Health inspection·January 24, 2023

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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observations and interviews the facility failed to provide a dignified existence for all residents. This affected one (Resident #36) of 10 residents observed for activities and staff interaction. The census was 66. Findings Include: Review of medical record revealed Resident #36 was admitted on [DATE]. Diagnoses included unspecified dementia, history of falls, and anxiety disorder. Resident #36 was receiving hospice services. Review of the plan of care dated 08/17/21 revealed Resident #36 was at risk for falls due to balance problems, history of falls and weakness. Review of the plan of care dated 12/09/22 revealed Resident #36 had a self-care deficit and required assistance by staff for activities of daily living (ADL). Review of the 01/16/23 quarterly Minimum Data Set (MDS) 3.0 assessment for Resident #36 revealed she had severe cognitive impairment. Observation on 01/18/23 from 10:03 A.M. to 12:00 P.M. revealed Resident #36 dressed in street clothes seated in a Broda (geriatric) chair in front of the nurse's desk. Staff walking by Resident #36 did not engage with her in any manner; the staff did not extend a greeting or make any acknowledgement of her presence at any time during the observation. Observations on 01/18/23 from 1:55 P.M. to 3:52 P.M. revealed Resident #36 dressed in street clothes seated in a Broda chair in front of the nurse's desk. Staff were observed walking past Resident #36 with no interaction. Observation on 01/18/23 at 3:53 P.M. revealed staff taking Resident #36 to her room to complete incontinence care. Observation on 01/18/23 at 4:11 P.M. revealed Resident #36 was back out in front of the nurse's desk. Observation and interviews on 01/18/23 at 4:12 P.M. with State Tested Nurse Assistant (STNA) #40, Licensed Practical Nurse (LPN) #41 and Registered Nurse (RN) #89 revealed they were seated behind the nurse's desk. All staff were asked if Resident #36 attended any activities during the day. RN #89 was the only staff to reply stating Resident #36 attended activities in the evenings when family visited. Staff were unable to provide an explanation as to why Resident #36 was seated by herself throughout the day with no interaction by staff as they walked past and with no opportunities to interact with other residents. Page 1 of 2 365711 365711 01/24/2023 Chardon Center 620 Water Street Chardon, OH 44024

F 0550 This deficiency represents non-compliance investigated under Complaint Number OH00138971. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 365711 Page 2 of 2