Health inspection·February 20, 2024

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, record review, interviews, and facility incident report, the facility failed to administer medication as ordered. This affected one (Resident #95) of three residents reviewed for medication administration. The facility census was 94. Findings include: Review of the medical record for Resident #95 revealed an admission date of 01/09/24 and a discharge date of 01/28/24 with diagnoses of lung disease, type II diabetes, osteoporosis, and heart disease. Review of the most recent Minimum Date Set (MDS) assessment dated [DATE] revealed the resident was cognitively impaired and required moderate assistance with care. Review of the physician's orders dated 01/09/24 noted an order for Prolia 60 mg (a medication that helps stop the development of bone removing cells) per injection every six months on the 12th of the month. Review of the 01/24 Medication Administration Record (MAR) revealed the medication was given on 01/12/24. The medication was not due until 04/12/24. Review of the facility incident report dated 01/15/24 revealed the medication was given in error. Interview with the Director of Nursing (DON) on 02/15/24 at 11:00 A.M. verified Resident #95's Prolia was given too soon. The DON noted it was transcribed incorrectly to the MAR. As a result of the incident, the facility took the following actions to correct the deficient practice by 01/22/24. · On 01/15/24, Resident #95 was fully assessed by facility nursing and deemed to be in good health; there were no injuries or health declines noted. The doctor was called with orders for labs on 01/22/24. · On 01/19/24 the DON provided education to all nursing staff regarding the importance of accurate order entry. The education was completed on 01/22/24. · On 01/19/24 audits were conducted on all admissions since 01/01/24. No other errors were found. · On 01/19/24, the DON implemented weekly audits for four weeks to ensure medication orders (continued on next page) 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: 365530 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 365530 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/20/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Delhi Post-Acute 5999 Bender Road Cincinnati, OH 45233 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)