Health inspection·September 1, 2022

F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Potential for minimal harm Based on record review, facility policy and procedure review and interview the facility failed to ensure all employees were checked against the Ohio Nurse Aide Registry (NAR) prior to or on their first day of work/hire to ensure the employee did not have a finding entered into the State nurse aide registry concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of their property as required. This had the potential to affect all 114 residents residing in the facility. Residents Affected - Many Findings include: Review of the personnel file for Registered Nurse (RN) #548 revealed a hire date of 03/28/22. There was no printed evidence of RN #548 being checked against the NAR prior to or on the first day of work/hire. Review of the personnel file for RN #547 revealed a hire date of 06/13/22. There was no printed evidence of RN #547 being checked against the NAR prior to or on the first day of work/hire. Review of the personnel file for Licensed Practical Nurse (LPN) #569 revealed a hire date of 07/05/22. There was no printed evidence of LPN #569 being checked against the NAR prior to or on the first day of work/hire. On 08/31/22 at 9:05 A.M. interview with Director of Nursing (DON) and RN #578 confirmed screening/checking employees through the Ohio Nurse Aide Registry for abuse, neglect, exploitation, and misappropriation were not completed for LPN #569, RN #547, and RN #548 prior to or on the first date of hire to ensure the employee did not have a finding entered into the State nurse aide registry concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of their property. DON further verified the facility checked nursing assistants through the NAR but not all individuals prior to or on the first date of hire. Review of the facility policy titled Abuse and Neglect, revised 06/03/22, revealed the facility will not employ individuals who have a finding of abuse, neglect, or misappropriation of property in the State Nurse Aide Registry. 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: 365574 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 365574 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/01/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Crandall Nursing Home 800 S 15th St Sebring, OH 44672 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)