Health inspection·September 17, 2025

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on interview and observation, the facility failed to maintain a clean, safe, comfortable and sanitary environment. This had the potential to affect all 51 residents residing in the facility. The facility census was 51. Findings Include: Initial tour on 09/16/25 from 1:35 P.M. to 1:44 P.M., revealed the South Unit shower room had a sewer odor that lingered into the beginning of the 100 and 200 hallway and nurse's station. The carpet behind the nurse's station was stained and dirty. Wallpaper in the corner by the vending machine was pulled away from the wall and mold spots were noted behind the wallpaper on the wall. The carpet floor tiles in the vending room were pulling up off the ground, some were not cut properly to fit the edge of the room, and all the carpet tiles were moved under the snack vending machine. Interview on 09/16/25 at 1:35 P.M., with Certified Nursing Assistant (CNA) #124 confirmed the sewer odor was coming from the South Unit shower room. Observation on 09/16/25 at 2:05 P.M., of the facility with the Maintenance Director (MD) revealed he was just hired four weeks ago. Corporate was supposed to have taken care of the mold issue and the professional carpet cleaners cleaned the carpet two Fridays ago. The MD confirmed the areas behind the nurse's station had not been cleaned yet due to the carpet tiles were pulled up to fix a water leak and he had just put the old carpet tiles back down and had not had time to clean them yet. The MD confirmed the South Unit shower room had a sewer smell. The MD reported housekeeping had been using Echo Patch down the South Unit shower room daily. Further observation with the MD confirmed there was mold behind the wallpaper that was pulled away from the wall in the vending room and the North Unit shower room had missing/broken tiles on the floors and walls and the corner strips were pulled off the corners. There was a brown/black substance on the walls, the skid strips were partially missing and coming off the tile, and the floors were dirty. Interview and observation of the South Unit shower room on 09/16/25 at 2:20 P.M., with CNA #102 confirmed the South Unit shower room smelled like sewer. The CNA confirmed the South Unit shower room always had a sewer smell. CNA #102 confirmed she had showered residents in the South Unit shower room today. Interview and observation of the South Unit shower room on 09/16/25 at 2:21 P.M., with Central Supply #142 confirmed the South Unit shower room had a sewer smell. Interview and observation on 09/17/25 from 7:00 A.M. to 7:13 A.M. with the Director of Nursing (DON) confirmed the South Unit shower room had a sewer smell that lingered into the hallways on 100 and 200 hallways, there was mold in the vending room behind the wallpaper, missing carpet tiles under the snack vending machine, the carpet tiles in the vending room were loose and not cut properly to fit on the floor, and the North Unit shower room had missing/broken tiles on the floor and wall, floors were dirty, missing corner pieces, the skid strips were partially missing and coming up from the floor. Interview on 09/17/25 at 7:21 A.M., with Licensed Practical Nurse (LPN) #172 confirmed the sewer smell that lingered in the hallways on 100 and 200 hall was coming from the South shower room. The LPN confirmed the carpet tiles behind the nurse's station were dirty. Interview on 09/17/25 at 10:41 A.M., with Resident #38 confirmed the South Unit shower room has a Page 1 of 2 365559 365559 09/17/2025 Rolling Hills Rehab and Care Ctr 68222 Commercial Drive Bridgeport, OH 43912

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many sewer odor, that lingered down the hallway. The resident resided in room which was at the beginning of the 200 hall. Interview and observation on 09/17/25 at 10:53 A.M., with CNA #157 confirmed the sewer odor on 100 and 200 hallways comes from the South Unit shower room. Observation and interview on 09/17/25 at 12:46 P.M. of Resident #3's room (unoccupied at the time of the observation) revealed the room had an odor that lingered into the hallway. The toilet had a black substance stuck to the inside of the toilet bowl, the flooring was coming up in the bathroom and had a brown substance on it, and the bathroom had a strong urine odor. These findings were confirmed with CNA #108, the MD, and Central Supply #142 at the time of the observation. This deficiency represents non-compliance investigated under Complaint Number 2609731. 365559 Page 2 of 2