Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Wesley Woods At New Albany during CMS and state inspections, most recent first.
Surveyors identified multiple expired, unlabeled, undated, and improperly stored food and drink items throughout the kitchen, refrigerators, and freezers. Additional findings included uncovered food, an ice machine with visible dark spots, and sanitizer buckets with no detectable sanitizer levels. The dietary manager confirmed these issues, which were not in accordance with facility policies requiring proper labeling, covering, and dating of food items.
The facility did not ensure that oxygen tubing for several residents was dated or changed according to policy, as observations found undated tubing and tubing in use beyond the required replacement interval. Nursing staff confirmed the expectation to date and change tubing, but this was not consistently done for residents receiving supplemental O2.
A nurse did not check PEG tube placement or residual, nor flush the tube with water as ordered, before administering medication to a resident with a gastrostomy. This failure to follow physician orders and facility policy was observed and confirmed by staff interview.
A resident with a PEG tube received multiple medications crushed and administered together without the required water flushes between each medication, and without a blood pressure check prior to giving antihypertensive medication. An RN confirmed these steps were missed, resulting in a medication error rate of 9.38%, exceeding the acceptable threshold.
The facility did not consistently implement Enhanced Barrier Precautions (EBP) for three residents with indwelling devices or wounds, resulting in delayed initiation of EBP, improper use of personal protective equipment by staff, and lack of hand hygiene between care tasks. Staff interviews and observations revealed confusion about EBP requirements, and facility policy was not followed during high-contact care activities.
Deficient Food Storage, Labeling, and Sanitation Practices Identified
Penalty
Summary
The facility failed to store, prepare, and serve food and drink items in a safe and sanitary manner, as evidenced by multiple observations in the kitchen, refrigerators, freezers, and dining areas. Surveyors found expired nutritional shakes, cottage cheese, grits, yeast, malt vinegar, and yogurt, as well as unlabeled and undated bags of pierogies, ravioli, prepared fruit salad, sliced cucumbers, cheese slices, and a bag labeled beef with ice inside. Several food items, including mandarin oranges, feta cheese, chicken breasts, waffles, and sliced corn beef, were found uncovered or without preparation or expiration dates. The dietary manager confirmed the presence of these expired, unlabeled, undated, and improperly stored food and drink items at the time of discovery. Additionally, the drink station in the skilled nursing dining area had an ice machine with dark colored spots on the interior door and a brown grocery bag with a sandwich stored on the counter. Sanitizer buckets used for cleaning were found to have no detectable sanitizer levels when tested, with the dietary manager confirming that the sanitizer had been prepared hours earlier and that the test strips were new and not expired. Facility policies required all time and temperature control for safety (TCS) foods to be labeled, covered, and dated, and for food items to be used before their expiration dates or discarded, but these procedures were not followed.
Failure to Date and Change Oxygen Tubing per Facility Policy
Penalty
Summary
The facility failed to ensure that oxygen tubing for residents receiving supplemental oxygen was dated to reflect when it was last changed and was not changed according to facility policy. Observations revealed that multiple residents with orders for supplemental oxygen, including those with diagnoses such as pneumonia, COPD, dementia, asthma, and heart failure, had oxygen tubing in use that was either undated or had not been changed within the required timeframe. Specifically, several residents' oxygen tubing lacked any date indicating when it was last replaced, and in one case, the tubing was labeled with a date showing it had not been changed for 19 days, exceeding the facility's policy of changing tubing every other week. Interviews with nursing staff confirmed awareness of the policy requiring oxygen tubing to be changed and dated, typically using tape to mark the date of change. However, staff acknowledged that the tubing in use for these residents was not compliant with this policy. Review of the facility's policy on oxygen storage confirmed the requirement for tubing to be changed every other week and dated accordingly, but this was not consistently followed for the residents reviewed.
Failure to Follow PEG Tube Medication Administration Protocol
Penalty
Summary
A deficiency was identified when a registered nurse failed to follow physician orders and facility policy regarding percutaneous endoscopic gastrostomy (PEG) tube care for a resident. The nurse did not check the placement of the PEG tube or assess for residual prior to administering medication, nor did the nurse flush the tube with the prescribed amount of water before medication administration. These actions were observed during a medication pass and confirmed in a subsequent interview with the nurse. The resident involved had diagnoses including protein-calorie malnutrition, gastrostomy status, and cognitive communication deficit, but was noted to have intact cognition. Physician orders required checking PEG tube placement and residual, documenting the residual, and flushing the tube with 60 ml of water before and after medication administration. Facility policy also outlined steps for checking tube placement and residuals. These procedures were not followed during the observed medication administration.
Medication Error Rate Exceeds 5% Due to Improper Administration via PEG Tube
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, as three errors were identified out of 32 opportunities, resulting in a 9.38% error rate. This deficiency involved a resident with a history of gastrostomy status, hypertension, and peripheral vascular disease, who had physician orders for multiple medications to be administered via PEG tube. The orders specified that Losartan Potassium should be held if the resident's systolic blood pressure was less than 105, and that each medication should be administered separately with a 5 ml water flush between each, as well as a 60 ml flush before and after all medications. During observation, an RN prepared all scheduled medications for the resident by crushing and combining them in a single cup, then administered them together without separating them or flushing the tube with 5 ml of water between each medication. The RN also failed to check the resident's blood pressure prior to administering Losartan Potassium, as required by the physician's order. The RN confirmed during interview that the medications were given all at once, the required water flushes between medications were omitted, and vital signs had not been taken prior to administration. Review of facility policy confirmed that medications should be given separately with appropriate flushing between each.
Failure to Implement Enhanced Barrier Precautions and Infection Control
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) in a timely and consistent manner for three residents who required these precautions due to the presence of indwelling medical devices or open wounds. For one resident with a Foley catheter and skin tears requiring wound care, EBP was not initiated upon admission as required by facility policy, but instead was delayed for several days. The Director of Nursing confirmed that EBP should have been implemented at the time of admission based on the resident's clinical needs. Another resident with a percutaneous endoscopic gastrostomy (PEG) tube and orders for EBP did not receive proper infection control during medication administration and PEG site care. The registered nurse providing care wore only gloves, omitting the required gown, and failed to change gloves or perform hand hygiene between different care tasks, including medication administration, dressing change, and eye drop administration. The nurse incorrectly believed that gloves alone were sufficient since the resident did not have an active infection, despite facility policy requiring both gown and gloves for high-contact care activities under EBP. A third resident with chronic wounds and an order for EBP was not consistently provided with the required personal protective equipment by staff. Interviews revealed that both nursing and aide staff were unclear about when EBP was necessary, with some staff believing that gowns were only needed during wound care or if an infection was present. Observations confirmed that signage was present but not always understood or followed by staff. Facility policy specified that EBP, including gown and gloves, should be used during high-contact care activities for residents with wounds or indwelling devices, but this was not consistently implemented.
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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 New Albany
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Smiths Mill Health Campus | 1.1 mi | ★★★★★ | 20 | 0 |
| Otterbein New Albany | 1.5 mi | ★★★★★ | 13 | 0 |
| New Albany Care Center | 2.3 mi | ★★★★★ | 0 | 0 |
| The Laurels Of Gahanna | 3.4 mi | ★★★★★ | 27 | 0 |
| Otterbein Gahanna | 3.8 mi | ★★★★★ | 9 | 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.