess compliance with federal regulations related to resident rights, physical environment, and safety systems at Worthington Healthcare Center.

The facility was found deficient in several areas including failure to properly exercise the emergency power generator, unsafe hot water temperatures exceeding allowed limits, malfunctioning resident call systems in certain toilet rooms, lack of ground fault circuit interrupters (GFI) in multiple resident and linen rooms, and use of extension cords in resident rooms. These deficiencies indicate the facility does not fully provide a safe and compliant environment for residents and staff.

The inspection was conducted to assess compliance with federal regulations regarding staff treatment of residents, resident assessments, dietary services, and notification of resident rights.

The facility failed to screen three of five new employees for background information, did not complete resident assessment protocols for five residents, and failed to ensure residents received food at the proper temperature.