Health inspection·May 9, 2022

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, observation, staff interview, and policy review, the facility failed to ensure the residents were treated with dignity and respect at meal service. This affected one (Resident #120) of 11 residents whom were eating lunch in the dining room. The facility census was 148. Findings include: Record review for Resident #120 revealed Resident #120 was admitted on [DATE]. Diagnoses included congestive heart failure, diabetes mellitus, hypertension, obesity, chronic kidney disease, and anemia. Review of the five-day Medicare Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #120 had no cognitive deficits and required supervision during eating. Observation of lunch service on 05/02/22 from 12:15 P.M. to 12:45 P.M. revealed State Tested Nursing Assistant (STNA) #46 brought Resident #120 into the dining room and placed Resident #120 at the table with Resident #20. Resident #20 was served her lunch at 12:15 P.M. and STNA #46 continued to serve the other nine residents (#14, #25, #31, #35, #41, #48, #59, #124, and #149) in the dining room and then started to set up room trays while Resident #120 was still waiting for her tray. Interview on 05/02/22 at 12:45 P.M. with STNA #46 verified Resident #120 had not been served her lunch and STNA #46 explained she had been forgotten. STNA #46 stated she went into the kitchenette and found Resident #120's meal ticket tucked under a tray and that was why she was forgotten. Review of the facility's Meal Service Policy, dated 05/2021, revealed the Registered Dietician/RD and nursing personnel will assist with the dining room seating charts for each unit. The charts will identify where the residents will be served and help ensure the delivery of the appropriate diet. It also assures that each resident at any given table is served before moving onto the next table, and all residents at one table will be served before moving to the next table. If a resident sits at a table where the tablemates are already eating, his/her tray will be obtained as quickly as possible. This deficiency substantiates Complaint Number OH00114887 and OH00113637. Page 1 of 2 365772 365772 05/09/2022 Eastgate Health Care Center 4400 Glen Este Withamsville Road Cincinnati, OH 45245

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation, staff interview, and policy review, the facility failed to ensure the resident's foods were handled in a manner to prevent the potential spread of food borne illness. This affected three residents (Residents #7, #29, and #60) observed during the afternoon meal. The facility census was 148. Findings include: 1. Observations on 05/02/22 at 12:48 P.M. revealed the residents were being served their afternoon meal. The residents were receiving hamburgers on bun with condiments and toppings consisting of lettuce, tomatoes, mayonnaise and mustard in individual packs. State Tested Nursing Assistant (STNA) #63 was assisting Resident #60 with meal set up. STNA#60 asked Resident #60 what they wanted on their hamburger. The STNA opened the packs of mayonnaise and mustard put on the top bun. STNA# 63 then picked up the lettuce, and tomatoes with her bare hand and placed them on the hamburger, the STNA then wiped her hands on her scrub top and picked up the top bun placed it on the hamburger, used her bare hand to smash the sandwich down and then cut it with the knife. During the same observation on 05/02/22 at 12:50 P.M., STNA #124 was assisting Resident #7 with adding condiments to the resident's hamburger. STNA#124 put mustard and ketchup from individual packets on the sandwich and then placed the top bun on the hamburger with her bare hand then held the sandwich with one bare hand while using the knife to cut the sandwich in half. STNA #124 picked up half the sandwich with her bare hand and handed it to Resident #7. Interview with STNA #124 on 05/02/22 at 1:00 P.M. verified she did touch Resident #7's food with her bare handed and she should have used the resident's eating utensils to apply and cut the food. Interview on 05/02/22 at 1:05 P. M. with STNA #63 verified she applied the condiments with her bare hand and she should have used gloves or utensils when setting Resident #60's meal tray. 2. Observation on 05/02/22 at 12:45 P.M. revealed the residents were being served their afternoon meal. The residents were receiving hamburgers on bun with condiments and toppings consisting of lettuce, tomatoes, mayonnaise and mustard in individual packs. STNA #5 was assisting Resident #29 with meal set up. STNA#5 asked Resident #29 what they wanted on their hamburger. STNA# 5 then picked up the lettuce and tomatoes with her bare hand and placed them on the hamburger, used her bare hand to smash the sandwich down, and then cut it with the knife. During an interview with STNA #5, she verified she touched Resident #29's food with her bare hands. She stated she sanitized her hands but stated she should have applied gloves to touch the food. Review of the facility's policy titled Meal Service dated 05/2021 revealed staff is to serve meals using proper hand techniques. No direct contact with food. 365772 Page 2 of 2