Health inspection·August 30, 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. Based on observation and interview the facility failed to provide privacy during incontinence care. This affected two of three sampled residents (#13 and #35), one which was observed during a random observation. The facility census was 60. Findings include: 1. Observation from the hallway outside of Resident #13's room on 08/30/23 at 6:01 A.M. revealed State Tested Nursing Assistant (STNA) #200 providing incontinence care to Resident #13. The door to Resident #13's room was open and the privacy curtain was not pulled around the bed. Resident #13 was not interviewable. 2. Observation of incontinence care on 08/30/23 at 6:12 A.M. with STNA #200 for Resident #35 revealed STNA #200 did not close the door or pull the privacy curtain prior to beginning incontinence care. Interview with STNA #200 at time of observation revealed the door and/or the privacy curtain should have been closed prior to beginning incontinence care. Resident #35 was not interviewable. This deficiency represents non-compliance investigated under Complaint Number OH00145488. Page 1 of 2 365730 365730 08/30/2023 Embassy of Euclid 3 Gateway Dr Euclid, OH 44119

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure timely incontinence care was provided. This affected one resident (#58) of two observed for incontinence care. The facility census was 60. Findings include: Review of Resident #58's medical records revealed an admission date of 06/28/22. Diagnoses included muscle weakness and dementia. Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #58 had intact cognition, required extensive assistance with toileting and was incontinent of bowel and bladder. Review of Resident #58's care plan dated 07/19/23 revealed Resident #58 was incontinent of bowel and bladder. Interventions included provide incontinence care every two hours and as needed. Observation of incontinence care on 08/30/23 at 6:48 A.M. with State Tested Nursing Assistant (STNA) #205 and #206 for Resident #58 revealed Resident #58 was incontinent of a large of amount of urine and stool. Further observation revealed Resident #58 was wearing an incontinence liner inside of the incontinence brief and both were soaked with dark stale smelling urine and urine had soaked through to Resident #58's pants, sheets and onto the mattress. STNA #205 stated she was unable to recall when she had last provided Resident #58 with incontinence care. Resident #58 was not interviewable. This deficiency represents non-compliance investigated under Complaint Number OH00145488. 365730 Page 2 of 2