Inspection·July 31, 2025

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, review of facility water temperature logs, and review of the facility policy, the facility failed to maintain safe water temperatures. This had the potential to affect all residents residing on the 300-hall (Resident #6, #8, #9, #19, #21, #22, #26, #30, #34, #35, #50, #55, #56, #58, #60, #62, #65, #67, and #71), all residents residing on the 400-hall (#5, #12, #13, #14, #20, #23, #27, #32, #68, and #69) and residents residing in room [ROOM NUMBER]. The facility census was 66.Review of the facility's hot water temperature logs for 07/02/25 through 07/24/25, revealed on 07/09/25 the hot water temperature in room [ROOM NUMBER] was 127 degrees Fahrenheit, the hot water temperature in room [ROOM NUMBER] was 128 degrees Fahrenheit, and the hot water temperature in room [ROOM NUMBER] was 124 degrees Fahrenheit. On 07/24/25, the hot water temperature in room [ROOM NUMBER] was 123 degrees Fahrenheit, the hot water temperature in room [ROOM NUMBER] was 122 degrees Fahrenheit, the hot water temperature in room [ROOM NUMBER] was 124 degrees Fahrenheit, and the hot water temperature in room [ROOM NUMBER] was 123 degrees Fahrenheit. On 07/28/25, the hot water temperature in room [ROOM NUMBER] was 128 degrees Fahrenheit, the hot water temperature in room [ROOM NUMBER] was 125 degrees Fahrenheit, the hot water temperature in room [ROOM NUMBER] was 130 degrees Fahrenheit, and the hot water temperature in room [ROOM NUMBER] was 128 degrees Fahrenheit. Observations on 07/28/25 from 11:47 A.M. through 12:38 P.M. of the facility's secured memory care unit (400-hall) revealed hot water temperatures were taken for all bathrooms located in all resident rooms. Hot water temperatures in resident bathrooms ranged from 130 degrees Fahrenheit to 132 degrees Fahrenheit.Observations on 07/28/25 from 12:40 P.M. to 12:50 P.M. of rooms located near each end of the 300-hall revealed hot water temperatures in resident bathrooms were 130 degrees Fahrenheit.An interview on 07/28/25 at 1:17 P.M. with Maintenance Director #530 verified hot water temperatures on the 300-hall and 400-hall had been running high for several weeks and were supposed to be below 120 degrees Fahrenheit. Maintenance Director #530 reported the facility had some plumbing work completed on 07/02/25 and the hot water temperatures in resident rooms located on the aforementioned halls began running high following that work. Maintenance Director #530 reported they had contacted the plumbing company who completed the work, but the company had not been able to come back and did not always show up when they said they were going to. Maintenance Director #530 reported they had not contacted a second plumbing company regarding the hot water temperatures that had been running too high and had not implemented any measures to protect residents while water temperatures remained high. Maintenance Director #530 was asked several times and reported there was no way for the facility to physically turn the temperatures down in the facility.On 07/28/25 from 1:27 P.M. through 1:35 P.M., Maintenance Director #530 used the facility's digital thermometer to test the hot water temperature in the bathrooms of room [ROOM NUMBER], #312, and #405, and obtained a reading of 132 degrees Fahrenheit for each room. On 07/28/25 from 1:31 P.M. through 1:50 P.M., Maintenance Director #530 checked the hot (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 5 Event ID: 365625 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 365625 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/31/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Altercare of Bucyrus Center Fo 1929 Whetstone Street Bucyrus, OH 44820 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)