Health inspection·February 27, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and review of facility policy, the facility failed to ensure a comfortable environment. This affected one (Resident #46) of three residents reviewed for comfortable temperatures. The facility census was 48. Findings include: Review of medical records for Resident #46 revealed the resident admitted to the facility on [DATE]. Diagnoses included psychosis, anxiety disorder, type two diabetes, and schizoaffective disorder bipolar type. Review of annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #46 had a Brief Interview of Mental Status (BIMS) score of three, indicating he was severely cognitively impaired. Resident #46 required supervision and touching for meals, personal hygiene, toileting, bathing, placing shoes on and off, dressing upper and lower body, and oral care. Observation on 02/26/25 from 9:53 A.M. through 10:20 A.M. of Resident #46's room revealed the door was open and the temperature was 66 degrees Fahrenheit. There was a heater outside the door set to 103 degrees. Interview on 02/26/25 at 10:01 A.M. with Housekeeping Technician (HT) #212 stated the facility installed the new heating and a/c units in the rooms and had not finished the final connection to the outside condenser because the facility had to find a drill bit that would break through to the outside throw steel in the wall to connect to the outdoor condenser. At this time the new units were not working and still using the old heater in the hallways to heat resident rooms. Interview on 02/26/25 at 10:15 A.M. with Certified Nurse Aide (CNA) #319 verified Resident #46's room was very cold, and was not sure why the heat was not working. CNA #319 stated that the residents keep their doors open to hallway for the heat to go in their room. Interview on 02/26/25 at 10:17 A.M. with the Administrator verified with a laser thermometer that Resident #46's room was 66 degrees Fahrenheit. The Administrator stated he would have it fixed by the end of the day. Review of the facility policy titled, Extreme Cold Policy and Procedure, dated 01/01/16 revealed when facility internal temperature drops below 71 degrees, the facility will implement procedure due to residents had a higher risk for hypothermia when the environment temperature was below 65 degrees (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: 365364 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 365364 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Garden Court Nursing and Rehabilitation Center 4911 Covenant House Drive Dayton, OH 45426 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)