Health inspection·September 17, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on medical record review, observation, and staff interview, the facility failed to ensure staff assisted residents with feeding in a dignified manner. This affected two (Residents #8 and #72) of five facility-identified residents who required assistance with eating. The facility census was 100 residents. Findings include: Review of the medical record for Resident #8 revealed an admission date of 04/30/21 with diagnoses including hemiplegia, frontal lobe deficit related to cerebrovascular accident, and dementia. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #8 dated 07/31/23 revealed the resident had impaired cognition and required moderate assistance with eating. Review of the nutritional assessment for Resident #8 dated 08/01/24 revealed the resident was on a regular diet with pureed textures. Observation on 09/16/24 at 11:43 A.M. revealed Resident #8 was seated in a wheelchair with an over the bed table across her lap. State Tested Nurse Aide (STNA) #114 delivered and set up Resident #8's meal tray. STNA #114 then fed Resident #8 her lunch meal while standing over the resident at the resident's side. Interview on 09/16/24 at 11:52 A.M. with STNA #114 confirmed she was standing over Resident #8 while feeding the resident. 2. Review of the medical record for Resident #72 revealed an admission date of 03/20/23 with diagnoses including Alzheimer's disease, diabetes mellitus type two, hypertension, and peripheral vascular disease. Review of the MDS assessment for Resident #72 dated 07/25/24 revealed the resident had cognitive impairment and required partial to moderate assistance with eating. Review of the nutritional assessment for Resident #72 dated 06/28/24 revealed the resident was on a pureed diet with regular textures. Resident #72 was a slow eater and required staff assistance as needed. Observation on 09/16/24 at 11:54 A.M. revealed Resident #72 was seated in her wheelchair with an over the bed tray table across her lap. STNA #117 delivered and set up the resident's meal tray. STNA Page 1 of 2 365620 365620 09/17/2024 Riverview Post Acute 7743 County Road 1 South Point, OH 45680

F 0550 #117 then fed Resident #72 her lunch meal while standing over the resident at the resident's side. Level of Harm - Minimal harm or potential for actual harm Interview on 09/16/24 at 11:59 A.M. with STNA #117 confirmed she was standing over Resident #72 while feeding the resident. Residents Affected - Few Interview on 09/17/24 at 10:45 A.M. with the Director of Nursing (DON) confirmed staff should sit down at eye level when feeding residents. The DON further confirmed that staff standing over a resident while feeding or assisting a resident did not provide the resident a dignified dining experience. This deficiency represents noncompliance investigated under Complaint Number OH00157601. 365620 Page 2 of 2