Inspection·August 6, 2025

F 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to implement pressure ulcer prevention precautions for Resident #206 identified as having a facility acquired deep tissue injury (DTI) (Purple or maroon area of discolored intact skin due to damage of underlying soft tissue. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue). This affected one ( Resident #206) of three residents reviewed for skin impairment. The facility census was 43.Findings include: Review of the closed medical record for Resident #206 revealed an admission date of 02/27/25 and was discharge to the hospital on [DATE]. Resident #206 diagnoses included aftercare following joint replacement surgery, dysphagia, non-rheumatic aortic valve stenosis, left bundle branch block, hypertension, urinary retention and recent gastrointestinal hemorrhage.Review of the Braden scale assessment dated [DATE] revealed Resident #206 was at a high risk for pressure ulcers with a score of 17. Review of the nursing admission assessment dated [DATE] revealed Resident #206 had bruising noted to right and left inner forearm and top of left hand related to intravenous sites during hospital stay. Resident #206 left medial midfoot had a small scab and left hip had surgical incision measuring 13 centimeters (cm) in length, zero cm in width and depth. Review of the admission five day Medicare Minimum Data Set (MDS) dated [DATE] revealed Resident #206 was cognitively intact with feelings of depression noted and no behaviors. Resident #206 had impaired range of motion to one side of lower extremities and used a wheelchair for mobility. Resident #206 required a set up for meals and substantial to maximum assistance from staff with toileting hygiene, bathing, bed mobility, sit to stand and transfers. The resident had an indwelling foley catheter and was occasionally incontinent of bowels. Resident #206 received scheduled and as needed pain medications along with non-pharmacological interventions. She had frequent pain that interfered with therapy and day to day activities at a moderate level. The only fall noted on assessment happened prior to admission resulting in recent hip replacement surgery. Resident #206 had no skin impairments noted except for surgical incision to left hip and had a pressure reducing device to bed. Review of the plan of care dated 03/03/25 revealed Resident #206 had the potential for impairment to skin integrity related to decreased mobility. The interventions included to encourage good nutrition and hydration to promote healthier skin, follow facility protocols for treatment of injury, identify and document any potential causative factors and eliminate or resolve when possible, resident required pressure relieving/reducing mattress, use caution during transfers and bed mobility to prevent striking arms, legs and hands against any hard surfaces, and weekly treatment documentation.Review of the initial pressure ulcer assessment by the wound nurse dated 04/03/25 revealed Resident #206 had a deep tissue injury to left heel that measured three centimeters (cm) by three cm by 0.1cm in depth. The deep tissue injury was intact with calloused skin noted on surrounding area/tissue. There was no odor or drainage noted. The left heel was cleansed with wound cleanser, skin prep applied, covered with non-adherent pad and wrapped in kerlix. The nurse noted Residents Affected - Few (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 365431 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365431 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/06/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Jenkins Care Community 142 Jenkins Memorial Road Wellston, OH 45692 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)