Health inspection·July 3, 2023

F 0660 Plan the resident's discharge to meet the resident's goals and needs. Level of Harm - Minimal harm or potential for actual harm Based on medical record review and staff interview, the facility failed to develop an effective discharge planning process to facilitate a proposed facility-initiated discharge. This affected one (#15) of two residents reviewed for discharge notices. The facility census was 40. Residents Affected - Few Findings include: Review of Resident #15's medical record an admission date of 03/03/08. Diagnoses included schizophrenia, diabetes, lung cancer, and chronic obstructive pulmonary disease (COPD). The medical record identified Resident #15 had a legal guardian in the community. Review of Resident #15's medical record revealed a letter dated 04/26/23 that was addressed to Resident #15. Further review of the letter revealed the facility reviewed Resident #15's current ability to perform activities of daily living (ADLs) including a Brief Interview for Mental Status (BIMS), and were are pleased to inform Resident #15 that he scored 15 out of a total of 15 points indicating Resident #15 had intact cognition. The review indicated a long-term skilled nursing care setting was no longer the most appropriate setting to meet Resident #15's care needs or appropriate for his quality of life. Therefore, the staff would like to schedule a meeting to review new/potential living arrangements for a transition within the next 30 calendar days. Review of Resident #15's current plan of care identified no evidence of discharge planning. Further review of the medical record revealed Resident #15 has twice a day blood glucose checks with insulin administration, multiple oral medications, and pain patch use. The medical record identified no evidence of education and/or attempts to instruct Resident #15 to self administer his medications. Interview with Resident #15 on 07/03/23 at 8:48 A.M. revealed he was moving to an independent apartment, was on a waiting list, and had no specific date to move in. Resident #15 confirmed he and his guardian agreed to try the move after getting the letter from the facility. Resident #15 confirmed the facility had not started any education to teach him how to do his own medications; and the resident confirmed he did not know if he would need to prepare his own meals at the new apartment. Resident #15 confirmed he lived in his current nursing home for many, many years. Interview with the facility Administrator on 07/03/23 at 8:29 A.M. revealed the facility interdisciplinary team determined Resident #15 was able to be discharged to a lesser care facility. The interview with the Administrator confirmed there was no written evidence of a discharge plan in place as of 07/03/23, and confirmed the facility sent a letter to Resident #15 on 04/26/23. The Administrator confirmed there was no written evidence of what Resident #15 would need, including pertinent education, to live safely in the apartment nor a plan to ensure Resident #15 was capable of living on his own in an independent apartment. Page 1 of 2 365118 365118 07/03/2023 Jag Healthcare Mansfield 50 Blymyer Avenue Mansfield, OH 44903

F 0660 This deficiency represents non-compliance investigated under Complaint Number OH00143711. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 365118 Page 2 of 2