Health inspection·December 2, 2025

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 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, record review, and facility policy review, the facility failed to provide adequate and timely activities of daily living (ADL) care for dependent residents. This affected one resident (#42) of three residents observed and reviewed for ADL care. The facility census was 51.Findings include: Review of Resident #42 ' s medical record revealed an admission date of 10/25/24. Diagnoses included quadriplegia, muscle weakness, and anoxic brain injury.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #42 had no cognition score as the resident was noted to be rarely/never understood. Resident #42 was dependent with toileting and bed mobility and was incontinent of bowel and bladder.Review of the care plan dated 07/14/25 revealed Resident #42 was dependent with bathing and care. Interventions included to turn and reposition as needed and to provide two staff assistance with bathing.Observation on 12/01/25 at 8:41 A.M. reveled Resident #42 was in bed on her left side. Resident #42 was non-verbal and unable to be interviewed. Observation on 12/01/25 at 11:46 A.M. revealed Resident #42 was in same position as the previous observation.Observation and interview on 12/01/25 at 1:25 P.M. revealed Resident #42 had remained in same position as previous observations. Interview with Certified Nursing Assistant (CNA) #400 at the time of observation revealed CNA #400 confirmed she had not provided Resident #42 with ADL care, including hygiene or turning and repositioning, since the start of her shift at 7:00 A.M. CNA #400 further stated Resident #42 required total care which included turning and repositioning at least every two hours. At 1:40 P.M. CNA #400 had returned to Resident #42's room and had proceeded to provide incontinence care. Observation further revealed Resident #42's hair was severely matted and appeared to be greasy and unkempt. CNA #400 stated Resident #42 ' s showers were scheduled on night shift and she was unaware when Resident #400 had last received a shower or her hair had been washed. Review of the facility policy titled Activities of Daily Living (ADL) undated revealed care and services will be provided that included bathing and grooming.Review of the facility policy titled Turning and Repositioning revised 10/01/22 revealed turning and repositioning is a primary responsibility of nursing staff and routine repositioning schedules consisted of every 2-4 hours. Residents Affected - Few Page 1 of 2 365320 365320 12/02/2025 Regency Care of Copley 2631 Copley Road Akron, OH 44321

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, record review, and facility policy review, the facility failed to provide timely incontinence care to residents. This affected two residents (#27 and #42) of three residents observed and reviewed for incontinence care. The facility census was 51.Findings include:1.Review of Resident #27's medical records revealed an admission date of 11/14/24. Diagnoses included stroke with left-sided weakness, muscle weakness, and need for personal care assistance.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #27 had impaired cognition. Resident #27 was dependent on staff for toileting and was noted to be incontinent of bowel and bladder.Review of the care plan dated 11/17/25 revealed Resident #27 had activities of daily living deficits. Interventions included to provide toileting assistance as required.Observation on 12/01/25 at 8:45 A.M. revealed Resident #27's call light was active. Upon entering Resident #27's room, an odor of stool was detected and observation reveled a large dried brown stain underneath Resident #27. Resident #27 was not interviewable. Observation on 12/01/25 at 9:37 A.M. revealed Resident #27 remained incontinent of stool. At the time of observation, Certified Nursing Assistant (CNA) #400 approached and asked what type of assistance was required as Resident #27 was not her assigned resident. At the time of interview, CNA #400 had entered Resident #27's room and confirmed the odor of stool and the large dried stool on Resident #27's sheets. CNA #400 had exited Resident #27's room to obtain supplies to provide incontinence care. At 9:55 A.M., CNA #400 had returned and proceeded to provide Resident #27 with incontinence care. Continued observation revealed Resident #27 was incontinent of a large amount of green and black colored liquid stool. Further observation revealed an incontinence pad underneath Resident #27 that had dark colored urine that had extended up to the middle of Resident #27's back. Interview with CNA #400 at the time of observation confirmed the observations and stated she was unsure when Resident #27 had last received incontinence care. 2. Review of Resident #42's medical record revealed an admission date of 10/25/24. Diagnoses included quadriplegia, muscle weakness, and anoxic brain injury.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #42 had no cognition score as the resident was noted to be rarely/never understood. Resident #42 was dependent with toileting and bed mobility and was incontinent of bowel and bladder.Review of care plan dated 07/14/25 revealed Resident #42 was dependent on staff for bathing and care and was incontinent of bowel and bladder. Interventions included to turn and reposition as needed and to provide incontinence care as needed.Observation on 12/01/25 at 11:46 A.M. revealed Resident #42 was in bed and had an odor or urine. Resident #42 was non-verbal and unable to be interviewed.Observation on 12/01/25 at 1:25 P.M. revealed Resident #42 had remained in same position as previous observation and still had an odor of urine. Interview with CNA #400 at the time of observation revealed she had not provided Resident #42 with incontinence care since the start of her shift at 7:00 A.M. CNA #400 further stated she had another resident she had to provide care for and then she would provide Resident #42 with care. At 1:40 P.M. CNA #400 had returned to Resident #42's room and had proceeded to provide incontinence care. Observation further revealed Resident #42's incontinence brief was heavily saturated with dark, pungent urine.Review of facility policy titled Incontinence revised 02/01/25 revealed all residents that are incontinent will receive appropriate treatment and services. 365320 Page 2 of 2