Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
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 Van Wert Manor during CMS and state inspections, most recent first.
A resident with quadriplegia and multiple comorbidities developed an unstageable pressure ulcer after staff failed to timely identify, assess, and intervene despite known risk factors. Incomplete documentation, delayed wound measurements, and lack of physician orders led to the wound progressing to a severe stage, ultimately requiring surgical debridement and additional interventions.
The facility did not have an RN on duty for the required eight consecutive hours on two occasions, with one day having only 6.5 hours of RN coverage and another day with no RN hours at all. This lapse was confirmed by both the DON and the Administrator and had the potential to affect all residents.
A resident with lung cancer and COPD did not receive oxygen with humidification as ordered by the physician. Multiple staff confirmed that the oxygen concentrator lacked a humidifier attachment during several observations, despite the documented order for humidification. Three other residents were also identified as receiving oxygen with humidification.
Failure to Timely Identify and Treat Pressure Ulcer Resulting in Actual Harm
Penalty
Summary
The facility failed to timely identify, assess, and provide appropriate interventions for a resident at high risk for pressure ulcers, resulting in the development and progression of an unstageable pressure ulcer. The resident, who had quadriplegia, anemia, diabetes mellitus, and diabetic neuropathy, was dependent on staff for all aspects of care and was identified as being at risk for skin breakdown. Despite care plan interventions for skin monitoring and pressure relief, there was no documentation of skin breakdown or wound measurements for a significant period, and the first physician order for wound care was delayed. When a wound was first noted, there was insufficient documentation regarding its size, appearance, and treatment, and no specific physician order for wound care was in place for several weeks. Progress notes indicated inconsistent and incomplete wound assessments, with gaps in documentation and lack of timely communication with the physician. The wound was not properly measured or described until it had progressed to an unstageable pressure ulcer with 100% slough, requiring surgical debridement. The facility's own policy required weekly monitoring and documentation of wounds, which was not followed. Interviews with staff and review of medical records confirmed that there was a lack of timely and accurate assessment, documentation, and intervention for the resident's pressure ulcer. The physician was unaware of the wound and had not provided orders for its care during the critical period. The resident ultimately required multiple hospitalizations, surgical debridement, and a diverting colostomy due to the progression and complications of the wound. The failure to follow established guidelines and facility policy resulted in actual harm to the resident.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for eight consecutive hours each day, as required. Review of staffing schedules showed that there was no RN scheduled on two specific dates. On one of these dates, the Director of Nursing (DON) worked only 6.5 hours, and on the other date, there were no RN hours at all. These findings were confirmed through interviews with both the DON and the Administrator, who verified the lack of required RN coverage on the identified dates. This deficiency had the potential to affect all 53 residents residing in the facility, as the absence of an RN for the required hours was not limited to a specific group of residents.
Failure to Provide Ordered Oxygen Humidification
Penalty
Summary
A deficiency occurred when a resident with diagnoses of lung cancer and chronic obstructive pulmonary disease, who was under hospice care, did not receive oxygen with humidification as ordered by the physician. The resident was admitted with an order for oxygen at two liters per minute via nasal cannula, with specific instructions for the oxygen concentrator to be wiped down weekly and the water jug to be changed weekly. The clinical admission assessment confirmed the use of oxygen with humidification. Multiple observations over two days revealed the resident lying in bed with a nasal cannula, but the oxygen concentrator lacked a humidifier attachment. Certified Nursing Assistants on separate occasions confirmed the absence of the humidifier. A Licensed Practical Nurse later acknowledged the physician's order for humidification and confirmed that humidification was not in place until after it was brought to her attention. The facility also identified three additional residents who received oxygen with humidification.
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What surveyors actually found near you
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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 Van Wert
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vancrest Health Care Center | 2 mi | ★★★★★ | 0 | 0 |
| Divine Rehabilitation And Nursing At Shane Hill | 11.1 mi | ★★★★★ | 0 | 0 |
| Colonial Nursing Center Of Rockford | 12 mi | ★★★★★ | 23 | 0 |
| Vancrest Of Delphos | 13.6 mi | ★★★★★ | 1 | 0 |
| Meadows Of Delphos The | 13.8 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.