Health inspection·April 29, 2024

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Based on medical record review, review of facility Self-Reported Incidents (SRIs), staff interview, and review of the facility policy, the facility failed to report an allegation of sexual abuse to the state survey agency. This affected one (Resident #36) of three residents reviewed for abuse. The facility census was 78. Findings include: Review of the medical record for Resident #36 revealed admission date of 10/09/23 with diagnoses including type two diabetes mellitus, atrial fibrillation, peripheral vascular disease, congestive heart failure and fracture of the right humerus. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #36 dated 04/08/24 indicated the resident had intact cognition. Review of the facility SRIs for 2024 revealed there were no reports related to Resident #36. Interview on 04/23/24 at 9:42 A.M. with the Administrator confirmed the facility investigated an allegation reported by staff on 03/26/24 of an inappropriate relationship between Licensed Practical Nuse (LPN) #10 and Resident #36. Staff had reported the relationship as inappropriate and that they had witnessed LPN #10 hug and kiss Resident #36. During the investigation of the allegation LPN #10 was placed on administrative leave. Further interview with the Administrator confirmed the facility was unable to substantiate abuse. Interview on 04/23/24 at 11:42 A.M. with State Tested Nursing Assistant (STNA) #44 confirmed the STNA had heard other staff talking about Resident #36 and LPN #10 having an inappropriate relationship. STNA #44 confirmed she had seen Resident #36 and LPN #10 exit the elevator together and they were both laughing. When the doors opened, the resident thanked the nurse and called her honey. STNA #44 confirmed she reported this to the nurse manager because she felt that something was going on between Resident #36 and LPN #10, some sort of inappropriate relationship. Interview on 04/23/24 at 11:57 A.M. with LPN #111 confirmed she had witnessed LPN #10 hug residents and/or kiss them on the cheek or the forehead, but she didn't think anything of it. LPN #11 confirmed LPN #10 was overly nice to the residents and seemed like she wanted them to like her. Interview with the Administrator and the Regional Director of Operations (RDO) confirmed the Administrator informed the RDO of the allegations made by staff on 03/26/24 regarding LPN #10 and Resident #36. The Administrator confirmed the facility investigated the allegation and did place the alleged Page 1 of 2 365643 365643 04/29/2024 Portsmouth Health and Rehab 727 Eighth Street Portsmouth, OH 45662

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few perpetrator (AP), LPN #10 on administrative leave pending the investigation. The Administrator confirmed facility did not report the allegation regarding LPN #10 to the state agency, the Ohio Department of Health (ODH.) Review of the facility investigation regarding Resident #36 and LPN #10 dated 03/26/24 revealed the facility interviewed Resident #36 who denied an inappropriate relationship with LPN #10. The facility also interviewed LPN #10, the AP, who also denied having an inappropriate relationship with the resident. The facility interviewed other staff members but was unable to substantiate abuse or any form of mistreatment had occurred. Review of facility policy titled Abuse, Neglect and Exploitation dated 10/24/22 revealed sexual abuse was defined as nonconsensual sexual contact of any type with a resident. The policy stated all alleged violations would be reported to government agencies within specified timeframes. 365643 Page 2 of 2