Inspection·May 21, 2025

F 0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, resident interview, vendor staff interview, and facility policy review, the facility failed to provide medically necessary social services regarding discharge processes. This affected one (Resident #11) of three residents reviewed for discharge. The census was 108. Residents Affected - Few Findings Include: Resident #11 was admitted to the facility on [DATE]. Her diagnoses were congestive heart failure, chronic respiratory failure with hypoxia, hypo-osmolality and hyponatremia, atrial fibrillation, gout, anemia, hypertension, anxiety disorder, glaucoma, bipolar disorder, fibromyalgia, COPD, and depression. Review of her minimum data set (MDS) assessment, dated 03/14/25, revealed she was cognitively intact. Review of Resident #11's quarterly care conference notes, dated 11/04/24, 01/27/25, and 04/21/25 revealed the facility addressed on-going discharge questions. It stated, she was undecided as to whether she wanted to discharge, but she wanted to be asked at each care conference if she still wanted to be discharged from the facility. Review of Resident #11's current care plan revealed a care area of, discharge plan: uncertain resident/family have not confirmed a discharge plan at this time. Interventions included staff will assist resident/family with all available information/resources for decision, and staff will assist to meet all needs. Review of Resident #11 entirety of medical/discharge records, dated 04/21/25 to 05/20/25, revealed no records about assisting the resident with a discharge plan/process. There was no documentation about her selling an already owned house, there was no documentation about her visiting another apartment with the intent of discharging, there was no documentation about her desire to purchase a new home with the intent of discharging, and there was no documentation about the facility assisting her with any of the discharge process. Interview with Social Services #101 on 05/20/25 at 11:45 A.M. and 3:15 P.M. revealed she spoke with Resident #11 on a quarterly basis about her discharge status and desires. Confirmed each quarterly meeting, from November 2024 to April 2025, revealed she was undecided but wanted to continue to discuss it. She confirmed she knew about the resident setting up appointments with a home health agency to visit apartments within the last three to four weeks. She confirmed she has not spoke to Resident #11 about finding other apartments or the process of purchasing a house. She confirmed that her signing an apartment application and attempting to find a house to purchase would indicate a resident (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 2 Event ID: 365394 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 365394 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Continuing Healthcare at Adams Lane 1856 Adams Lane Zanesville, OH 43701 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)