Health inspection·February 24, 2026

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations of the facility, staff interview, and policy review, the facility failed to maintain a safe, clean, homelike environment. This affected four residents (#4, #5, #13, and #14) of seven residents reviewed for environment and had the potential to affect 35 residents on the north unit. The facility census was 70. Findings include:1.Record review revealed Resident #4 was admitted to the facility on [DATE] with diagnoses including type II diabetes and hypertension. Record review revealed Resident #5 was admitted to the facility on [DATE] with diagnoses including thyrotoxicosis and muscle weakness. Initial tour of the facility was completed on 02/23/26 between 9:20 A.M. and 9:37 A.M. and revealed there were splatters on the walls on the north unit which were brown in color. Interview with Residents #4 and #5 on 02/23/26 at 12:15 P.M. revealed they felt the facility was not very well taken care of and it was dirty. Observation and interview on 02/23/26 at 4:25 P.M. with Licensed Practical Nurse (LPN) #107 confirmed there was a floor tile in the hallway which had broken in half with the broken half missing and there were baseboards coming loose. A tour with Administrator and Director of Nursing (DON) were completed on 02/24/26 from 10:00 A.M. to 10:20 A.M. and revealed there were missing floorboards, loose floorboards, splatters on the wall, three vents with rust, and missing half of a floor tile which could be a tripping hazard. 2.Record review revealed Resident #13 was admitted to the facility on [DATE] with diagnoses including epilepsy and hypo-osmolality and hyponatremia. Record review revealed Resident #14 admitted to the facility on [DATE] with diagnoses including schizoaffective disorder and type II diabetes. Observation on 02/23/26 at 3:45 P.M. revealed Resident #13 and #14 were roommates. Observation on their room revealed Resident #14's footboard had trim on the left side which had come off and she had tried to tape it back on but the tape did not hold so there was a gap between the trim and footboard of approximately two inches, the grout around the toilet was dirty and brown, the toilet moved, and the sharps container was overflowing. Interview on 02/23/26 at 4:00 P.M. with Certified Nursing Assistant (CNA) #123 confirmed the trim and footboard had about a two-inch gap, the grout around the toilet was brown and the sharps container was overflowing. Interview on 02/23/26 at 4:15 P.M. with LPN #107 confirmed trim and footboard had about a two-inch gap, the grout around the toilet was brown and the sharps container was overflowing. Additionally, she confirmed the toilet moved. Review of a policy titled Safe and Homelike Environment dated 06/01/24 revealed in accordance with resident rights, the facility will provide a safe, clean, comfortable and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. This includes ensuring the resident can receive care and services safely and that the physical layout of the facility maximizes resident independence and does not pose a safety risk. This deficiency represents non-compliance investigated under Complaint Number 2713371. 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: 365770 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 365770 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/24/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Embassy of Cambridge 1471 Wills Creek Valley Drive Cambridge, OH 43725 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)