Inspection·April 17, 2025

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observations, staff interviews, and policy review, the facility failed to properly label and store food as well as ensure expired products were disposed of. The facility also failed to maintain clean equipment. This had the potential to affect all 73 residents who receive food from the kitchen. The facility census was 73. Findings include: 1. Observations on 04/14/25 from 8:00 A.M. to 8:15 A.M., in the kitchen, revealed a shallow pan with croutons, covered not dated and a pan with rolls covered with plastic wrap not dated. Observation of the ice machine outside of the kitchen had a scoop in an attached container. The container holding the scoop had a yellow sludge on the bottom with stagnant water. The container had no holes for drainage. Interview on 04/15/25 at 8:20 A.M., with Dietary Staff #106 confirmed the undated food and condition of the ice scoop. 2. Observation of the kitchen on 04/16/25 at 8:55 A.M., with the Dietary Director (DD) #18 revealed there were 11 undated chocolate cakes, 1 undated pitcher of iced tea, 2 undated pitchers of lemonade, and 1 stick of butter with a substance on its wrapper in the walk-in refrigerator. Interview on 04/16/25 at 8: 59 A.M., with DD #18 confirmed there were 11 undated chocolate cakes, 1 undated pitcher of iced tea, 2 undated lemonade pitchers, and 1 stick of butter with a substance on its wrapper in the walk-in refrigerator. Observation of the kitchen on 04/16/25 at 9:00 A.M., with the DD #18 revealed the steam tables had a build up of grime and debris. Interview on 04/16/25 at 9:01 A.M., with the DD #18 revealed the steam tables had a build up of grime and debris. Review of the policy titled ,Food Storage, dated on January 2025, stated all food will be covered, dated, and labeled. Review of the undated policy titled, Basic Cleaning Equipment, stated all equipment will be washed and sanitized after every use. 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: 365427 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 365427 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Loveland Health Care Center 501 North Second Street Loveland, OH 45140 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)