Inspection·May 4, 2023

F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident interview, staff interview, and review of the facility policy, the facility failed to provide showers per resident preference. This affected one (Resident #73) of three residents reviewed for personal hygiene and bathing. The facility census was 86. Findings include: Review of the medical record for Resident #73 revealed an admission date of 03/24/23 with diagnoses including fracture of left tibia, bipolar disorder, schizophrenia, and anxiety disorder. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #73 was cognitively impaired and required extensive assistance of one staff with personal hygiene and was totally dependent on staff assistance with bathing. Resident was coded negative for the presence of behavioral symptoms including rejection of care. Review of the care plan dated 03/24/23 revealed Resident #73 had an activities of daily living (ADL) self-care performance deficit and required assistance with ADLs. Interventions included the following: assistance required with ADLs may fluctuate based on time-of-day, mood, pain, or fatigue, adjust and document as indicated, report significant changes to charge nurse, identify tasks/events that cause frustration. provide assistance as needed, observe and anticipate resident's needs: thirst, food, body positioning, pain, toileting needs, place call light within reach, remind resident to call for assistance if cognitively intact, resident has poor safety awareness, praise all efforts at self-care. Review of the bathing records for Resident #73 for the previous 04/04/23 to 05/04/23 revealed resident did not receive a shower twice weekly as per her preference. Staff provided Resident #73 with a shower on 04/14/23, and she did not receive her next shower until 04/21/23. Staff provided Resident #73 with a shower on 04/24/23, and she did not receive her next shower until 05/01/23. Review of the nurse progress notes for Resident #73 dated 04/04/23 to 05/04/23 revealed there was no documentation of refusal of care or rationale for not providing twice weekly showers to the resident. Interview on 05/04/23 at 11:14 A.M. with Resident #73 confirmed the resident's preference was for staff to assist her with a shower twice weekly, and her shower days were Monday and Friday. Resident #73 confirmed that she often received only one shower per week. (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 4 Event ID: 365196 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 365196 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/04/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Pleasant Ridge Healthcare Center 5501 Verulam Cincinnati, OH 45213 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)