Ohio Living Sarah Moore

Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to maintain a sanitary kitchen. This had the potential to affect all 42 residents who receive food from the kitchen.

Inspectors wroteBased on staff interview, medical record review and facility policy review, the facility failed to ensure a care plan was updated for Resident #20 when she began to exhibit behaviors. This affected one (#20) of 16 residents reviewed for care plans. The facility census was 42.

Inspectors wroteBased on resident and staff interviews, record review, and facility policy review, the facility to ensure the residents received bathing as physician ordered and to maintain their activities of daily living (ADL). This affected one (#20) of two residents reviewed for ADLs. The facility census was 42.

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure Resident #14, who required staff assistance with activities of daily living (ADL), received adequate and timely care to maintain good personal hygiene including removal of facial hair (shaving). This affected one (Resident #14) of two residents reviewed for ADL. The facility census was 42.

Inspectors wroteBased on record review and staff interview, the facility failed to ensure wound treatments were timely initiated for a resident with a pressure ulcer. This affected one (Resident #36) of one resident reviewed for skin impairments. The facility census was 42.

Inspectors wroteBased on staff interview, medical record review, fall investigation review, and facility policy review, the facility failed to complete a thorough status post fall investigation when they failed to identify Resident #34's hematoma on his forehead and did not initiate neurological checks per their facility policy. This affected one (Resident #34) of five residents reviewed for accidents. The facility census was 42.

Inspectors wroteBased on record review, observation, interview, review of manufacturer instructions, and facility policy review, the facility failed to ensure their medication error was below five percent (%). There were three medication errors out of 33 opportunities resulting in a 9.09% medication error rate. This affected three residents (#11, #24. and #29) observed during medication administration. The facility census was 42.

Inspectors wroteBased on medical record review, review of manufacturer instructions, observation, staff interview, and facility policy review, the facility failed to ensure residents were free of significant medication errors when Resident #29's insulin pen was not primed prior to administration. This affected one (#29) of three residents reviewed for medication administration. The facility identified there were four residents receiving insulin. The facility census was 42.

Inspectors wroteBased on observations, record reviews, policy review, and staff interviews, the facility failed to ensure staff utilized proper protective equipment (PPE) when providing direct care to Resident #8, failed to utilize a sterile technique for catheter care and store the catheter bag in a sanitary manner, and failed to perform proper hand hygiene after completing a blood glucose check for Resident #29. This affected two (Residents #8 and #29) of three residents reviewed for infection control. The facility census was 42.

Inspectors wroteBased on record reviews, review of facility policy, and staff interviews, the facility failed to follow an antibiotic stewardship program to monitor antibiotic use for the residents. This affected three (#19, #23, and #25) of three residents reviewed for antibiotic stewardship. The facility census was 42.

Inspectors wroteBased on observation and staff interview, the facility failed to ensure trash and recycling was properly contained in the dumpsters. This had the potential to affect all 42 residents residing in the facility.

Inspectors wroteBased on observations, staff interview, and facility policy review, the facility failed to follow proper handwashing and glove use during lunch meal service. This had the potential to affect all 45 residents in the facility who receive food from the kitchen. The facility did not have any residents with a physician ordered nothing by mouth (NPO) diet.

Inspectors wroteBased on observations, review of menu, review of resident diets, review of recipes, staff interviews, and facility policy review, the facility failed to ensure pureed foods and mechanical soft foods were prepared in an appropriate consistency. This affect three residents (#14, 15, and 22) on a pureed diet and two residents (Residents #30 and #32) on a mechanical soft diet. The facility census was 45.

Inspectors wroteBased on observations, record review, staff interview, review of the facility policy, and review of the Centers for Disease Control and Prevention (CDC) guidance, the facility failed to wear appropriate personal protective equipment and perform proper hand hygiene during care of a resident under transmission-based precautions. This had the potential to affect 27 residents (#1, #6, #8, #9, #16, #17, #18, #19, #20, #23, #25, #28, #30, #31, #33, #34, #90, #92, #93, #94, #95, #96, #240, #241, #242, #243, and #244) receiving care on the second-floor rehab unit and healthcare two. The facility census was 45.

Inspectors wroteBased on staff interview and record review, the facility failed to provide a resident her physician-ordered nutritional supplements routinely. This affected one resident (#30) of four residents reviewed for nutrition. The facility census was 45.

Inspectors wroteBased on medical record review, resident and staff interview, and review of a facility policy, the facility failed to allow a resident to participate in a care planning conference. This affected one (#13) of two residents reviewed for care planning. The facility census was 40.

Inspectors wroteBased on observation, medical record review, and resident and staff interview, the facility failed to provide routine bathing and grooming services for two (#12 and #33) of three residents revealed for activities of daily living. The facility census was 40.

Inspectors wroteBased on observation, medical record review, resident and staff interview, and review of facility policies, the facility failed to securely store medications for one (#16) of 40 residents observed. The facility census was 40.

Inspectors wroteBased on observation, medical record review, and resident and staff interview, the facility failed to provide a resident with a properly fitted bed to maintain basic comfort. This affected one (#34) of one residents reviewed for beds. The facility census was 40.