Below 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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wayside Farm Inc during CMS and state inspections, most recent first.
A resident with multiple medical conditions had an active physician order for weekly weight checks, but staff failed to document weights on several required weeks and did not provide evidence of discontinuation by a clinician. The DON confirmed the order was still in place and that the missing weights were not completed, in violation of facility policy and physician orders.
A resident with a history of wandering and elopement was able to leave the facility undetected by pulling a fire alarm, which unlocked an exit door. The resident's care plan was not updated, and the elopement risk was not reassessed for several months. The staff was unaware of the resident's actions until the fire alarm was activated, allowing the resident to leave the facility. The resident was later found by local police and returned to the facility.
A resident with cognitive impairment and muscle weakness fell in a common area and was moved before a proper nursing assessment was conducted. Despite severe pain and a bruise noted by an LPN, the physician was not notified, and the resident's condition worsened over 14 days until hospitalization revealed a hip fracture. The facility failed to follow its policy on assessing falls and notifying the physician.
The facility failed to deposit residents' personal funds into interest-bearing accounts, affecting four residents with balances over $100. The Business Office Manager discovered that the original bank absorbed the interest due to high fees, and the issue was not addressed until accounts were transferred to a new bank. The former Business Office Manager, now Administrator, did not notice the lack of interest payments.
The facility failed to ensure that stock medications were not expired, potentially affecting 15 residents. Observations revealed expired medications in both the west and north hall medication stock rooms, verified by an LPN. The DON confirmed that expired medications should be disposed of, and records showed that residents had the potential to receive these expired medications.
The facility failed to serve pureed foods at a smooth consistency, as required for safe swallowing. During a meal preparation observation, it was found that the pureed pepper steak contained intact pieces of beef, which was confirmed by a taste test with the Dietary Manager. The mechanical chopper used for pureeing was malfunctioning, and the backup was under repair. This issue potentially affected nine residents on pureed diets.
A facility failed to convey a resident's funds in a timely manner after the resident's death. The Business Office Manager mistakenly believed there was a 90-day period for disbursement due to an open application, but could not provide documentation. Federal regulations require funds to be conveyed within 30 days.
The facility failed to provide residents with timely and private access to telephones, affecting two residents who faced barriers in making personal calls. Staff required residents to fill out a form and wait for assistance, leading to delays and lack of privacy. Available phones were either non-functional or located in public areas, contrary to the facility's policy of ensuring private phone access.
A resident with severe cognitive impairment and multiple medical conditions fell while ambulating unassisted without a walker. Despite sustaining a bruise and reporting severe pain, the primary care physician was not notified as required by the facility's policy. The resident was assisted back to his room before a nurse assessment, and the Director of Nursing confirmed the physician was not informed of the incident.
A facility failed to develop a baseline care plan within 48 hours for a resident with severe cognitive impairment and multiple diagnoses, including schizoaffective disorder and type II diabetes. The resident required maximum assistance for dressing and was dependent on staff for toileting and transfers. An interview with the DON confirmed the absence of a baseline or comprehensive care plan, despite facility policy allowing for a comprehensive plan to replace a baseline plan if developed within the required timeframe.
A resident with severe cognitive impairment did not receive routine showers as required, resulting in poor personal hygiene. The facility staff assumed hospice was responsible for showers, leading to inadequate care. Observations confirmed the resident had oily hair and a strong body odor, and there was no documentation of shower refusals.
A facility failed to maintain appropriate hand hygiene during tracheostomy care for a resident with multiple diagnoses, including COPD and schizophrenia. An LPN did not wash or sanitize hands before putting on new gloves during the procedure, contrary to facility policy. The LPN acknowledged the oversight, noting the resident typically performed their own trach care.
The facility failed to notify the state ombudsman of resident transfers to the hospital, affecting four residents. Medical records and staff interviews revealed that required notifications were not made for residents hospitalized for various conditions, including schizoaffective disorder, cellulitis, dementia, and hip repair. Interviews with the Director of Social Services and the DON confirmed the lack of notifications.
The facility failed to provide required bed hold notifications to residents or their legal guardians during hospitalizations, as confirmed by the DON. Medical records showed no evidence of written communication regarding bed hold policies, despite the facility's policy requiring such notifications.
Failure to Monitor and Document Resident's Weekly Weights as Ordered
Penalty
Summary
The facility failed to ensure that nutritional orders for a resident were properly monitored and completed. Specifically, a resident with multiple diagnoses, including schizoaffective disorder, dementia, dysphagia, and muscle weakness, had a physician's order in place for weekly weight checks starting from a specified date. There was no documented end date for this order, nor any recommendation or order from the dietitian or physician to discontinue the weekly weights. Despite this, the resident's weight was not recorded on several required weeks, and there was a significant gap of nearly a month with no weight documentation. Review of the facility's nutrition protocol indicated that nursing staff are required to monitor and document residents' weights and dietary intake in a manner that allows for comparison over time. The protocol also requires ongoing monitoring and documentation of nutritional status and interventions. Interviews with the DON confirmed that the weekly weight order was still active and that there was no documentation to support discontinuation. The missing weight records were acknowledged as not completed, indicating a failure to follow the physician's order and facility policy.
Failure to Reassess Elopement Risk Leads to Resident's Escape
Penalty
Summary
The facility failed to properly and timely reassess the risk of elopement for a resident with a history of wandering and elopement. The resident, who had diagnoses including schizoaffective disorder, bipolar type, and paranoid personality disorder, was admitted with a care plan indicating a risk of elopement. However, the care plan was not updated with new interventions after the initial assessment, and the resident's elopement risk was not reassessed from August 2024 through March 2025. On March 14, 2025, the resident eloped from the facility by pulling a fire alarm, which unlocked the exit door. The resident was able to crawl past the nurse's station undetected and exit the building. The staff was unaware of the resident's actions until the fire alarm was activated, allowing the resident to leave the facility. The resident was later found by local police several miles away and returned to the facility. The facility's failure to update the resident's care plan and reassess the elopement risk contributed to the resident's ability to leave the facility undetected. The staff's lack of awareness and supervision allowed the resident to exploit the fire alarm system to exit the building. The facility's policy on missing residents and elopement was not effectively implemented, as evidenced by the resident's successful elopement and the delayed response in locating the resident.
Failure to Provide Timely Medical Intervention After Resident Fall
Penalty
Summary
The facility failed to provide timely and necessary medical intervention to a resident following a fall with injury and severe pain. The resident, who had moderate cognitive impairment, muscle weakness, and was known to be a safety risk for falls, fell while ambulating in a common area. Despite the fall, the resident was picked up and walked back to his room by a speech therapist before a thorough nursing assessment was completed. The initial assessment by an LPN noted severe pain and a bruise, but the resident's physician was not notified. In the days following the fall, the resident experienced increased leg pain and facial grimacing with movement, yet no further medical evaluation was conducted until 14 days later when the resident was sent to the hospital at the request of his legal guardian. The hospital diagnosed a left hip fracture requiring surgical repair. Throughout this period, the resident's pain was managed with morphine, but the location of the pain was not consistently documented, and the resident's condition continued to deteriorate without appropriate medical intervention. The facility's investigation revealed that the resident was moved before a nurse could assess him, and there was a lack of communication with the physician regarding the resident's condition post-fall. Witness statements confirmed that the resident was assisted back to his room without a proper assessment, and the facility's policy on assessing falls and notifying the physician was not followed. This deficiency affected the resident's health and well-being, as timely medical intervention was not provided.
Failure to Deposit Resident Funds in Interest-Bearing Accounts
Penalty
Summary
The facility failed to ensure that residents' personal funds accounts with balances greater than $100 were deposited into an interest-bearing account as required by regulations. This deficiency affected four residents who were reviewed for personal funds. Specifically, the account statements for these residents showed that no interest was credited to their accounts over a three-month period, despite having balances exceeding the threshold for interest accrual. The Business Office Manager confirmed that the original bank holding the accounts did not pay interest, as the accrued interest was absorbed by the bank's fees. The Business Office Manager discovered this issue during an audit in January 2024, but the problem persisted as the accounts were not transferred to a new bank until April 2024. The former Business Office Manager, who is now the Administrator, did not notice the lack of interest payments during his tenure. This oversight resulted in residents not receiving the interest they were entitled to on their personal funds, which is a violation of their rights to manage their financial affairs.
Expired Medications Found in Stock Rooms
Penalty
Summary
The facility failed to ensure that stock medications used for residents were not expired, which had the potential to affect 15 residents receiving stock medications. During an observation of the west hall medication stock room, a partially used bottle of docusate sodium 250 mg with an expiration date of 06/2024, another bottle of docusate sodium 250 mg with an open date of 05/05/23 and expired on 06/2024, a bottle of aspirin 81 mg expired 07/2024, a bottle of cranberry tabs 450 mg expired 05/2024, and a bottle of vitamin D 25 micrograms expired 02/2024 were found. These expired medications were verified by the Unit Manager LPN. Additionally, in the north hall medication stock room, a bottle of magnesium oxide 400 mg expired 04/2024 was found and verified by the same LPN. An interview with the Director of Nursing confirmed that expired medications should be disposed of from the stock medications. A record review revealed that the identified residents received facility stock medications from the stock medication rooms and had the potential to receive the expired medications. The facility's policy on the storage of medications, dated 11/2020, stated that discontinued, outdated, or deteriorated drugs or biologicals are to be returned to the dispensing pharmacy or destroyed.
Failure to Provide Smooth Consistency Pureed Foods
Penalty
Summary
The facility failed to provide pureed foods at a smooth consistency, which is necessary for safe swallowing. During an observation of puree preparation, it was noted that the pureed pepper steak contained intact pieces of beef, indicating it was not of the required smooth consistency. This was confirmed by a taste test conducted with the Dietary Manager, who acknowledged the issue and instructed the staff member to puree the pepper steak further. The mechanical chopper used for pureeing was making a noise, and it was noted that its bearings were starting to fail, while the backup chopper was out for repair. The facility's policy on Texture Modified Diets specifies that pureed foods should have a mashed potato consistency, which was not met in this instance. This deficiency had the potential to affect nine residents who were on pureed diets out of the 91 residents consuming meals from the facility's kitchen.
Delayed Conveyance of Resident Funds
Penalty
Summary
The facility failed to ensure that resident funds were conveyed in a timely manner upon the discharge of a resident. This deficiency affected one resident, who was admitted to the facility and subsequently passed away. A review of the business records revealed that a check for $2,169.85 was dispersed to the Treasurer of Ohio State after the resident's death. During an interview, the Business Office Manager (BOM) confirmed that the funds were dispersed after the resident's death and mistakenly believed that there was a 90-day period for disbursement due to an open application for release. However, the BOM could not provide documentation of any open application, and it was clarified that federal regulations require funds to be conveyed within 30 days.
Deficiency in Resident Phone Access and Privacy
Penalty
Summary
The facility failed to ensure residents had reasonable access to and privacy in their use of communication methods, specifically telephones. Two residents, one with chronic obstructive pulmonary disease and another with metabolic encephalopathy, were affected by this deficiency. Both residents were cognitively intact or had moderate cognitive impairment, respectively, and were able to communicate clearly. However, they faced significant barriers in accessing a phone for personal use. The facility required residents to fill out a form to request phone use, which was then subject to staff availability, leading to delays and lack of privacy. Interviews with staff, including social workers, nurses, and the activity director, revealed that residents without personal cell phones had to wait for staff to assist them with phone calls, which were made from the nurses' station. This process did not allow for private conversations, as staff had to remain present during the calls. Additionally, a pay phone available for resident use was located in a public area and was not functioning, further limiting residents' ability to make private calls. The facility's policy stated that residents should have easy access to telephones for private calls, but the current system did not meet this requirement. The administrator and director of nursing acknowledged the issue, confirming that the available phones did not allow for private outgoing calls. The deficiency was evident in the facility's inability to provide timely and private phone access, as required by their policy and residents' rights.
Failure to Notify Physician of Resident Fall
Penalty
Summary
The facility failed to timely notify Resident #41's primary care physician of a fall incident, which was a deficiency identified during the survey. Resident #41, who had severe cognitive impairment and multiple medical conditions including schizophrenia, epilepsy, and alcohol-induced persisting dementia, fell while ambulating unassisted without a walker in the 100-hall lounge area. Despite the fall, which resulted in a bruise on the left front thigh and a reported pain level of seven, the primary care physician was not notified as required by the facility's policy. The facility's policy mandates notifying the attending physician in an appropriate time frame when a resident falls, especially if there is a significant injury or change in condition. However, the investigation revealed that the resident was assisted back to his room before a nurse assessed him, and the primary care physician was not informed of the incident. The Director of Nursing confirmed that the resident experienced worsening pain post-fall and that the primary care physician was not notified, which was a deviation from the facility's policy.
Failure to Develop Baseline Care Plan Within 48 Hours
Penalty
Summary
The facility failed to complete a baseline care plan within 48 hours of admission for a resident, as required by their policy. This deficiency was identified during a review of the medical record for a resident who was admitted with multiple diagnoses, including schizoaffective disorder, generalized anxiety disorder, unspecified dementia, type II diabetes mellitus, chronic respiratory failure, and neuromuscular dysfunction of the bladder. The Minimum Data Set (MDS) 3.0 assessment indicated that the resident had severe cognitive impairment and required maximum assistance for dressing and was dependent on staff for toileting and transfers. An interview with the Director of Nursing confirmed the absence of a baseline or comprehensive care plan developed within the required timeframe for the resident. The facility's policy allowed for a comprehensive care plan to be used in place of a baseline care plan, provided it was developed within 48 hours of admission and met the requirements of a comprehensive assessment. However, no such plan was available for the resident in question.
Failure to Provide Routine Showers to Resident
Penalty
Summary
The facility failed to ensure that a resident, who was severely cognitively impaired and required substantial assistance for personal hygiene, received routine showers as per their care plan. The resident was supposed to receive showers twice a week, but records indicated significant gaps in showering, with only one shower provided in certain weeks. Observations confirmed the resident had oily hair with white particles and a strong body odor, indicating inadequate personal hygiene care. Interviews with staff revealed a misunderstanding regarding the responsibility for providing showers to residents receiving hospice services. Staff assumed hospice was solely responsible for the resident's showers, leading to a lack of routine care from the facility. The Director of Nursing and hospice staff confirmed that both the facility and hospice were expected to offer showers twice a week, but this was not consistently documented or executed. There was no documentation of the resident refusing showers, further highlighting the facility's failure to meet the resident's hygiene needs.
Failure to Maintain Hand Hygiene During Trach Care
Penalty
Summary
The facility failed to maintain appropriate hand hygiene during tracheostomy care for a resident. The resident, who had diagnoses including chronic obstructive pulmonary disease, major depressive disorder, schizophrenia, and dependence on supplemental oxygen, was observed receiving trach care from an LPN. The LPN correctly donned personal protective equipment but did not perform hand hygiene before putting on a new pair of gloves after removing the trach necktie and split gauze. The LPN acknowledged the lapse in hand hygiene, noting that the resident usually performed their own trach care. The facility's policy on tracheostomy care mandates hand hygiene before donning clean gloves, which was not followed in this instance.
Failure to Notify Ombudsman of Resident Hospitalizations
Penalty
Summary
The facility failed to notify the state ombudsman of residents' transfers to the hospital, affecting four residents out of the four reviewed for hospitalization. The facility's census was 91 at the time of the survey. The deficiency was identified through a review of medical records and staff interviews, which revealed that the required notifications were not made for residents who were hospitalized for various medical conditions. Resident #43 was admitted with schizoaffective disorder, cellulitis of the right lower limb, and morbid obesity, and required hospitalization for right leg cellulitis. Resident #242, with diagnoses including dementia and type two diabetes, was discharged to the hospital for a transient ischemic attack and cerebral vascular accident and expired at the hospital. Resident #41, with schizophrenia and other conditions, was hospitalized for left hip repair. Resident #59, with dementia and other diagnoses, was hospitalized for cellulitis of the right great toe. Interviews with the Director of Social Services and the Director of Nursing confirmed that no notifications had been sent to the ombudsman since a specified date, including for the aforementioned residents.
Failure to Provide Bed Hold Notifications
Penalty
Summary
The facility failed to provide bed hold notifications to four residents who were hospitalized, as required by their policy. The medical records of these residents, who had various medical conditions such as schizoaffective disorder, dementia, and diabetes, showed no evidence of written communication to their legal guardians about the facility's bed hold policy and the number of bed hold days remaining. This deficiency was identified through a review of medical records, facility policies, and staff interviews. The Director of Nursing confirmed that no bed hold notices had been given to the residents or their legal guardians since a specified date, and no staff member was assigned to ensure compliance with this requirement. The facility's policy, titled 'Bed-Holds and Returns,' stated that residents and their representatives should be informed in writing about bed hold policies and procedures, but this was not adhered to in the cases reviewed.
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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 Peninsula
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Seasons Nursing And Rehab | 1.6 mi | ★★★★★ | 0 | 0 |
| Heritage Of Hudson | 2.3 mi | ★★★★★ | 0 | 0 |
| Bath Creek Estates | 2.6 mi | ★★★★★ | 2 | 0 |
| Continuing Healthcare Of Cuyahoga Falls | 2.6 mi | — | 57 | 0 |
| Hudson Elms Nursing Center | 2.8 mi | ★★★★★ | 1 | 0 |
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