Health inspection·June 10, 2025

F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Potential for minimal harm Based on record review, facility policy review and interview, the facility failed to maintain written evidence a background check was completed as required for the Interim Director of Nursing (IDON) at the time of hire. This had the potential to affect all 31 residents residing in the facility. Residents Affected - Many Findings Include: Review of IDON #320's employee file revealed a hire date of 03/25/25. Review of the employee's personnel file revealed no written evidence a background check was completed at the time of hire. Interview on 06/09/25 at 11:39 A.M. with Administrator revealed IDON #320 started as the interim director of nursing on 03/25/25 and it was unknown when her background check was completed (it was to be completed on hire). The Administrator revealed there had been a transition of human resource (HR) director and they realized there was no copy of the IDON's background check. The Administrator stated she asked the IDON if she completed the background check and she stated she did and that she would get a copy of it. However, no copy was provided. The facility followed-up with the agency who completed their background checks and determined a new background check would be obtained on 06/06/25. The Administrator revealed the Nurse Aide Registry was verified for the IDON at the time of hire as well as verification the employee had an active/valid nursing license. Interview on 06/10/25 at 9:05 A.M. with Human Resource (HR) #310 revealed she had been in the HR position since March 2025 and was in training when IDON #320 was hired. She stated at the end of May 2025 she realized the facility had not received IDON #320's background check and asked IDON #320 if she had gone to get it completed. IDON #320 reported she needed to go pick it up. HR #310 stated she told IDON #320 the background checks were sent directly to facility and felt that something was wrong after the IDON reported she needed to go pick it up. HR #310 revealed she reported this concern to the Administrator. Review of the facility Abuse, Neglect and Exploitation Policy dated 2025 revealed potential employees would be screened for a history of abuse, neglect, exploitation, or misappropriation of resident property. Background, reference, and credentials' checks shall be conducted on potential employees, contracted temporary staff, students affiliated with academic institutions, volunteers, and consultants. The facility would maintain documentation of proof that the screening occurred. Review of the facility Background Investigation dated 2024 revealed job reference checks, drug screenings, licensure verifications and criminal conviction record checks were conducted on all personnel making application for employment with the company. 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: 365452 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 365452 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Pearlview Rehab & Wellness Ctr 4426 Homestead Dr Brunswick, OH 44212 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)