Health inspection·January 2, 2025

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 staff interviews and medical record review, the facility failed to regularly assess a resident's catheter routinely per the resident's plan of care. This affected one (Resident #4) of three residents reviewed for catheter care. The facility census was 30. Findings include: Review of the medical record for Resident #4 revealed a readmission on [DATE]. Diagnoses included neurogenic bladder and retention of urine. Review of the care plan dated 06/11/24 for Resident #4 revealed the need for an indwelling urinary catheter due to urinary retention. Interventions included assessing the drainage every shift, recording the amount, type, color, and order, observing for leakage, encouraging fluid intake, and providing catheter care every shift as needed. The physician orders dated 07/31/24 revealed to change indwelling Foley catheter and keep in place. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment, dated 09/07/24, revealed Resident #4 was severely cognitively impaired, and required partial/moderate assistance with toileting. The urinary appliance noted was an indwelling catheter, and a diagnosis of neurogenic bladder. Review of Resident #4's medical record found no evidence of routine and consistent assessment of the indwelling catheter, including monitoring drainage, amount, type, and color of the urine output. Interview on 01/02/24 at 10:22 A.M. with Charge Nurse - Licensed Practical Nurse (LPN) #64 confirmed nursing staff were required to document catheter assessments in the progress notes every shift. This assessment includes details such as the color, amount, consistency, and odor of the urine. Interview on 01/02/24 at 11:39 A.M. with LPN #77 confirmed the staff were required to document catheter output, consistency, and color in the progress notes every shift. Interview on 01/02/24 at 12:33 P.M. with the Director of Nursing (DON) confirmed Resident #4's medical record did not contain urinary assessments every shift, which should include drainage amount, type, color, and consistency. The DON confirmed the facility should adhere to the resident's care plan. This deficiency represents non-compliance investigated under Complaint Number OH00160633. 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: 365416 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 365416 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/02/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ohio Living Westminster-Thurber 717 Neil Avenue Columbus, OH 43215 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)