Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 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.
Failure to maintain resident dignity when a CNA used profanity near the nurses' station while multiple residents were within hearing distance in the common area. The CNA was observed speaking loudly and later confirmed using the profanity in front of the residents, contrary to the facility's Resident Rights policy requiring courtesy, respect, and recognition of dignity and individuality.
A resident who was cognitively intact and receiving multiple scheduled meds had no documented self-administration assessment and no physician order for self-administration. Staff left a medication cup unattended at the bedside, the resident said nurses left the meds there so she could spread them out, and an LPN and the DON both confirmed the meds were being left at bedside without the required assessment or order.
A cognitively intact resident with multiple chronic conditions, including anxiety, depression, and insomnia, repeatedly reported that staff propped her room door open with a trash can at night, leaving light and noise in the room and preventing sleep. She asked for the door to be kept shut, but aides continued opening it, and a CNA confirmed the practice was done because of the roommate’s condition despite the resident’s objections.
Failure to Protect Resident from Abuse: An LPN physically restrained a cognitively impaired resident by grabbing the resident’s wrists and pinning them to the wheelchair armrests during a redirection attempt, while making threatening statements about hitting the resident back and calling the police. The incident was witnessed and later described by multiple staff members, and staff who knew about it did not report it at the time.
Failure to Timely Report Allegation of Abuse: Staff did not immediately report an allegation of abuse involving a resident with dementia and an LPN. The LPN reportedly grabbed the resident’s wrists, pinned them to the wheelchair arms, and told the resident, "If you hit me, I will hit you back and call the police." Another LPN and an RN both learned of the incident but did not report it to the DON or Administrator at the time, despite facility policy requiring immediate reporting of abuse allegations.
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.
Failure to Maintain Resident Dignity During Staff Interaction
Penalty
Summary
The facility failed to ensure residents were treated with dignity and respect when a CNA used profanity in the presence of residents. During observation on 05/27/26 at 6:28 A.M., CNA #335 was at the nurses' station visually reviewing a piece of paper and stated in a loud tone, "I get that she is new, but you are not going to [explicative] me over." Residents #7, #14, #16, #26, #41, and #43 were in the common area approximately 10 feet from the nurses' station and within hearing distance at the time. During interview on 05/27/26 at 6:30 A.M., CNA #335 verified using profanity in front of the residents. Review of the facility's Resident Rights policy dated 10/03/23 stated residents had the right to be treated at all times with courtesy, respect, and full recognition of dignity and individuality.
Unassessed Medication Self-Administration
Penalty
Summary
The facility failed to ensure medication self-administration evaluations were completed for a resident who was cognitively intact and receiving multiple scheduled medications. The resident had diagnoses including hypocalcemia, type II diabetes mellitus, anxiety disorder, depression, hypothyroidism, adjustment disorder with mixed anxiety and depressed mood, paranoid personality disorder, malignant neoplasm of the thyroid gland, and mild neurocognitive disorder due to a known physiological condition without behavioral disturbance. The medical record contained no evidence that a self-administration assessment had been completed or that a physician’s order was in place for the resident to self-administer medications. Review of the MAR showed the resident received numerous morning medications, including diabetes, thyroid, psychiatric, vitamin, and other medications. During observation, a medication cup approximately half full of medications was found on the resident’s bedside table with no nursing staff present in the room. The resident stated the nurses left the medications at bedside because she liked to spread them out, and an LPN confirmed the medications were being left unattended at the bedside. The DON also verified the resident had not been assessed to self-administer medications and did not have a physician’s order for self-administration, while stating the resident would be appropriate to self-administer medication.
Resident’s Room Door Left Open Despite Request for Privacy and Sleep
Penalty
Summary
The facility failed to honor a resident’s choices regarding her room environment and sleep preferences. Resident #19, who was cognitively intact and had diagnoses including hypocalcemia, type II diabetes mellitus, anxiety disorder, depression, hypothyroidism, adjustment disorder with mixed anxiety and depressed mood, paranoid personality disorder, malignant neoplasm of the thyroid gland, and mild neurocognitive disorder, repeatedly documented that staff opened her room door and propped it open with the roommate’s trash can, which let in a great amount of light and interfered with her sleep. Her written statements noted that ear plugs did not help, that she had sleep disorders, and that the light and noise from nighttime staff prevented her from sleeping and caused her eyes to hurt from lack of sleep. The resident told staff she wanted the door shut tightly at night, but she reported that aides did not respect her request and continued to leave it open. During interview, she stated the door had been propped open for months and that she would close it herself only for staff to reopen it shortly afterward. Observation confirmed the door was propped open with a garbage can, and CNA #355 acknowledged propping the door open because of the roommate’s condition. RN #398 also verified the resident had complained about not sleeping well because the room door was being propped open. The facility’s Resident Rights policy stated residents had the right, upon reasonable request, to have room doors closed and not opened without knocking except in emergencies or when medically inadvisable as documented by the attending physician.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to ensure a resident was free from abuse when an LPN physically restrained the resident during an interaction on the unit and made threatening statements. Resident #16 was admitted with diagnoses of dementia, adjustment disorder, and fracture of the sacrum, and a BIMS showed significant cognitive impairment. According to staff statements and interviews, the resident was attempting to enter a male resident’s room and became combative when redirected. During the incident, the LPN grabbed the resident’s wrists, pinned them to the armrests of the wheelchair, and stated words to the effect of, if you hit me, I will hit you back and call the police. The incident was witnessed or later described by multiple staff members, including an RN who was present and reported the LPN held the resident’s wrists on the wheelchair armrests while making the threatening statement. Another RN reported being told the same account by the LPN, and the LPN later acknowledged grabbing the resident’s wrists and holding them to the wheelchair armrests, though she denied saying she would hit the resident back. The facility policy defined abuse as the willful infliction of injury, unreasonable confinement, intimidation, or punishment resulting in physical harm, pain, or mental anguish, and the report states that staff who knew of the incident on the date it occurred did not report it at that time.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to ensure staff reported an allegation of abuse timely involving Resident #16, who had diagnoses of dementia, adjustment disorder, and fracture of the sacrum and was admitted on 04/03/26. The allegation occurred in the afternoon of 05/26/26 between an LPN and Resident #16. According to staff statements, the LPN reported that the resident was attempting to hit her, and she responded by grabbing the resident’s wrists and telling the resident, "If you hit me, I will hit you back and call the police." The Administrator stated that LPN #300 and RN #315 had knowledge of the incident on the date it occurred but did not report it at that time. LPN #300 stated she was told by another LPN that the resident was attempting to hit her and that the LPN had grabbed the resident’s wrists and made the statement about hitting back and calling the police, but she did not report the matter to management that day. RN #315 stated she learned from the same LPN that the resident had become combative and that the LPN had pinned the resident’s wrists to the arms of the wheelchair and made the same statement, but she became distracted and did not follow through with reporting the incident to the DON and Administrator. The facility policy required all allegations of abuse, neglect, exploitation, mistreatment, and misappropriation to be reported immediately to the Administrator or designee, and the Administrator/designee to notify ODH immediately, but not less than two hours after the allegation was made.
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 | ★★★★★ | 13 | 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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