Health inspection·November 17, 2025

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, record review, and policy review the facility failed to ensure medications were ordered timely and available for residents. This affected one resident (Resident #7) of four residents reviewed for pharmacy services. Findings include:Record review revealed Resident #7 admitted to the facility 10/10/19 with diagnoses including traumatic brain injury with loss of consciousness, insomnia, neuropathy, quadriplegia, muscle spasms, neuromuscular bladder dysfunction, and hyperkalemia.Record review of Resident #7 quarterly minimum data set (MDS) assessment completed 08/14/25 revealed the resident's cognition was intact, had no observed or exhibited behaviors, was dependent for toileting, showering, bathing, lower body dressing, and personal hygiene, and was dependent or required maximum assistance for mobility. MDS revealed Resident #7 received an opioid medication. Review of quarterly care plan initiated on 11/09/21 and revised on 08/25/25 revealed Resident #7 had complaints of chronic pain related to quadriplegia, idiopathic peripheral autonomic neuropathy, neurogenic bladder, and muscle spasms. Interventions include administer non-pharmacological interventions (repositioning, diversion activities, snacks and fluids, ice / heat, music therapy, relaxation techniques, imagery). As needed Transcutaneous electrical nerve stimulation (TENS) unit for pain. Review of quarterly care plan initiated on 11/09/21 and revised on 08/25/25 revealed Resident #7 had complaints of chronic pain related to quadriplegia, idiopathic peripheral autonomic neuropathy, neurogenic bladder, and muscle spasms. Interventions include administer non-pharmacological interventions (repositioning, diversion activities, snacks and fluids, ice / heat, music therapy, relaxation techniques, imagery). As needed Transcutaneous electrical nerve stimulation (TENS) unit for pain. Record review revealed a progress note dated 09/25/25 at 2:30 P.M. that a call was made to [NAME] pain management. Per pain management office staff, the prescription will be sent to the new pharmacy as soon as the pharmacy is established in the e-scribing system. Record review revealed a progress note dated 09/25/25 at 7:34 P.M. revealed Resident #7 was out of Percocet.Record review revealed a progress note dated 09/25/25 at 8:16 A.M. that Resident #7's room was entered to speak about pain medication. Resident #7 stated they need their pain medication before they had withdrawal symptoms. Resident #7 was explained measures that would be taken to get her pain medication into the facility. Resident #7 was offered to go to the emergency room (ER), Resident #7 declined transport to ER but requested to be informed of measures taken and their outcomes. Nurse Practitioner (NP) made aware. Record review revealed an order for Percocet oral tablet 7.5-325 milligram (mg) (Oxycodone with Acetaminophen). Give Resident #7 one tablet by mouth four times a day for pain and give one tablet by mouth one time a day for pain. Record review revealed a progress note dated 09/25/25 at 9:11 A.M. that Pharmacy notified facility to check on status of pain medication, pharmacy stated they received the script from the pain clinic and will be sending out on the 1:00 P.M. delivery. Nurse requested authorization to pull Percocet at that time. Resident #7 and Physician aware. Record review revealed a progress note dated (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 2 Event ID: 365629 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 365629 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Dixon Healthcare Center 135 Reichart Avenue Wintersville, OH 43953 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)