Health inspection·May 30, 2025

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, record review and facility policy, the facility failed to have a treatment order in place for a burn abrasion for one resident (#10) out of three residents reviewed for treatment orders for skin alterations on admission. The facility census was 61. Residents Affected - Few Findings include: Review of the medical record for Resident #10, revealed an admission date of 04/19/25 and a transfer to the hospital date of 05/03/25. Diagnoses included but were not limited to inflammatory polyarthropathy, muscle weakness, need for assistance with personal care, adult failure to thrive, lower back pain and burn of unspecified degree of upper back, subsequent encounter. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 14. The resident was assessed to require supervision or touching assistance with toilet hygiene, partial/moderate assistance with shower/bathe self, and transfers with independent with bed mobility. Review of the plan of care dated 04/21/25 for Resident #10 revealed the resident to have impaired skin integrity due to a burn with an intervention including but not limited to perform and document skin treatments as ordered. Review of the admission skin assessment dated [DATE] for Resident #10 revealed a left scapula open area abrasion. Review of the wound rounds summary dated 04/20/25 for Resident #10 revealed an upper left back active abrasion measured 9 centimeters (cm) x 4 cm x 0 with scant serosanguinous drainage. Review of the physician orders from 04/19/25 to 04/21/25 at 12:26 P.M. for Resident #10 revealed no treatment order for the burn abrasion on the left back/scapula area. Interview on 05/30/25 at 11:54 A.M. with the Assistant Director of Nursing verified Resident #10 did not have an order for treatment for the burn abrasion on the left back/scapula area from 04/19/25 until 04/21/25 at 12:26 P.M. when he entered the order. Also verified the nurse who admitted the resident should have obtained an order for a treatment as the resident was admitted over a weekend. Review of the facility policy titled Skin Integrity at Risk Program no date, revealed residents receive care and necessary treatments to promote healing and a physician is notified of a skin alteration and treatment is initiated as ordered. Page 1 of 2 365399 365399 05/30/2025 Westerwood Rehabilitation 5757 Ponderosa Drive Columbus, OH 43231

F 0684 This deficiency represents non-compliance investigated under Complaint Number OH00165558. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 365399 Page 2 of 2