Health inspection·November 20, 2024

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of facility Self-Reported Incidents (SRI), staff interview, and policy review, the facility failed to ensure residents were free from verbal abuse. This affected one (#64) of three residents reviewed for abuse. The facility census was 89. Findings include: Review of the medical record of Resident #64 revealed an admission date of 01/15/20. Diagnoses included Alzheimer's disease, anxiety disorder, dementia with behavioral disturbance, rheumatoid arthritis, delusional disorders, essential hypertension, heart failure, benign prostatic hyperplasia, unsteadiness on feet, and major depressive disorder. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severely impaired cognition. The resident exhibited fluctuating inattention and continuous disorganized thinking during the assessment period. The resident utilized a walker and required partial/moderate assistance with transfers and supervision or touching assistance for walking 10 feet. Review of the care plan dated 12/21/23 revealed Resident #64 had the potential for behavioral issues related to a diagnosis of Alzheimers dementia with behavioral disturbance and a history of episodes of increased anxiety, agitation, paranoia, and delusions. The resident was noted to attempt to put himself on the floor and say God wanted him to do it. Interventions included to approach in a calm and gentle manner. Review of a progress note dated 10/18/24 at 9:04 A.M. revealed the nursing assistant informed the nurse Resident #64 was on the floor. The resident was observed sitting on the floor, leaning on the couch and the aid stated she was helping him walk from bed to the couch when the resident became aggressive and resistive to care and slid to the floor. The resident was assessed and no injuries were noted. Review of the SRI dated 10/18/24 revealed Resident #64's family alleged State Tested Nursing Assistant (STNA) #300 dropped Resident #64 during a transfer. STNA #300 was assisting Resident #64 with personal care and transferring him to his chair when the resident had a behavioral episode and began to stiffen and would not move, stating, God told him to do it. STNA #300 then began trying to move the resident to sit on the couch and the resident began falling to the floor during the transfer stating, God told me to do it. The STNA told the resident to get his behind up and the STNA let go of the (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: 365603 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 365603 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/20/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aventura at West Park 2950 West Park Drive Cincinnati, OH 45238 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)