Inspection·December 29, 2022

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm Based on record review, observations and resident and staff interviews, the facility failed to provide activities of daily living (ADL) assistance to dependent residents. This affected one (#1) of three residents reviewed for ADL's. The census was 65. Residents Affected - Few Findings include: Medical record review for Resident #1 revealed an admission dated on 10/31/19 with diagnoses including but not limited to cerebrovascular disease, schizoaffective disorder bipolar type, hemiplegia affecting left side, bipolar episode depressed mild to moderate severity, hypertension, contracture's, vascular dementia, vitamin D deficiency, hypokalemia, major depressive disorder, anxiety disorder, conversion disorder with seizures, pseudobulbar affect, atopic dermatitis, dysarthria and aphasia following cerebral infarction. Review of the comprehensive Minimum Data Set (MDS) assessment for Resident #1 dated 10/22/22 revealed the resident had intact cognition. Resident #1 was coded with behaviors not directed towards others occurred one to three days during the look back period, with behaviors significantly disrupting care or living environment. Resident #1 requires extensive assist of two staff members for bed mobility, total assist for transfers and toileting with two staff members, and supervision for meals. The MDS revealed Resident #1 was not given a shower during the seven-day assessment period. Review of the plan of care for Resident #1 dated 02/28/22 revealed resident requires extensive to total care assistance with all ADL tasks related to current diagnoses of stroke with hemiplegia with noted contracture, dementia with behavioral disturbance, conversion disorder with seizures or convulsions, dysphagia & aphasia. Resident #1 is at risk for complications related to current needs of assistance. Resident #1 will often become combative during care and will refuse to allow staff to perform or complete tasks placing herself at higher risk for potential complications. She tries to manipulate staff. Resident #1 will pull call light out of wall multiple times a day. She will throw and break furniture on regular basis. Interventions include bathing total assist of one for complete bed bath, she does not allow showers. There were no interventions regarding hair washing. Review of nurse progress notes for Resident #1 dated 10/26/22 through 12/20/22 revealed the notes contained no documentation regarding refusal of shower and/or refusal of resident to have her hair washed. Review of bathing records for Resident #1 for the month of December 2022 revealed record contained no documentation regarding washing of resident's hair. Review of the shower sheets For Resident #1 dated 12/17/22, 12/14/22, 12/10/22, 12/07/22, 12/03/22, (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 5 Event ID: 365277 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 365277 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/29/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Bradford Place Care Center 1302 Millville Avenue Hamilton, OH 45013 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)