Health inspection·July 18, 2024

F 0620 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and staff interview, the facility failed to ensure new residents were provided written admission Agreements at the time of admission. This affected four (#8610, #8611, #8613 and #8618) of five residents reviewed for admission procedures. The facility census was 66. Findings Include: 1. Review of the medical record for Resident #8610 revealed an admission date of 05/27/24. Diagnoses included diabetes mellitus type II, lumbar disc degeneration, congestive heart failure and acute myocardial infarction. Resident #8610 was discharged home on [DATE]. Review of the Minimum Data Set (MDS) Discharge-Return Not Anticipated assessment dated [DATE] revealed Resident #8610 had intact cognition, was occasionally incontinent of bowel and bladder, was independent with eating, oral hygiene and bed mobility, and required set up assistance with toileting, bathing, dressing, personal hygiene and transfers. 2. Review of the medical record for Resident #8611 revealed an admission date of 05/29/24. Diagnoses included adult failure to thrive, diabetes mellitus type II, non-pressure chronic ulcer of left heel and foot, morbid obesity, acute kidney failure and depression. Resident #8611 discharged to home on [DATE]. Review of the MDS Discharge-Return Not Anticipated assessment dated [DATE] revealed Resident #8611 had intact cognition, was frequently incontinent of bladder and occasionally incontinent of bowel, required set up assistance for eating and oral hygiene, supervision for personal hygiene and moderate assistance for toileting, bathing, dressing, bed mobility and transfers. 3. Review of the medical record for Resident #8613 revealed an admission date of 05/29/24. Diagnoses included acute osteomyelitis right ankle and foot, diabetes mellitus type II, morbid obesity, partial traumatic amputation of right foot and polyneuropathy. Resident #8613 discharged to home on [DATE]. Review of the MDS Discharge-Return Not Anticipated assessment dated [DATE] revealed Resident #8613 had intact cognition, was frequently incontinent of bowel and bladder, was independent with eating, oral hygiene and bed mobility and required supervision with toileting, bathing, dressing, personal hygiene and transfers. 4. Review of the medical record for Resident #8618 revealed an admission date of 04/08/24. Page 1 of 3 365603 365603 07/18/2024 Aventura at West Park 2950 West Park Drive Cincinnati, OH 45238

F 0620 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Diagnoses included bilateral osteoarthritis of both hips, morbid obesity and edema. Resident #8618 discharged to home on [DATE]. Review of the MDS Discharge-Return Not Anticipated assessment dated [DATE] revealed Resident #8618 had intact cognition, was always incontinent of bladder and frequently incontinent of bowel. required set up assistance with eating and oral and personal hygiene, maximal assistance with toileting and bathing, moderate assistance with bed mobility and transfers and was dependent for dressing. A record request was made on 07/17/24 at 10:30 A.M. to the Business Office Manager (BOM) #102 for evidence written admission Agreements were provided to Residents #8603, #8610, #8611, #8613 and #8618. BOM #102 did not provide the requested evidence. Interview on 07/17/24 at 1:45 P.M. with the Administrator confirmed the facility had no evidence written admission Agreements were provided to Residents #8610, #8611, #8613 and #8618. Follow-up interview on 07/18/24 at 12:20 P.M. with the Administrator re-confirmed Residents #8610, #8611, #8613 and #8618 did not have admission Agreements signed upon admission to the facility. This deficiency represents non-compliance investigated under Complaint Number OH00154443. 365603 Page 2 of 3 365603 07/18/2024 Aventura at West Park 2950 West Park Drive Cincinnati, OH 45238

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on observations and staff interviews, the facility failed to ensure carpets were maintained in a clean and sanitary manner. This affected all 10 residents (#6, #7, #17, #30, #33, #41, #43, #54, #62 and #63) residing on the third floor. The facility census was 66. Findings include: Observations on 07/17/24 of the third floor revealed carpeting with multiple stains throughout the main corridors and sitting area. Interview on 07/17/24 at 10:35 A.M. with Maintenance Aid (MA) #201 confirmed the stained carpeting throughout the third floor. Interview on 07/17/24 at 2:00 P.M. with the Administrator verified the condition of the third floor carpeting. The Administrator indicated steps were being taken to replace the flooring but was unable to provide any specific information on when this was to be completed. This deficiency represents non-compliance investigated under Master Complaint Number OH00155422 and Complaint Number OH00154443. 365603 Page 3 of 3