Inspection·November 1, 2023

F 0550 Level of Harm - Minimal harm or potential for actual harm Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Residents Affected - Few Based on medical record review, review of facility investigation, staff interviews and review of facility policy, the facility failed to ensure a resident was provided dignity and respect. This affected one (#62) of four residents reviewed for dignity and respect. The facility census was 65. Findings include: Review of the medical record for Resident #62 revealed and admission date of 08/01/23. Diagnoses included cerebral infarction (stroke), type II diabetes, Chronic Obstructive Pulmonary Disease (COPD), Alzheimer's disease, emotional lability, depression, and anxiety. Review of the quarterly Minimum Data Set (MDS) assessment, dated 10/18/23, revealed Resident #62 had severely impaired cognition. The resident required extensive assistance of one to two staff for bed mobility, transfers, and ambulation. Review of behavior and mood revealed Resident #62 had a behavior of yelling out, cursing, and crying. Review of the plan of care dated 10/18/23 revealed Resident #62 exhibited behaviors related to medical diagnoses; Alzheimer's disease, dementia with behavioral disturbance, depression, anxiety as evidenced by verbal behaviors of frequently yelling out, cursing at others, racial slurs, and inappropriate language. Other behaviors included spitting on staff, refusal of medications, and non-compliance with care. Interventions included to intervene as necessary to protect the rights and safety of others, approach/speak in a calm manner, divert attention, remove from situation and take to alternate location as needed, minimize potential for the resident's disruptive behaviors by offering tasks which divert attention, and, if reasonable, discuss the resident's behavior and explain/reinforce why behavior is inappropriate and/or unacceptable to the resident. Review of a nursing progress note dated 10/09/23 at 3:10 P.M. revealed a concern was brought to the Director of Nursing (DON) and Administrator on 09/30/23 related to the resident and caregivers working relationship and the relationships effect on resident's current behaviors. The concerned party alleged caregivers were laughing and mocking the resident during an episode of her behaviors, causing the resident to become hysterical. The concern was related to a belief that staff was not handling resident's behaviors appropriately. A call was placed to Resident #62's daughter. The resident's daughter confirmed many of the behaviors exhibited by the resident had been happening for years. Resident #62 had a long history of yelling and screaming during care and would make statements surrounding suicidal ideations with no active plan. Resident #62 had orders to follow-up with psychiatric (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 3 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 11/01/2023 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)