Health inspection·August 21, 2023

F 0679 Provide activities to meet all resident's needs. Level of Harm - Minimal harm or potential for actual harm Based on observations, review of staff schedules, review of facility resident census, review of activity calendars, review of activity attendance sheets, policy review, resident and staff interviews, the facility failed to ensure staff was providing scheduled activities during the months of July and August 2023. This affected 81 (Resident #26-#92) of 81 residents residing on the A, B, F G, H and J Units of the facility. The total facility census was 106. Residents Affected - Some Findings include: Review of the activity staff schedule for July 2023 revealed one to three staff were scheduled per day and no staff were scheduled after 4:00 P.M. on Mondays through Fridays. On the weekends staff was limited hours or not at all. On 07/01/23 (Saturday), one staff member was scheduled from 9 A.M. to 2 P.M. On 07/02/23 (Sunday), one staff member was scheduled 9 A.M. to 3 P.M. On 07/08/23 (Saturday), one staff member was scheduled from 10 A.M. to 3 P.M. On 07/09/23 (Sunday), on 07/15/16 (Saturday), on 07/16/23 (Sunday), on 07/29/23 (Saturday), and on 07/30/23 (Sunday), no activity staff was scheduled to work. On 07/22/23 (Saturday) and 07/23/23 (Sunday), a staff member was scheduled as MC (might come). Review of the activity staff schedule for August 2023 revealed one to three staff were scheduled per day and no staff were scheduled after 4:00 P.M. on Mondays through Fridays. On the weekends staff was limited hours or not at all. On 008/05/23 (Saturday), one staff member was scheduled from 9 A.M. to 2 P.M. On 08/06/23 (Sunday), one staff member was scheduled 9 A.M. to 3 P.M. On 08/19/20 (Saturday), on 08/20/23 (Sunday), and on 08/26/23 (Saturday), no activity staff was scheduled to work. On 08/27/23 (Sunday), a staff member was scheduled as MC (might come). On 08/12/23 (Saturday) and on 08/13/23 (Sunday), a staff member was scheduled MOD and one additional staff member was scheduled on 08/13/23, from 10 A.M. to 3 P.M. Review of scheduled activity calendar of July and August 2023 for the A, B, F G, H and J Units, revealed there were 15 days (07/01/23, 07/02/23, 07/09/23, 07/15/23, 07/16/23, 07/22/23, 07/23/23, 07/26/23, 07/27/23, 07/28/23, 07/29/23, 07/30/23, 08/12/23, 08/16/23 and 08/17/23) of non-provided and undocumented resident attended scheduled activities. Review of the August 2023 activity calander for the A, B, F G, H and J Units revealed on 08/16/23 and 08/17/23 at 3:00 P.M. was 15-minute stretch; 4:00 P.M. was scheduled Table Talk; and at 7:00 P.M. was scheduled Shoot the Breeze. Review of the resident census sheet revealed 81 (Resident #26-#92) residents residing on the A, B, F G, H and J Units of the facility. Page 1 of 2 365443 365443 08/21/2023 The Laurels of Milford 934 State Route 28 Milford, OH 45150

F 0679 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Observation on 08/16/23 at 3:00 P.M. and 4:00 P.M., revealed the scheduled activities on did not occur. Observations on 08/17/23, at 3:00 P.M. and 4:00 P.M., revealed the scheduled activities did not occur. Interview on 08/16/23 at 3:50 P.M., Activity Aide, (AA) # 73 verified the weekend activities were offered only three weekends a month, as there were only three staff to rotate the weekends. AA #73 verified schedule activities after 3:00P.M., were not offered as organized activities and had no staff to lead. No residents were documented as attending activities. AA #73 stated activities listed on the activity calendar after 3:00 P.M. were resident self-directed. Interview on 08/17/23 at 10:15 A.M., the Activity Director, (AD) #150 verified the 15 days of scheduled activities were not documented and could not verify activities were offered on those days. AD #150 verified the activity department had been short of staff and the planned activities on the third weekend could not be an offered, as posted on the activity calendar, as well as planned activities after 3:00 P.M. AD #150 verified not all activities are offered due to activity staff are off on vacation, as was during the week of 07/26/23, 07/27/23, 07/28/23, 07/29/23, and 07/30/23. Interviews of on 08/17/23 from 9:50 A.M through 1:00 P.M., of Residents #95, #97 ad #104 stated activities were not provided as listed on the calendar. The residents stated activities were changed due to staffing and not resident requested. Interviews on 08/17/23 at 4:00 P.M., with Residents #41, #61 and #102 stated after 3:00 P.M., there were no staff to lead the scheduled activities. All three residents stated only one weekend of the month were activities provided. The residents stated they wanted group activities on the weekend and denied scheduled weekend activities had been refused. Review of the facility policy titled, Activities Scheduling dated 08/16/21, revealed Monday through Sunday, four to seven activity programs were offered daily. This deficiency represents non-compliance investigated under Complaint Number OH00145063. 365443 Page 2 of 2