Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wapakoneta Manor during CMS and state inspections, most recent first.
A facility failed to ensure ordered meds were continuously available for two residents. One resident with paraplegia and chronic pain did not have Oxycodone on hand at times because the pharmacy did not supply the full order, and staff had to wait for later deliveries. Another resident with MRSA, CKD, CAD, and diabetes missed multiple doses of IV Vancomycin and PRN Hydromorphone because the meds were not available, and staff also delayed treatment for a clogged IV port. Interviews with an LPN, the VPN, and the pharmacy account manager confirmed the supply and delivery delays.
Delayed response to pharmacy recommendations affected two residents reviewed for unnecessary medications. One resident with depression, anxiety, breast cancer, and hypokalemia had sertraline ordered at HS despite a pharmacy recommendation to give it in the A.M. because it was causing insomnia and irritability, and melatonin 10 mg had not been reduced despite a recommendation to do so. Another resident with COPD, diverticulitis, and hyperlipidemia had no documented response to recommendations for lipid monitoring, review of lactobacillus use, and adding rinse-mouth instructions for Trelegy. The DON and VP of Nursing confirmed the delays, and the facility policy required monthly MRR and responses to pharmacy recommendations.
A resident with MRSA in the right hip wound was ordered for contact isolation, but observations showed no PPE cart, no gowns, and no signage outside the room to indicate isolation. The resident said staff usually wore gloves but rarely gowns and was unsure of the isolation type. An LPN confirmed the lack of signage, carts, and gowns, while the ICP stated outside isolation signs had been removed and PPE carts taken away from the hall, despite the facility policy requiring signage and PPE availability before room entry.
A resident at risk for pressure ulcers developed a stage three ulcer on the right great toe due to inadequate wound assessment and failure to implement pressure-reducing interventions. The facility did not document or monitor the wound as per policy, and heel boots were not applied as ordered. The DON confirmed the lack of communication and documentation regarding the wound.
The facility failed to implement necessary interventions to prevent a stage four pressure ulcer in a resident and did not follow physician orders for pressure ulcer treatment in another resident. This resulted in actual harm due to the development and improper treatment of pressure ulcers.
A resident's catheter bag was repeatedly observed without a privacy cover, despite a physician's order and facility policy requiring it. Staff interviews confirmed the absence of the privacy bag and a lack of awareness about its location, compromising the resident's dignity.
The facility failed to include PTSD interventions in the care plan for a resident with multiple psychiatric diagnoses, despite the resident's PTSD being confirmed in the admission assessment. The resident had not had a care conference since admission, and the deficiency was confirmed by a Corporate RN.
The facility failed to hold care conferences with two residents and did not update the care plan after falls for another resident. Despite being cognitively intact and requiring assistance, the residents did not receive the necessary care conferences or updated interventions following falls.
The facility failed to implement Enhanced Barrier Precautions for two residents receiving specialized care. One resident on peritoneal dialysis and another with a stage four pressure ulcer and feeding tube were not provided with proper gown-wearing protocols by staff, despite visible EBP signs and facility policies mandating such precautions.
Medication Supply Delays Led to Missed Ordered Doses
Penalty
Summary
The facility failed to ensure medications were administered as ordered because prescribed medications were not continuously available for two residents. For one resident with paraplegia, thoracic vertebra fracture, bipolar disorder, neuromuscular bladder dysfunction, and neurogenic bowel, the physician ordered Oxycodone 15 mg every four hours as needed for pain for 28 days, with 168 tablets to be dispensed. The MAR and narcotic records showed only 68 tablets were dispensed and administered, and on 07/20/26 the chart documented that no Oxycodone tablets were available. The resident stated staff told him the pharmacy had not provided the full amount and he had to wait for the medication. For the second resident, who had staphylococcal arthritis, MRSA infection, an internal orthopedic prosthetic device, diabetes type 2, coronary artery disease, and chronic kidney failure, the physician ordered IV Vancomycin on multiple occasions and Hydromorphone 4 mg every six hours as needed for pain. The records showed the resident missed eight doses of IV Vancomycin in 06/2026 and two additional doses because the medication was not available from pharmacy, and missed six requested doses of Hydromorphone from 06/15/26 to 06/16/26. The resident also had a clogged IV port, and the note stated the facility ran out of pain medication and was told to use another local pharmacy because the pharmacy would not deliver until the next shipment. Staff interviews confirmed the medication supply problem. An LPN stated there were multiple days when the first resident was without Oxycodone because the pharmacy did not supply the full order and that the pharmacy delivered medications only on the next drop-off day, twice a week. The pharmacy account manager stated the pharmacy does not send the entire amount at the start of an order and waits for staff notification when supply is low before dispensing the remaining amount. The VPN verified that there were times when both residents requested medications and none were available in the facility because staff were awaiting pharmacy delivery.
Delayed Response to Pharmacy Medication Regimen Review Recommendations
Penalty
Summary
The facility failed to address pharmacy recommendations in a timely manner for two residents reviewed for unnecessary medications. For Resident #57, who was admitted with diagnoses including hypokalemia, breast cancer, anxiety disorder, and depression, a pharmacy recommendation dated 05/23/26 advised changing sertraline 175 mg from bedtime to morning administration because it was causing insomnia and irritability that may disrupt sleep patterns. The recommendation was not signed until 07/21/26, and physician orders still showed sertraline changed to bedtime administration on 07/21/26. A separate pharmacy recommendation dated 06/10/26 recommended a dose reduction for melatonin 10 mg because it had been administered for behavioral issues since 09/17/25, but the recommendation was not yet signed and no dose reduction had been attempted. For Resident #61, who had diagnoses including chronic obstructive pulmonary disease, diverticulitis of the intestine, and hyperlipidemia, a pharmacy recommendation dated 04/29/26 requested clinical monitoring and consideration of a fasting lipid panel because the last results were from 03/2025, and there was no documented response. Another recommendation dated 05/23/26 asked the facility to evaluate continued use of lactobacillus, with a response not received until 07/21/26. A recommendation dated 06/10/26 for Trelegy inhaler to include instructions to rinse the mouth after use also had no documented response. The DON and VP of Nursing confirmed the delay in responding to the pharmacy recommendations, and the facility policy stated that each resident's drug regimen is to be reviewed at least monthly and that the facility shall provide answers to pharmacy recommendations.
Failure to Follow Isolation Precautions for a Resident with MRSA
Penalty
Summary
The facility failed to follow proper protocols for residents in isolation precautions for one resident with MRSA infection in the right hip wound. The resident was admitted with diagnoses including staphylococcal arthritis, MRSA, an internal orthopedic prosthetic device, diabetes type 2, coronary artery disease, and chronic kidney failure. Physician orders dated 06/06/26 included contact isolation for MRSA infection in the right hip, and a provider note dated 07/12/26 documented that the resident was receiving IV antibiotics for the MRSA infection. The resident’s MDS assessment documented intact cognition, and a later MDS indicated the resident was not to be in isolation or quarantine for active infectious disease. Observations showed no evidence of isolation precautions being followed. On 07/20/26 and 07/21/26, the resident’s room had no PPE outside the room or in the room, and no indication outside the room that the resident was to be in isolation. The resident stated staff wore gloves during care but rarely wore gowns and was unsure what type of isolation was ordered. On 07/23/26, there were no PPE carts near the resident’s room on B-hall, and a sign inside the room indicated Enhanced Barrier Precautions, but no gowns or PPE cart were present and gloves were stored on the bathroom wall. An LPN confirmed there was no signage, no PPE carts, and no gowns for the resident, while the ICP stated all carts had been removed from B-hall and gowns were placed in residents’ rooms, and that she had removed all outside signage indicating the type of isolation ordered. The facility policy required signage outside isolation rooms and PPE to be available before entry.
Inadequate Pressure Ulcer Care and Prevention
Penalty
Summary
The facility failed to provide adequate pressure ulcer care and prevention for a resident, leading to a deficiency. The resident, who was admitted with conditions including congestive heart failure, type two diabetes mellitus, and depression, was assessed at risk for pressure ulcers. Despite this, a wound on the resident's right great toe was documented by an LPN without proper measurements or description, and no further assessment was made until a wound physician evaluated it as a stage three pressure ulcer. The facility's policy required weekly monitoring and documentation of wounds, which was not adhered to in this case. Additionally, the facility did not ensure that pressure-reducing interventions were in place as ordered. Although there was an order for heel boots or floating heels on pillows while the resident was in bed, observations revealed that the resident did not have heel boots on while lying in bed. The oversight was confirmed by an OTA and the DON, who acknowledged the lack of communication and documentation regarding the wound and the absence of heel protectors. This deficiency was part of a complaint investigation and indicated continued non-compliance from a previous survey.
Failure to Prevent and Properly Treat Pressure Ulcers
Penalty
Summary
The facility failed to ensure interventions were in place to prevent the development of a pressure ulcer for Resident #07, who acquired a stage four pressure ulcer on his left heel while at the facility. Despite being at moderate risk for pressure ulcers, as indicated by a Braden Scale score of 13, no pressure-relieving interventions were added to the resident's care plan until 01/04/24. The pressure ulcer was first discovered on 01/04/24, and subsequent assessments revealed the ulcer had progressed to a stage four with visible bone. Interviews with the Director of Nursing, Administrator, and Corporate Registered Nurse confirmed there was no documentation of interventions being implemented to prevent the pressure ulcer, nor any refusals of such interventions by the resident. Additionally, the facility failed to ensure pressure ulcer treatments were completed as ordered for Resident #51. The resident, who was severely cognitively impaired and had a stage four pressure ulcer, had specific physician orders for wound care that were not followed. During an observation, an LPN did not cleanse the right heel pressure ulcer or the sacral ulcer after removing the old wound dressings and before applying new treatments. The LPN confirmed this lapse in procedure during an interview. The facility's policy on pressure ulcer care, which mandates that all residents be assessed for pressure ulcer risk and receive appropriate preventative interventions, was not adhered to. The policy also requires that residents with pressure ulcers receive interventions and monitoring to promote healing and prevent new ulcers from developing. The failure to follow these protocols resulted in actual harm to the residents involved, as evidenced by the development and improper treatment of pressure ulcers.
Failure to Ensure Catheter Bag Privacy
Penalty
Summary
The facility failed to ensure that a resident's catheter bag was covered to promote dignity. Resident #210, who was admitted with diagnoses including acute kidney failure and benign prostatic hyperplasia, had a physician's order dated 05/13/24 to use a privacy bag for the catheter bag every shift. However, observations on multiple occasions revealed that the resident's Foley catheter bag, with urine present, was visible from the hallway and lacked a privacy bag. Specifically, on 05/13/24 at 9:50 A.M., the catheter bag was hanging on the bed side dresser without a privacy bag. Similar observations were made on 05/14/24 at 9:40 A.M. and 05/15/24 at 11:38 A.M., both in the resident's room and in the therapy department, respectively, without the required privacy bag in place. Interviews with staff confirmed the absence of the privacy bag and a lack of awareness about its location. The facility's Quality of Life Policy, dated 04/15/13, mandates that residents be cared for in a manner that promotes the maintenance or enhancement of their quality of life. Despite this policy, the facility did not adhere to the physician's order to use a privacy bag for the catheter, thereby failing to uphold the resident's dignity. Staff interviews further revealed a lack of knowledge regarding the whereabouts of the privacy covers, indicating a systemic issue in ensuring compliance with the resident's care plan and the facility's policies.
Failure to Include PTSD Interventions in Care Plan
Penalty
Summary
The facility failed to ensure that the comprehensive care plan for Resident #18 included interventions for psychiatric disorders, specifically PTSD. Resident #18, who was admitted with diagnoses including PTSD, major depressive disorder, anxiety disorder, and type two diabetes mellitus, had not had a care conference since admission. The admission Minimum Data Set (MDS) assessment confirmed the PTSD diagnosis, yet the comprehensive care plan did not list PTSD or any related interventions. This deficiency was confirmed by a Corporate Registered Nurse during an interview. The facility's policy mandates the development of a comprehensive person-centered care plan that includes measurable objectives and timetables to meet all identified needs, which was not adhered to in this case.
Failure to Hold Care Conferences and Update Care Plans After Falls
Penalty
Summary
The facility failed to hold care conferences with residents, affecting two residents reviewed for care conferences. Resident #07, who has diagnoses including type II diabetes mellitus, congestive heart failure, skin cancer, obesity, major depressive disorder, and a stage four pressure ulcer, had not had a care conference since November 2023. Similarly, Resident #18, with diagnoses including PTSD, major depressive disorder, anxiety disorder, and type two diabetes mellitus, had not had a care conference since admission. Interviews with both residents confirmed the lack of recent care conferences, and the Corporate Registered Nurse (CRN) corroborated this information. Additionally, the facility failed to implement fall interventions and update the care plan after falls for Resident #209, who has diagnoses including paroxysmal atrial fibrillation and unspecified dementia with psychotic disturbance. Despite being cognitively intact and requiring assistance with various activities, Resident #209 experienced falls on 04/28/24 and 05/12/24. The care plan was not updated with new interventions following these incidents. The Director of Nursing (DON) confirmed the falls and the failure to update the care plan accordingly.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure Enhanced Barrier Precautions (EBP) were implemented for two residents receiving specialized care. Resident #52, who was admitted with diagnoses including peritonitis, diabetes type two, chronic kidney disease, and dependence on peritoneal dialysis, expressed concerns about infection risks due to staff not following EBP protocols. During an observation, a Licensed Practical Nurse (LPN) did not wear a gown while performing peritoneal dialysis care, despite an EBP sign being visibly posted. The resident confirmed that staff frequently did not adhere to gown-wearing protocols during his care, which was corroborated by the LPN's acknowledgment of the oversight. Similarly, Resident #51, admitted with severe cognitive impairment, a stage four pressure ulcer, and a feeding tube, was also not provided with proper EBP. During an observation, a State Tested Nursing Assistant (STNA) assisted an LPN with wound and incontinence care without wearing a gown, despite an EBP sign being posted. The LPN confirmed that the STNA did not follow the required precautions. The facility's policy mandates the use of impervious gowns during high-contact resident care activities, which was not adhered to in these instances.
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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 Wapakoneta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Otterbein-cridersville | 5.4 mi | ★★★★★ | 2 | 0 |
| Cridersville Nursing And Rehab | 6.2 mi | ★★★★★ | 3 | 0 |
| Transitional Care Unit | 9.1 mi | ★★★★★ | 4 | 0 |
| Shawnee Manor | 9.2 mi | ★★★★★ | 1 | 0 |
| Vancrest Of St Mary's | 9.3 mi | ★★★★★ | 5 | 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 October 2026) and official state health department websites.