Inspection·December 11, 2024

F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, record review, and facility policy review, the facility failed to failed to suspend staff pending an abuse investigation. This affected one (Resident #41) of three residents reviewed for abuse. The facility census was 50. Residents Affected - Few Findings include: Record review for Resident #41 revealed she was admitted to the facility on [DATE]. She was under the care of hospice services. Her diagnoses included, heart failure, diabetes mellitus (DM), pruritus, gastro esophageal reflux disease (GERD), dementia, and anxiety disorder. Review of Resident #41's Minimum Data Set (MDS) assessment, dated 09/16/24, revealed she was severely cognitively impaired. Resident #41 was dependent on staff for medication administration. Resident #41 required maximum assistance from staff with eating, oral hygiene, toilet use, bathing, dressing, and personal hygiene. Resident #41 had an indwelling catheter and required hospice services. Review of the Self Reported Incident (SRI) dated 11/11/24 at 12:44 P.M. revealed Resident #41's daughter reported an allegation of neglect that occurred on 11/09/24. Resident #41's daughter alleged Registered Nurse (RN) #81 refused to give Resident #41 her medications. Resident #41's daughter called Emergency Medical Transport (EMT) and had her mother transferred to the hospital. Further review of the SRI investigation stated Assistant Director of Nursing (ADON) #89 interviewed Resident #41 and she stated she felt safe. The report stated RN #81 will no longer provide care to Resident #41. Further review revealed no indication RN #81 was suspended pending an investigation. Interview on 12/05/24 at 2:40 P.M. with the Administrator confirmed the incident of alleged abuse from RN #81 to Resident #41 was not reported until 11/11/24. The Administrator confirmed the facility began a facility investigation of alleged abuse. The Administrator confirmed RN #81 continued to work through the entire investigation and was never suspended pending the outcome of the investigation. The Administrator confirmed the investigation began on 11/11/24 at 12:44 P.M. and was closed on 11/15/24 at 11:28 A.M. Interview on 12/09/24 at 9:59 A.M. with RN #81 confirmed the facility never suspended her at any time from the date of the alleged incident 11/09/24 throughout the conclusion of the investigation 11/15/24. Review of RN #81's time card confirmed RN #81 worked full shifts on 11/11/24 and 11/15/24. Review of the facility policy titled, Abuse, Neglect, Exploitation, Mistreatment, Misappropriation (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 4 Event ID: 365652 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 365652 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/11/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Cottingham Retirement Community 3995 Cottingham Drive Cincinnati, OH 45241 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)