Health inspection·March 21, 2024

F 0756 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 2. Review of Resident #178's medical record revealed an admission date of 11/03/22. Diagnoses included Alzheimer's disease, insomnia, and depression. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #178 was severely cognitively impaired and received antidepressants. Review of the pharmacy recommendations completed on 07/14/23 for Resident #178 revealed a request to decrease Trazodone (antidepressant) from 37.5 milligrams (mg) to 25 mg. The physician responded on 07/20/23 to decrease Trazodone from 37.5 mg to 25 mg. There was no physician order written on 07/20/23. The progress note dated 07/25/23 for Resident #178 revealed the pharmacist was at bedside and suggested reduction of Trazodone from 37.5 mg to 25 mg. The physician reviewed and agreed. There was no physician order written on 07/25/23. Review of the Medication Administration Record (MAR) for 07/2023, 08/2023 and 09/2023 revealed Resident #178 was receiving 37.5 mg of Trazodone one time a day. Review of the pharmacy recommendations completed on 10/11/23 for Resident #178 revealed a request to decrease Trazodone from 37.5 mg to 25 mg. The physician responded on 10/12/23 with agreement to decrease dosage. On 10/19/23, a physician order was written to decrease Trazodone to 25 mg. Interview on 03/21/24 at 11:48 A.M. with the Director of Nursing (DON) confirmed Trazodone was not decreased after pharmacist recommendation and physician agreement on 07/20/23 or 07/25/23. The DON confirmed Trazodone dosage was decreased after an additional recommendation was conducted from the pharmacist on 10/11/23. The DON confirmed Resident #178 received Trazodone 37.5 mg until 10/19/23. Review of the facility's undated policy titled Pharmacy Review Policy, revealed the pharmacist will report any irregularities found in the monthly review to the attending physician, the facility medical director, and director of nursing. Irregularities include, but are not limited to, any drug that meets the criteria of an unnecessary medication. Documentation will be in the resident's medical record by the attending physician that the finding has been reviewed and what, if any, action has been taken to address it. If there is to be no change in the medication, the attending physician should document his or her rationale in the resident's medical record. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 2 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 2. Review of the medical record for Resident #2 revealed an admission date on 10/06/23. Diagnoses included retention of urine, urinary incontinence, and sepsis. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #2 had impaired cognition. Residents Affected - Few Review of the progress notes revealed on 12/19/23 at 3:14 P.M., Registered Nurse (RN) #85 contacted Resident #2's community urologist's office and discussed the resident's long-term use of antibiotics for UTI. Resident #2 had a history of chronic infections and the urologist started Resident #2 on a prophylactic antibiotic. The resident's family agreed with the therapy due to no negative impact on the resident. Review of the physician orders for Resident #2 revealed the resident had the following orders: Cephalexin (Keflex-an antibiotic) 250 milligrams (mg) daily for prophylactic dated 01/24/24 and discontinued 02/20/24, Contact isolation for extended-spectrum beta-lactamase (ESBL) dated 01/26/24 and discontinued 01/31/24, Straight cath for a urinalysis (UA) and culture if needed dated 02/09/24 and discontinued on 02/13/24. Review of the Society for Healthcare Epidemiology of America ([NAME]) infection criteria for surveillance of infections dated 02/09/24 for Resident #2 revealed the resident did not meet the criteria for a UTI. The criteria for a resident without an indwelling criteria indicated both criteria #1 and #2 must be present. Resident #2 met criteria #2 only. There was a hand written note that stated, Zero true infection at the top of the sheet. (Resident #2 continued on Cephalexin) Review of the UA with culture laboratory test dated 02/14/24 and reported 02/17/24 revealed Resident #2 had a positive culture with an identified organism of Enterococcus Faecium. Vancomycin was the only susceptible antibiotic listed. Other antibiotics were listed as resistant. Review of the physician order dated 02/20/24 revealed an order for Vancomycin Hydrochloride (HCl) Oral Solution Reconstituted (an antibiotic) 25 mg/milliliter (mL) give 10 mL twice daily for UTI. The Vancoycin was discontinued on 02/26/24. On 02/27/24, an order for Cephalexin 250 mg daily for prophylactic use and it was discontinued on 03/12/24. On 03/11/24, an order was to collect UA and culture due to increase in behavior and on 03/12/24, an order for Bactrim DS Oral Tablet 800-160 mg twice daily for UTI for five days and discontinued 03/17/24. On 03/15/24, the results of the UA culture revealed Resident #2 had a positive urine culture with the same identified organism, Enterococcus Faecium. Macrobid was a susceptible antibiotic, however, the change did not occur for three additional days after results were reported to the facility. Nitrofurantoin and vancomycin were the only two susceptible antibiotics listed for the organism.Macrobid oral capsule 100 mg every 12 hours for UTI for seven days dated 03/18/24 and was scheduled to end on 03/25/24 Review of the [NAME] infection criteria for surveillance of infections dated 03/11/24 revealed there were not any specific symptoms or criteria marked on the surveillance form for a UTI but indicated Resident #2 met appropriate surveillance criteria for an infection. Resident #2 started on Bactrim antibiotic on 03/12/24. Review of the Medication Administration Records (MARs) dated February and March 2024 revealed (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 3 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0757 Resident #2 received antibiotics as physician ordered. Level of Harm - Minimal harm or potential for actual harm Interview on 03/21/24 at 4:27 P.M. with the Director of Nursing (DON) confirmed Resident #2 was on a long-term antibiotic use therapy as a prophylactic for chronic UTIs that was ordered by an outside urologist prior to the Resident #2's admission to the facility. The DON confirmed Resident #2 had continued to show positive results for UTIs despite the prophylactic antibiotic use. The DON confirmed Resident #2 did not have any of the symptoms listed on the infection criteria sheet such as fever, blood in her urine, pain, or increased urgency, frequency, or incontinence. The DON stated Resident #2 displayed increased behaviors such as yelling out and refused care. The DON confirmed neither of these symptoms were listed on the infection surveillance sheet. The DON confirmed there was no evidence in Resident #2's medical record that prophylactic antibiotic had been reevaluated for appropriateness or effectiveness and had not been discussed with the outside urologist since December (three months ago). The DON confirmed he had not provided any education to Resident #2's family since the resident's urine culture showed ESBL (an antibiotic resistant bacteria). Residents Affected - Few 3. Review of the medical record for Resident #10 revealed a readmission date on 01/06/24. Diagnoses included urinary tract infection (UTI) and seizures. Review of the annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #10 had mildly impaired cognition. Review of the physician orders dated March 2024 revealed Resident #10 had the following orders: urinalysis with culture and sensitivity (UA C & S) for abnormal behavior dated 03/04/24 and Cipro oral tablet (an antibiotic) 250 milligrams (mg) twice daily for seven days for UTI prevention dated 03/05/24 and ended on 03/12/24. Review of the progress notes revealed on 03/03/24 at 4:39 P.M., a nurse noted she attempted to straight catheterize Resident #10 for urine collection but was unsuccessful due to the resident fighting and kicking at the nurse. On 03/05/24 at 2:31 P.M., the physician was updated that staff were not able to obtain a urine sample after making several attempts. The physician ordered to start Cipro 250 mg twice daily for seven days for possible UTI. On 03/05/24 and 03/06/24, Resident #10 was noted to refuse medications. Review of the [NAME] infection surveillance criteria dated 03/03/24 revealed there was no symptoms indicated on the sheet for a UTI. Resident #2 was noted to have increased behaviors. Resident #2 received Cipro antibiotic for twice daily for seven days. A urine culture was not completed due to inability to obtain. Review of the Medication Administration Record (MAR) dated March 2024 revealed Resident #10 refused the antibiotic on 03/06/24 in the morning and was sleeping on 03/10/24. Resident #10 received all other scheduled doses of the antibiotic. Interview on 03/21/24 at 4:27 P.M. with the Director of Nursing (DON) confirmed Resident #2 received an antibiotic without meeting the appropriate criteria for a UTI and a urine culture was not able to be obtained to confirm an infection and organism. Review of the facility's undated policy titled Antibiotic Stewardship revealed antibiotic treatment will be prescribed and administered to residents under the guidance of the facility's antibiotic stewardship program. The purpose is to define and identify infections and adopt the [NAME] definitions of infection as standardized definitions of infection for use in surveillance. The following conditions apply to all of the definitions: all symptoms must be new or acutely worse, many residents have (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 4 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0757 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few chronic symptoms, such as cough or urinary urgency, which are not associated with infection. Identification of infection should not be based on a single piece of evidence. Physician diagnosis should be accompanied by compatible signs and symptoms of infection. Antibiotic use will be monitored. Based on record review, review of the facility policy, and staff interview the facility failed to ensure residents were free from unnecessary medications. This affected three (Resident #2, #9, and #10) of five residents reviewed for unnecessary medication use. The facility census was 32. Findings include: 1. Review of Resident #9's medical record revealed an admission date of 03/04/24. Diagnoses included altered mental status, urinary incontinence, and urinary tract infection (UTI). Review of the quarterly Minimum Data Set (MDS) assessment, dated 02/13/24, revealed the resident had impaired cognition and was taking an antibiotic. Review of Resident #9's urine culture and sensitivity collected on 03/11/24 with a report date of 03/14/24 revealed Resident #9 had a UTI with Serratia Marcescens and Enterococcus Faecium present. The report stated Resident #9 should be treated for Enterococcus Faecium bacteria. Review of the antibiotics effective to treat Enterococcus Faecium showed nitrofurantoin, tetracycline, and vancomycin. Review of the antibiotics resistant to the bacteria revealed the penicillin class. Review of the infectious disease progress note for Resident #9 completed on 03/14/24 at 1:06 P.M. revealed a urine culture was obtained showing Enterococcus and Serratia. During this appointment, an order to start Amoxicillin-Clavulanate (Penicillin antibiotic) for 10 days was placed. Review of Resident #9's physician orders revealed an order for Amoxicillin- Pot Clavulanate with a start date of 03/15/24 for treatment of UTI. Review of the fax transmittal dated 03/21/24 from Columbus infectious disease (CID) specialist revealed Resident #9 was started on Amoxicillin-Clavulanate because Enterococcus Faecium was traditionally sensitive to penicillins. Review of Resident #9's progress notes between 03/14/24 and 03/21/24 revealed the infectious disease doctor was not notified of the culture and sensitivity result. Review of Resident #9's physician orders revealed an order for Doxycycline Hyclate (Tetracycline antibiotic) for treatment of UTI with a start date of 03/21/24. Interview on 03/21/24 at 5:22 P.M. with the Director of Nursing (DON) confirmed CID specialists were not notified of Resident #9's culture and sensitivity. DON #9 confirmed Amoxicillin Pot Clavulanate (Penicillin) was resistant to Enterococcus Faecium, stated CID specialists were notified on 03/21/24 of the results, and started the resident on the proper antibiotic to treat the infection. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 5 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0758 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure the residents received ongoing monitoring of medication side effects for psychotropic and antianxiety medication. This affected two (Residents #8 and #19) of five residents reviewed for unnecessary medications. The facility census was 32. Finding include: 1. Review of Resident #8's medical record revealed an admission date of 07/25/16 with diagnoses of depression and anxiety. Review of the most recent quarterly Minimum Data Set (MDS) assessment completed on 01/08/24 revealed the resident was cognitively impaired and receiving antipsychotics on a routine basis. Review of the care plan completed on 12/20/23 for Resident #8 revealed staff should administer medications as ordered and monitor and document for side effects. Review of Resident #8's current physician orders for 03/2024 revealed an order where the staff were required to monitor for adverse side effects of antipsychotics, initiated on 08/10/23. If side effects are noted, staff should indicate in the Medication Administration Record (MAR) with a N, and document side effects in nurse's notes. Orders for medication administrations for Resident #8 revealed an order for Rexulti (Antipsychotic) with a start date of 02/28/24 for dementia and behavioral disturbance. Review of the medication administration record (MAR) for Resident #8 between 03/01/24 and 03/20/24 revealed adverse side effects were noted seven times on the following dates and time: on 03/05/24 on day and night shift, on 03/15/24 during day shift, on 03/17/24 during day shift, on 03/18/24 during night shift, and on 03/19/24 during day and night shift. The MAR did not describe the side effects Resident #8 exhibited. Resident #8 received daily administration of Rexulti between 03/01/24 to 03/20/24. Review of the progress notes for Resident #8 revealed there was no documentation of the side effects Resident #8 exhibited on 03/05/24 on day and night shift, on 03/15/24 during day shift, on 03/17/24 during day shift, on 03/18/24 during night shift, and on 03/19/24 during day and night shift. Interview on 03/20/24 at 3:24 P.M. with the Director of Nursing (DON) confirmed the staff were required to document observed side effects in the progress notes. The DON confirmed the documentation was not in Resident #8's progress notes for the seven times Resident #8 exhibited side effects noted in the MAR in March 2024. 2. Review of Resident #19's medical record revealed an admission date of 01/21/24 with diagnoses of dementia, depression, and anxiety. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was severely cognitively impaired. Review of Resident #19's physician orders dated 01/21/24 revealed an order where staff are required to monitor and document side effects of antianxiety medications in the progress notes. Resident #19 had an order for Ativan (antianxiety medication) with a start date of 02/29/24 for anxiety and (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 6 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0758 restlessness. Level of Harm - Minimal harm or potential for actual harm Review of the medication administration record (MAR) for Resident #19 revealed identified side effects were noted on 03/05/24 during the day and night shift. The MAR did not describe the side effects Resident #19 exhibited. Resident #19 received Ativan on 03/04/24 at 12:56 P.M. and 03/05/24 at 2:00 P.M. Residents Affected - Few Review of the progress notes from 03/05/24 to 03/06/24 for Resident #19 revealed there was no documentation of the side effects Resident #19 exhibited on 03/05/24 during the day and night shift. Interview on 03/20/24 at 3:24 P.M. with the Director of Nursing (DON) confirmed the staff were required to document observed side effects in the progress notes. The DON confirmed the documentation was not in Resident #19's progress notes for the times Resident #19 exhibited side effects noted in the MAR in March 2024. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 7 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Based on observation, staff interview, review of the dietary spreadsheets, and facility policy review, the facility failed to ensure residents received appropriate portion sizes during a lunch meal. This had the potential to affect all 32 residents who received food from the kitchen. Findings include: Observation of lunch meal service on 03/20/24 at 12:00 P.M. with Server #30 revealed a medium sized metal container was filled with various serving scoops, ladles, and spoons in it. Server #30 did not have a dietary spreadsheet to use for reference when he placed the serving utensils in each food item. Interview on 03/20/24 at 12:08 P.M. with Server #30 confirmed the following serving utensils were used for the following food items: • Breakfast Casserole: #10 scoop (half a cup) • Regular beef stroganoff: #8 scoop (three eights of a cup) • Regular green beans: a large slotted spoon without a portion size • Regular buttered noodles: large spoon without any slots and without a portion size indicated • Pureed green beans: #10 scoop • Pureed noodles: #16 scoop (one-fourth cup) • Pureed broccoli: #16 scoop • Pureed pears: #16 scoop Review of the dietary spreadsheets for the lunch meal on 03/20/24 revealed the following discrepancies on what was actually served to the residents and what should have been served: (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 8 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0803 • Level of Harm - Minimal harm or potential for actual harm The residents were to receive breakfast casserole with a #8 scoop (but received #10 scoop) • Residents Affected - Many Regular beef stroganoff: #10 scoop (but received #8 scoop) • Regular green beans: #8 scoop (but a slotted spoon was utilized) • Regular buttered noodles: #8 scoop (but a slotted spoon was utilized) • Pureed green beans: #8 scoop (but received #10 scoop) • Pureed noodles: #8 scoop (but received #16 scoop) • Pureed pears: #8 scoop: (but received #16 scoop) Interview on 03/20/24 at 12:35 P.M. with Dining Director (DD) #108 confirmed the large spoons (slotted and unslotted) were not to be used for portion control and should not have been used to serve the meal unless it was specifically indicated on the dietary spreadsheet. DD #108 confirmed the appropriate portions and scoops were not used during the meal service. Review of the facility's undated policy titled Portion Control revealed the menu should list the specific portion size for each food item. Menus should be posted on the tray line so staff can refer to the proper portions for each diet. Food should be served with ladles, scoops, spoodles, and spoons of standard sizes. Portions that are too small result in the individual not receiving the nutrients needed. Portions that are too large increase food as well as providing the individual with more food than needed. Review of the facility's undated policy titled Accuracy and Quality of Tray Line revealed the menu extensions (food items and amounts for each regular or therapeutic diet) should be displayed where the tray line staff can easily see them. The meal will be checked against the therapeutic diet spreadsheets to assure that foods are served as listed on the menu. Each meal tray will be checked for: accuracy of following the therapeutic diet extension and proper portion sizes. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 9 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observations, staff interviews, and facility policy review, the facility failed to properly store and date food items in the freezer area of the kitchen and failed to utilize appropriate hand hygiene during lunch meal service. This had the potential to affect all 32 residents who received food from the kitchen. Findings include: During the initial tour of the kitchen on 03/19/24 at 10:32 A.M. with Dining Director (DD) #108, the following food items were found to be stored inappropriately and not dated in the freezer: a large plastic bag of chili lime tilapia which had been opened with no date, a plastic bag of chicken fingers which had been opened with no date, a plastic bag of popcorn shrimp which had been opened with no date, a bag of Texas Toast which had been opened and was missing four pieces of toast did not have a date, a bag of frozen sub buns in a blue plastic bag which had been torn open, exposing the buns directly to the cold air, and did not have a date on it, and a bag of egg rolls which had been opened with no date. DD #108 confirmed all of the above findings. Review of the facility policy titled Food Storage, dated 03/2023, revealed under frozen foods: all foods should be covered, labeled, and dated. 2. Observation of the lunch meal service on 03/20/24 at 12:00 P.M. with Server #30 revealed the server first checked all of the food temperatures using napkins and alcohol wipes to clean the thermometer in between foods. After food temperatures were completed, Server #30 transitioned to tray line. Server #30 did not wash his hands between taking the food temperatures and donning clean gloves to start the lunch tray service. Continuous observation of Server #30 revealed the server touching resident's plates and bowls with the potentially contaminated gloves. Server #30 did not change his gloves or wash his hands during the duration of the meal service observation. Interview on 03/20/24 at 12:35 P.M. with Dining Director (DD) #108 confirmed Server #30 should have washed his hands with soap and water prior to donning clean gloves. Review of the facility policy titled Hand Washing, dated 2023, revealed when to wash hands: before donning disposable gloves for working with food and after gloves are removed. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 10 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the facility policy, staff interview, observation, and record review, the facility failed to ensure staff sanitized their hands after glove changes during a suprapubic indwelling catheter dressing change. This affected one (Resident #21) of three residents reviewed for urinary catheter or urinary tract infection. The facility identified three residents with urinary catheters. The facility census was 32. Residents Affected - Few Findings include: Record review of Resident #21 revealed an admission date of 12/15/23. Diagnoses included obstructive and reflux uropathy and urinary retention. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #21 was moderately cognitively impaired and had an indwelling urinary catheter. Review of the physician's order dated 03/13/24 revealed an order to cleanse super pubic cath stoma (insertion site) with normal saline, gauze, pad dry . Apply chamosyn cream to super pubic catheter stoma for redness daily. Every day shift for redness. Observation of Resident #21's suprapubic indwelling catheter dressing change on 03/20/24 at 2:48 P.M. revealed Registered Nurse (RN) #74 gathered her supplies and she washed her hands with soap and water and put on clean gloves. RN #74 removed the old dressing surrounding the suprapubic catheter insertion site. RN #74 washed her hands and changed gloves then cleaned the site with body wash. She took off her soiled gloves and put on new gloves. RN #74 did not wash hands or use hand sanitizer after removing her soiled gloves and before putting on gloves. RN #74 used normal saline nd gauze to clean the site. She then put chamosyn cream on the site and placed the gauze around the site then took off her soiled gloves. RN #74 did not wash her hands or use hand sanitizer and then put on clean gloves and placed tape around the dressing while holding the dressing down with her gloves. Interview with RN #74 on 03/20/24 at 3:03 P.M. verified she did not wash hands or use hand sanitizer after removing her soiled gloves two different times during Resident #21's dressing change. Review of the undated handwashing policy revealed appropriate 20 seconds hand washing with antimicrobial or non-antimicrobial soap and water must be performed under the following conditions: after handling items potentially contaminated with blood, body fluids, or secretions; after patient/resident care; if hands are not visibly soiled, an alcohol-based hand rub, can be utilized for no more than three-fourths of the times, or following manufactures guidelines. But always wash hands if water and sink are available. Gel to be used only if hand washing tools not available. Under the following conditions: after removing gloves. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 11 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0881 Implement a program that monitors antibiotic use. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interviews, and facility policy review, the facility failed to implement their antibiotic stewardship program to ensure infections and antibiotics were monitored. This affected two (Residents #2 and #10) of three residents reviewed for antibiotic use. The facility census was 32. Residents Affected - Few Findings include: 1. Review of the medical record for Resident #2 revealed an admission date on 10/06/23. Diagnoses included retention of urine, urinary incontinence, and sepsis. Review of the physician orders for Resident #2 revealed the resident had the following orders: Cephalexin (Keflex-an antibiotic) 250 milligrams (mg) daily for prophylactic dated 01/24/24 and discontinued 02/20/24. Review of the Society for Healthcare Epidemiology of America ([NAME]) infection criteria for surveillance of infections dated 02/09/24 for Resident #2 revealed the resident did not meet the criteria for a UTI. The criteria for a resident without an indwelling criteria indicated both criteria #1 and #2 must be present. Resident #2 met criteria #2 only. There was a hand written note that stated, Zero true infection at the top of the sheet. (Resident #2 continued on Cephalexin.) On 03/11/24, an order was to collect UA and culture due to increase in behavior and on 03/12/24, an order for Bactrim DS Oral Tablet 800-160 mg twice daily for UTI for five days and discontinued 03/17/24. Review of the [NAME] infection criteria for surveillance of infections dated 03/11/24 revealed there were not any specific symptoms or criteria marked on the surveillance form for a UTI but indicated Resident #2 met appropriate surveillance criteria for an infection. Resident #2 started on Bactrim antibiotic on 03/12/24. Interview on 03/21/24 at 4:27 P.M. with the Director of Nursing (DON) confirmed Resident #2 was on a long-term antibiotic use therapy as a prophylactic for chronic UTIs that was ordered by an outside urologist prior to the Resident #2's admission to the facility. The DON confirmed Resident #2 had continued to show positive results for UTIs despite the prophylactic antibiotic use. The DON confirmed Resident #2 did not have any of the symptoms listed on the infection criteria sheet such as fever, blood in her urine, pain, or increased urgency, frequency, or incontinence. The DON stated Resident #2 displayed increased behaviors such as yelling out and refused care. The DON confirmed neither of these symptoms were listed on the infection surveillance sheet. The DON confirmed there was no evidence in Resident #2's medical record that prophylactic antibiotic had been reevaluated for appropriateness or effectiveness and had not been discussed with the outside urologist since December (three months ago). 2. Review of the medical record for Resident #10 revealed a readmission date on 01/06/24. Diagnoses included urinary tract infection (UTI) and seizures. Review of the physician orders dated March 2024 revealed Resident #10 had the following orders: urinalysis with culture and sensitivity (UA C & S) for abnormal behavior dated 03/04/24 and Cipro oral tablet (an antibiotic) 250 milligrams (mg) twice daily for seven days for UTI prevention dated (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 12 of 13 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 365671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Worthington Christian Village 165 Highbluffs Blvd Columbus, OH 43235 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)

F 0881 03/05/24 and ended on 03/12/24. Level of Harm - Minimal harm or potential for actual harm Review of the [NAME] infection surveillance criteria dated 03/03/24 revealed there was no symptoms indicated on the sheet for a UTI. Resident #2 was noted to have increased behaviors. Resident #2 received Cipro antibiotic for twice daily for seven days. A urine culture was not completed due to inability to obtain. Residents Affected - Few Interview on 03/21/24 at 4:27 P.M. with the Director of Nursing (DON) confirmed Resident #2 received an antibiotic without meeting the appropriate criteria for a UTI and a urine culture was not able to be obtained to confirm an infection and organism. Review of the facility's undated policy titled Antibiotic Stewardship revealed antibiotic treatment will be prescribed and administered to residents under the guidance of the facility's antibiotic stewardship program. The purpose is to define and identify infections and adopt the [NAME] definitions of infection as standardized definitions of infection for use in surveillance. The following conditions apply to all of the definitions: all symptoms must be new or acutely worse, many residents have chronic symptoms, such as cough or urinary urgency, which are not associated with infection. Identification of infection should not be based on a single piece of evidence. Physician diagnosis should be accompanied by compatible signs and symptoms of infection. Antibiotic use will be monitored. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 365671 If continuation sheet Page 13 of 13