Health inspection·January 28, 2026

F 0726 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Based on observation, interview, review of facility contracts and personnel files, the facility failed to provide administration of an intravenous (IV) medication by a competent licensed nurse to Resident #38. This affected one resident (#38) of two residents reviewed for IV medications. The facility census was 36.Findings include:Record review of Resident #38 revealed admission to the facility on 1/13/26 for diagnoses of post operative wound infection with central line placement for intravenous (IV) antibiotic therapy, diabetes, liver disease, high blood pressure, anemia (low blood count), depression, and history of stroke. Further review of the medical record for Resident #38 revealed an order written on 01/13/26 for cefepime hcl (antibiotic used for wound infection) 2 grams (GM) in 100 milliliters (ml) normal saline to be administered three times a day intravenously through 02/20/26.Review of the medical record for Resident #38 revealed a peripherally inserted central catheter (PICC) was placed in the residents right upper arm while in the hospital prior to admission to the facility for long term use with antibiotic therapy. Observation on 01/21/26 at 1:38 P.M. of Resident #38's PICC line revealed a Bard Solo Power PICC inserted to right upper arm with a flesh-colored bandage wrapped around the base of the line thereby preventing view of the insertion site. The exposed portion of the external catheter line had a purple open ended hub with the writing of 5 ml on it. There was no needleless connector devices/valves attached to the end of the external catheter. Further observation and interview on 01/21/26 at 1:38 P.M. with licensed practical nurse (LPN) #53 revealed administration of IV cefepime to Resident #38. LPN #53 cleaned the open end of external portion of PICC with an alcohol swab and then attached a 10 ml syringe of normal saline to flush the catheter then attached the tubing of the IV cefepime to the open end of the external portion of the resident's PICC line without a needleless connector device/valve present. When LPN #53 was asked about the absence of a valve at the end of the PICC line, LPN #53 replied that the PICC lines she works with never have valves on the end of them and that is how PICC lines are. LPN #53 further verified she had IV therapy training and certification.Review on 01/26/26 of the Ohio Board of Nursing licensure review website revealed LPN #53 was originally licensed as a licensed practical nurse on 01/26/25.Interview on 01/27/26 at 9:45 A.M. with the Human Resource Director (HRD) #30 revealed she does not keep a personnel file on agency staff and if any education or training completed would be done and kept by the Director of Nursing. HRD #30 further reported she does not check for agency staff licensure or certification status. HRD #30 verified she did not have a personnel file or competency list for LPN #53.Interview on 01/27/26 at 10:10 A.M. with a staff representative at the Ohio Board of Nursing verified that on 04/06/23 House [NAME] 509 was issued indicating that LPN's no longer will have IV certification on their license and the training and competency verification related to IV therapy will be the responsibility of the employer for any LPN issued a license after 04/06/23.Interview on 01/27/26 at 11:39 A.M. with the interim Director of Nursing (DON) revealed she did not have any education or training/competency files or documents other (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: 366448 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 366448 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/28/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stellar Care Center 47045 Moore Ridge Road Woodsfield, OH 43793 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)