F0921

D

Unclean Wheelchair Environment for a Cognitively Intact Resident

Lancaster, Ohio Survey Completed on 01-08-2026

Penalty

No penalty information released

Summary

A deficiency occurred when the facility failed to maintain a resident’s wheelchair in a clean and sanitary condition, as required to keep the environment safe, easy to use, clean, and comfortable for residents, staff, and the public. The resident, identified as Resident #52, had been admitted on 05/28/21 with multiple diagnoses including Parkinson’s disease, Type II DM, progressive multiple sclerosis, mild cognitive impairment, unspecified protein-calorie malnutrition, legal blindness, dementia, and major depressive disorder. A quarterly MDS assessment dated 10/16/25 documented that the resident had intact cognition.

On 01/06/26 at 2:50 p.m. and again on 01/08/26 at 10:05 a.m., surveyor observations showed that the resident’s wheelchair had a large buildup of dirt, food, stains, and splatters along the sides and edges. During an interview on 01/08/26 at 10:05 a.m., the DON confirmed that the wheelchair needed to be cleaned and stated it was on the schedule for the night shift. This deficiency affected one resident out of three reviewed for environment and was investigated under Complaint Number 2706168, with a total facility census of 88.