Health inspection·March 28, 2024

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff and resident interviews, and policy review, the facility failed to ensure the residents were provided a clean, functional, homelike environment. This affected two residents (#37 and #40) and had the potential to affect 34 residents (#18, #19, #20, #21, #22, #23, #24, #25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, #38, #39, #41, #42, #43, #44, #45, #46, #47, #48, #49, #50, #51, #52, and #53) of 53 residents residing in the facility. Findings include: Observation was conducted in the facility on 03/28/24 from 8:42 A.M. to 9:10 A.M. revealed: • The 100-hall outside of room [ROOM NUMBER] had bugs and dust in the ceiling light. Outside of room [ROOM NUMBER], there were bugs and dust in the ceiling lights and the shield was broken. Outside of rooms [ROOM NUMBER], there were bugs, dust, and lights burned out. Throughout the 100-hallway, the walls and handrails had scuff marks. On the entrance to the 100-hall, there was a missing strip of flooring. • The bathroom on the 100-hall revealed around the toilet, there was a thick yellow substance and the wall tiles along the bottom of the floor in front of the right side of the toilet were caving into the wall, making a hole. The paper towel holder was hanging off of the wall on the left side, and the light bulb was burned out on one half of the light on the wall. • The 200-hall dining room had two lights in the middle of the ceiling that the bulbs were burned out. There were seven lights in the dining area that were dirty with dust and bugs in the lights. Outside of rooms 201, 203, 204, 206, 209, 210, and 211, there was lights burned out and the lights have bugs and dust inside of them. Throughout the 200-hallway, the walls and handrails had scuff marks. • The 300-hall, as you enter the unit had a light in the ceiling that the bulbs were burned out. The next five lights had dust and bugs inside the light protectors. Outside of room [ROOM NUMBER] and Page 1 of 3 365476 365476 03/28/2024 Astoria Place of Silverton 6922 Ohio Avenue Cincinnati, OH 45236

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 305, the ceiling lights had dust and bugs inside of them. Throughout the 300-hallway, the walls and handrails had scuff marks. • Outside the rehabilitation department, there was a light that had dust and bugs in it and bulbs that were burned out. There was a ceiling tile that was broken. • The 400-hall had a ceiling light without a shield on the bulbs, the ceiling light had bulbs that were burned out. At the end of the hall, the ceiling was sagging. Outside of room [ROOM NUMBER], there was a broken ceiling light. Outside of room [ROOM NUMBER], the ceiling tile had stains on it. • Outside of the business office, there was a ceiling light that was burned out. There was also a water fountain that no longer works that was dusty and hanging off of one side of the wall. Subsequent observation of Resident #40's and interview with Resident #40 on 03/28/24 at 11:18 A.M. revealed the handwashing sink had rust inside the bowl and on top of it. The window sill in the bedroom was full of a black substance in both sides of the window. The floor in the bathroom has black substance on it and the ceiling and the walls were peeling paint. There was a yellow substance splashes underneath the sink. There was an old heater in the bathroom that was rusted on top and the bottom and dark substance on it. The wall baseboard was coming away from the wall, a punch in the wall in the corner, plaster was coming off under the sink, the walls were peeling paint and scuff marks by the television down at the bottom of the folding doors of the closet was with a black substance along the bottom, and the hand rails in the room were coming off the wall and scuffed up badly. The resident thought her room was 'disgusting' especially under the sink where it looked like dried food or feces. Observation of Resident #37's room and interview with Resident #37 on 03/28/24 at 12:06 P.M. revealed the handwashing sink had rust inside the bowl and on top of it. The windowsill in the bedroom was full of a black substance in both sides of the window. The floor in the bathroom has black substance on it and the ceiling was peeling paint and the walls too. There were cobwebs in the corner next to the bed. There was an old heater in the bathroom that was rusted on top, and the bottom and dark substance on it. The resident stated the room was like this when he moved in and he didn't think it looked nice and said it was dirty. Observation and interview with the Maintenance Director (MD) #135 on 03/28/24 at 1:42 P.M. confirmed the environmental problems on the 100-hall and the 100-hall bathroom, the 200-hall and dining room, the 300-hall, 400-hall, rehabilitation room, and business office. MD #135 also verified the environmental findings in Resident #40 and #37's room. Review of the facility policy titled Quality of Life-Homelike Environment, dated 05/01/17, revealed residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible. Comfortable and adequate lighting is provided in all areas of the facility to promote a safe, 365476 Page 2 of 3 365476 03/28/2024 Astoria Place of Silverton 6922 Ohio Avenue Cincinnati, OH 45236

F 0584 Level of Harm - Minimal harm or potential for actual harm comfortable and homelike environment. The lighting design emphasizes: sufficient general lighting in resident-use areas; task lighting as needed; and even light levels. This deficiency represents non-compliance investigated under Master Complaint Number OH00151698. Residents Affected - Some 365476 Page 3 of 3