Inspection·October 21, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on medical record review, observation, interview, the facility failed to provide dignity in dining for Resident #37 while being assisted with her lunch meal. This affected one resident (Resident #37) out of three residents reviewed for meal assistance. The facility census was 116. Findings include: Resident #37 was admitted to facility on 12/22/15 with diagnoses that included Alzheimers dementia, heart failure, and glaucoma. Her diet order as of 08/23/23 was regular diet, pureed texture with thin liquids. Review of Resident #37's Minimum Data Set (MDS) assessment on 08/01/24 revealed that Resident #37 required supervision and or touch assistance for eating. Review of Resident #37's care plan dated 08/12/19 and revised on 08/13/24 revealed that Resident #37 received assistance with eating from nursing staff as needed. Observations on 10/17/24 from 12:35 P.M. to 12:52 P.M. revealed that Resident #37 did not immediately initiate feeding herself her meal. On 10/17/24 at 12:53 P.M., Resident #37 was observed dipping her fork into her milk, then dipping her fork into her water, and then putting her fork into her ice cream. Resident #37 is observed feeding herself ice cream with her fork on 10/17/24 at 12:53 P.M. Observation on 10/17/24 from 12:57 P.M. until 12:59 P.M. revealed that State Tested Nursing Assistant (STNA) #141 stood at Resident #37's bedside while feeding Resident #37 her meal. STNA #141 was observed putting the spoon to the plate of food and placing it in Resident #37's mouth while standing. Interview with STNA #141 on 10/17/24 at 12:59 P.M. confirmed that STNA #141 stood while feeding Resident #37 with her lunch meal. Review of Dignity with Dining Disciplinary Action on 10/17/24 revealed that nursing is to sit with a resident while feeding them. Review of Dignity with Dining Inservice Education on 10/17/24 revealed that nursing is to sit with a resident, make eye contact with the resident and converse with the resident while feeding them. This deficiency represents non-compliance investigated under Complaint Number OH00158242. 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: 365466 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 365466 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Laurels of Heath 717 South 30th Street Heath, OH 43056 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)