Health inspection·February 3, 2025

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 observation, staff interview, and review of facility policy, the facility failed to maintain a clean and safe environment. This affected 36 residents (#01, #02, #03, #04, #05, #06, #078#08, #09, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, and #37). The facility census was 45. Findings include: Review of the medical record revealed Resident #24 was admitted to the facility on [DATE]. Diagnoses of thoracic spinal fracture with paraplegia, protein-calorie malnutrition and schizophrenia. Review of the Minimum Data Set (MDS) quarterly assessment dated [DATE], revealed Resident #24 had no cognitive impairment. Observation during the initial tour on 01/30/25 from 5:30 P.M. to 6:15 P.M., revealed the following: 1) Resident #24's room had dirty linen spread all over the floor; the walls had large areas that needed patched, sanded and painted; the floor tile in the area in front of the closet was stained/dirty with a dark, sticky substance; there was a wall shelf that had been removed from the wall and was leaning in the corner near the large closet; and the small closet had no cove base around the entire area of the closet. 2) The main corridor had five light fixtures just above the floor level without covers which exposed the bulb/bulb socket and wiring. 3) The main corridor handrails did not contain endcaps. Interview with Resident #24 on 01/30/25 at 5:35 P.M., revealed she did not like how her room looked, especially the walls, the floor and the small closet. Interview with the Administrator and Maintenance Director #200 on 01/31/25 at 1:15 P.M. verified the condition of the walls, floor tile, wall shelf and cove base in the room of Resident #24; the five exposed corridor light sockets and the missing handrail end caps. Review of facility policy titled Quality of Life - Homelike Environment, revealed residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal Page 1 of 2 365529 365529 02/03/2025 Garden Park Health Care Center 3536 Washington Ave Cincinnati, OH 45229

F 0584 belongings to the extent possible. Level of Harm - Minimal harm or potential for actual harm This deficiency represents non-compliance investigated under Complaint Number OH00162166. Residents Affected - Some 365529 Page 2 of 2