Inspection·August 2, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview and review of a local police report, the facility failed to ensure resident requests were honored and residents were treated with respect and dignity at all times. This affected one (#120) of 10 sampled residents and two residents who participated in random interviews (#108 and #8). The facility census was 128. Findings include: 1. Review of Resident #120's medical records revealed an admission date of 02/01/24. Diagnoses included morbid obesity, need for personal care assistance, muscle weakness and difficulty walking. Review of Resident #120's care plan dated 02/01/24 revealed Resident #120 required assistance with activities of daily living (ADL) by one staff who performed all the care and was totally dependent for transfers. Resident #120 preferred to get up into her wheelchair between breakfast and lunch and preferred to lay down before dinner daily. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #120 had intact cognition and was dependent with toileting, bathing, personal hygiene and transfers. Interview on 07/31/24 at 5:15 A.M. with State Tested Nursing Assistant (STNA) #213 revealed Resident #120 had requested assistance into bed sometime around 8:00 P.M. on 07/30/24 and no one had helped her. Around 10:00 P.M. the police arrived at the facility because Resident #120 contacted them stating she needed assistance back into bed. STNA #213 was unsure who the assigned aide was for Resident #120 and had assisted Resident #120 back into bed once the police arrived. Interviews on 07/31/24 at 5:15 A.M. with STNAs #213 and #239 revealed they were aware of some residents who had complained about staff being rude to them. Interview on 07/31/24 at 5:26 A.M. with Resident #108 revealed at times the staff was rude and short with him. Interview on 07/31/24 at 6:15 A.M. with Resident #8 revealed some staff were rude at times. Interview on 07/31/24 at 11:13 A.M. with Resident #120 revealed on 07/30/24 she was assisted out of bed around 3:00 P.M. and at approximately 8:10 P.M. she asked a STNA for assistance back into bed (could not provide name of the STNA but a description of the STNA matched STNA #213). Resident #120 stated she had overheard the STNA talking with someone in the hall about having to put all the (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 6 Event ID: 365192 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 365192 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/02/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Greenbrier Health Center 6455 Pearl Rd Parma Heights, OH 44130 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)