Health inspection·October 7, 2024

F 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observations, resident and staff interviews, and policy review, the facility failed to timely obtain and implement hospital recommendations for positive airway pressure devices, and the facility failed to have physician orders for positive airway pressure devices. This affected one (Resident #72) of three residents reviewed for positive airway pressure devices. The facility census was 101. Residents Affected - Few Findings include: Review of the medical record revealed Resident #72 was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease (COPD) and diastolic heart failure. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #72 had moderately impaired cognition, had no behaviors, and did not reject care. Review of the care plan dated 08/05/24 revealed Resident #72 was at risk for complications with the respiratory system due to multiple diagnoses. Resident #72 was noted to adjust her oxygen settings on her own. Interventions included assess/report signs of hypoxia, incentive spirometer as ordered, oxygen therapy as ordered, and remind resident not to adjust her oxygen settings as needed. Resident #72 discharged to the hospital on [DATE] and returned to the facility on [DATE]. Review of the hospital Discharge summary dated [DATE] revealed Resident #72 presented to the Emergency Department (ED) with shortness of breath, increased confusion, and taking off her oxygen per nursing facility on 09/03/24 and was admitted with COPD exacerbation, acute on chronic respiratory failure with hypercapnia and hypoxia, and acute metabolic encephalopathy. Resident #72 was treated with steroids, bronchodilators, and bilevel positive airway pressure (BiPAP), and showed significant improvement, and was back to her baseline at the time of discharge. Resident #72 was weaned to her baseline oxygen of three liters per minute and was recommended to continue using BiPAP while sleeping at the facility. There were no specifications noted on the discharge summary for BiPAP settings. Review of the medical record revealed no progress noted regarding follow-up with the hospital for clarification for BiPAP settings after return to the facility on [DATE]. There were no active or completed physician orders for the use BiPAP for Resident #72. Resident #72 discharged to the hospital on [DATE]. Review of the hospital paperwork dated 09/17/24 revealed Resident #72 presented to the ED with a complaint of altered mental status (AMS). It was strongly suggested the altered mental status was secondary to medication. While Resident #72 would most likely benefit from BiPAP, it was highly unlikely she would use BiPAP. Since she did not present with acute hypercapnia nor need BiPAP during this (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 3 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 10/07/2024 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)