Veranda Gardens Nursing & Rehabilitation Center

Inspectors wroteBased on record review and staff interviews, the facility failed to review Resident Rights with the residents on an ongoing basis both in writing and orally. This had the potential to affect all residents in the facility. The facility census was 82. Review of Resident Council Minutes for the past twelve months (December 2024 through December 2025) revealed a discussion of resident rights was not on the agenda nor discussed at monthly meetings. Interview on 01/21/26 at 2:08 P.M., Resident #47 stated he had recently received a copy of the Resident Rights document from the local Ombudsman who had come to their January resident council meeting. After reading the document, he began sharing it with other residents including the Resident Council President (Resident #16). Resident #47 stated he had not seen the Resident Rights information before. [...]

Inspectors wroteBased on observation, staff interviews and review of the facility policy, the facility failed to ensure food was stored and prepared in a manner to prevent foodborne illness. This had the potential to affect 80 out of 82 residents as the facility identified two Residents (#87 and #09) with a diet order of nothing by mouth. The facility census was 82. Observation of the kitchen's dry storage room on 01/12/26 at 8:50 A.M. with Dietary Supervisor (DS) #235, revealed a bag of baking cocoa with an open date of 07/12/25 and no discard date. Further observation revealed an open bag of egg noodles and penne noodles without a date. Interview with DS #235 at the same time, verified that the baking cocoa should have had a discard date for six months after opening and that both bags off pasta did not have an open date or a discard date. Continued observation of the kitchen on 01/12/26 at 8:54 A.M. [...]

Inspectors wroteBased on record review and staff interviews, the facility failed to include residents and families for care planning and care conferences. This affected three Residents (#54, #47, and #16) out of four residents reviewed for care planning and care conferences. Facility census was 82. Review of the medical record for Resident #54 revealed the resident was admitted to facility on 05/13/22. Diagnosis included cerebral infarction, chronic pain, stenosis of bilateral carotid arteries, depression, anxiety, aphasia following cerebral infarction, diabetes, hypertension, atrial fibrillation, and hyperlipidemia. Review of the Minimum Data Set (MDS) assessment for Resident #54 dated 12/15/25 revealed the resident had moderately impaired cognition with moderate depression. Interview with Resident #54 on 01/13/26 at 9:31 A.M. [...]

Inspectors wroteBased on observation and staff interviews the facility failed to ensure trash cans in the kitchen were properly covered. This had the potential to affect 80 out of 82 residents as the facility identified two Residents (#87 and #09) with a diet order of nothing by mouth. The facility census was 82. Observation of the kitchen on 01/12/2026 at 8:39 A.M. Dietary Supervisor (DS) #235 revealed a trash can in the food prep area and in the dish washing area that did not have a lid. Interview with DS #235 at the same time, verified the trash cans were not covered. DS #235 attempted to cover both trash cans but was only able to locate one lid. Interview on 01/14/2026 at 11:27 A.M., Dietician #351 verified all trash cans should be covered when they are not in active use.

Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on medical record review, review of the hospital record, review of the facility investigation, staff interviews, and review of the facility policy, the facility failed to provide adequate assistance while providing a resident incontinence care resulting in an avoidable fall. This resulted in Actual Harm to Resident #13 on 07/26/25 when staff rolled the resident away from them during care, the resident began to shake the side rail, the side rail gave way during care and the resident fell from the bed onto the floor. Resident #13 was subsequently transferred to the hospital for treatment for a head laceration requiring sutures. This affected one (#13) of three residents reviewed for falls. The facility census was 89. [...]

Inspectors wroteBased on observation, record review, interviews with staff, residents, and a family member, facility document review, and review of the Facility Assessment, the facility failed to ensure designated and consistent staffing was provided on one (500-Hall) of five total halls in the facility to ensure sufficient staff to provide needed care and services to the 13 residents that resided on the 500-Hall. This resulted in Immediate Jeopardy and the potential for serious injury, harm, impairment and/or death, when observations during the survey on 10/07/24 and 10/08/24 revealed times where the residents were left unattended on the 500-Hall with no staff members in the area. Staff reported there was no process in place to coordinate supervision, monitoring, or assistance for the residents on the 500-Hall. [...]

Inspectors wroteBased on review of Resident Council Minutes, resident interviews, staff interviews and policy review, the facility failed to provide responses to resident's expressed concerns. This had the potential to affect seven of seven that regularly attend Resident Council meetings. The census was 89.

Inspectors wroteBased on interview, record review, facility document review, and facility policy review, the facility failed to ensure residents had access to their personal funds after hours and on weekends. This affected two (#3 and #31) of three residents reviewed for personal funds with the potential to affect 70 residents who had a personal funds account. The facility census was 89.

Inspectors wroteBased on medical record review, facility document review, staff interviews, and review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to ensure diuretic medication was accurately coded on Minimum Data Set (MDS) assessments. This affected one (#32) of five residents reviewed for unnecessary medication. The facility census was 89.

Inspectors wroteBased on observation, resident interview, staff interview, medical record review, and policy review, the facility failed to ensure medications were maintained in a safe and secure manner. This affected one (#61) of two sampled residents reviewed for accidents. This faciliy census was 89.

Inspectors wroteBased on observation, staff interview, and medical record review, the facility failed to ensure urostomy (an abdominal wall opening to allow urine to drain from the body) tubing was secured. This affected one (#53) of three residents reviewed for catheter care. The faciliy census was 89.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to clean oxygen concentrators in accordance with physician's orders and the facility's policy for two (Resident #31 and Resident #61) of three residents reviewed for respiratory care. The facility census was 89.

Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure medication carts were locked when unattended by staff. This affected one (100-Hall) of six medication carts observed. The facility census was 89.

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure nursing staff accurately documented the administration of medications on the medication administration record for one (Resident #31) of five residents reviewed for unnecessary medication. The facility census was 89.

Inspectors wroteBased on observation, interview, record review, facility policy review, and the Centers for Medicare & Medicaid Services (CMS) memorandum, the facility failed to ensure staff implemented Enhanced Barrier Precautions (EBP) for one (Resident #91) of five sampled residents reviewed for infection control. The facility further failed to ensure a urinary catheter bag did not rest on the floor for one (Resident #20) of five sampled residents reviewed for urinary catheters. The facility census was 89.

Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to maintain resident rooms in good repair and under clean and sanitary conditions. This affected two (Residents #23 and #24) of three residents reviewed for physical environment. The facility census was 91.

Inspectors wroteBased on observation and staff interview, the facility failed to ensure dietary staff had the appropriate competencies and skill set to carry out the functions of the dietary department in a manner to ensure safe food handling. This had the potential to affect 87 all residents residing in the facility. The census was 87.

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure oral assessments were completed accurately. This affected one (#6) of three residents reviewed for assessments. The census was 87.

Inspectors wroteBased on record review, policy review, Ohio Department of Health Certification and Licensure Self-Reporting Incidents website review, theft report review, resident interview, family interview and staff interview, the facility failed to report an allegation of misappropriation to the state agency when a resident alleged, she did not receive her correct change or receipt when a facility staff member purchased items for her. This affected one (#63) of three residents reviewed for misappropriation. The facility census was 90.

Inspectors wroteBased on record review, observation and interview, the facility failed to store foods, discard expired foods and maintain food equipment in sanitary condition. This had the potential to affect 82 residents who received food from the kitchen. The facility census was 87.

Inspectors wroteBased on record review, observation and interview, the facility failed to provide food portions and menus as planned by a Registered Dietitian. This affected two (Residents #37 and #12) of five residents reviewed for meal tray portions and had the potential to affect all residents receiving a meal tray for menu accuracy. 82 residents received meals from the kitchen. The facility census was 87.

Inspectors wroteBased on observation and interview, the facility failed to offer alternative foods based on the resident food preferences. This affected two (Residents #12 and #75) of five residents reviewed for alternative foods offered with meals. 82 residents received food from the kitchen. The census was 87.