Health inspection·October 15, 2024

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to ensure showers were completed as scheduled and preferred for Resident #7, #8, #36 and #42 who required staff assistance for showers. This affected four Residents (Residents #7, #8, #36, and #42) out of four residents reviewed for showers. The facility census was 83. Residents Affected - Some Findings include: 1. Review of Resident #7's medical record revealed an admission date of 07/06/24. Medical diagnoses include hemiplegia and hemiparesis following cerebrovascular disease affecting left non-dominant side, repeated falls, epilepsy, and muscle weakness. Review of Resident #7's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had intact cognition and was dependent on staff for toileting hygiene and showers. Review of Resident #7's care plan dated 10/10/24 revealed they were to have a shower every Tuesday, Thursday and Saturday. Review of Resident #7's shower documentation dated 09/19/24 to 10/12/24 revealed the resident did not receive their shower on 09/21/24, 09/26/24, 10/01/24, 10/08/24, and 10/10/24. 2. Review of Resident #8's medical record revealed an admission date of 04/15/24. Medical diagnoses included necrotizing fasciitis, stage four pressure ulcer to sacral region, type two diabetes mellitus, morbid obesity, hypertension, and lack of coordination. Review of Resident #8's quarterly MDS 3.0 assessment dated [DATE] revealed the resident had intact cognition and was dependent on staff for toileting hygiene and required partial to moderate assistance for showers. Review of Resident #8's care plan dated 09/19/24 revealed the resident was to have a shower on Tuesday, Thursday, and Saturday. Review of Resident #8's shower documentation dated from 09/17/24 to 10/12/24 revealed the resident did not receive their shower on 09/21/24, 09/24/24, 10/01/24, 10/08/24, 10/10/24, and 10/12/24. 3. Review of Resident #36's medical record revealed an admission date of 08/30/24. Medical diagnoses included neuroleptic induced parkinsonism, schizoaffective disorder, anxiety disorder, pressure ulcer of right hip, viral hepatitis C, and hypertension. (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 3 Event ID: 365732 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 365732 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/15/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Austintown Healthcare Center 650 S Meridian Road Youngstown, OH 44509 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)