New Albany, OH

Wesley Woods At New Albany

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

4588 Wesley Woods Blvd, New Albany, OH

(614) 656-4100

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

16

Certified beds

Average residents

13

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2019-02-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

2.51

Registered nurse staffing

LPN hours / resident day

0.25

Licensed practical nurse staffing

Aide hours / resident day

3.98

Nurse aide staffing

Weekend hours

5.79

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

51%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
92.4%
7.6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.3%
3.3 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 18.2%
26.1%
7.9 pts better
11.4%
6.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.9%
0.2%
3.7 pts worse
1.0%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.5%
0.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 40.3%
21.7%
18.6 pts worse
19.8%
20.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.0%
3.7%
3.7 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
78.1%
19.7 pts better
81.7%
16.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.6%
12.5%
1.9 pts better
12.0%
1.4 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.2%
1.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96.2%
75.6%
20.6 pts better
79.7%
16.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.3%
25.1%
0.2 pts worse
23.9%
1.4 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-12 · Fire 2025-06-12

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-11-08 · Fire 2022-11-08

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2020-03-11 · Fire 2020-03-11

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-12

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-07-31

F · Potential for more than minimal harm 2025-06-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-07-31

F · Potential for more than minimal harm 2025-06-12

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-07-31

F · Potential for more than minimal harm 2022-11-08

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-01-23

F · Potential for more than minimal harm 2020-03-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-04-10

F · Potential for more than minimal harm 2020-03-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-04-10

F · Potential for more than minimal harm 2020-03-11

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2020-04-10

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-02-03

E · Potential for more than minimal harm 2025-06-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-12

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-31

D · Potential for more than minimal harm 2022-11-08

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-01-23

D · Potential for more than minimal harm 2022-11-08

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-01-23

D · Potential for more than minimal harm 2020-03-11

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2020-04-10

D · Potential for more than minimal harm 2020-03-11

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2020-04-10

D · Potential for more than minimal harm 2020-03-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2020-04-10

D · Potential for more than minimal harm 2020-03-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2020-04-10

D · Potential for more than minimal harm 2020-03-11

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2020-04-10

Penalties and ownership

What sits behind the stars

Ownership

Methodist Retirement Center Of Central Ohio

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2015-07-09
Anderson, Todd

Corporate Director · Individual

0% 6 facilities 2023-11-29
Bowersox, James

Corporate Director · Individual

0% 6 facilities 2022-05-01
Brueshaber, Larry

Corporate Director · Individual

0% 5 facilities 2022-05-01
Conlon, Celia

Corporate Director · Individual

0% 3 facilities 2022-05-01
Debenedictis, Lance

Corporate Director · Individual

0% 3 facilities 2022-05-01
Dipietra, John

Contracted Managing Employee · Individual

0% 2 facilities 2024-01-01
East, Sandra

Corporate Director · Individual

0% 4 facilities 2023-11-29
Hildal, Robyn

Corporate Director · Individual

0% 6 facilities 2023-11-29
Kahle, Thomas

Corporate Director · Individual

0% 5 facilities 2022-05-01
Mcdonald, Kenneth

W-2 Managing Employee · Individual

0% 6 facilities 2024-01-01
Mcquinn, Scott

Corporate Officer · Individual

0% 6 facilities 2022-05-01
Methodist Retirement Center Of Central Ohio

Operational/Managerial Control · Organization

0% 1 facilities 2010-07-01
Palmer, Mark

Corporate Director · Individual

0% 3 facilities 2022-05-01
Present, Philip

Corporate Director · Individual

0% 4 facilities 2022-05-01
Short, Mary

Corporate Director · Individual

0% 3 facilities 2022-05-01
Trotta, Paige

W-2 Managing Employee · Individual

0% 1 facilities 2024-01-01
Wilson, Cean

Corporate Director · Individual

0% 2 facilities 2023-11-29

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Fines
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