Health inspection·March 12, 2024

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation of a video recording, resident interview, staff interview, medical record review, self-reported incident (SRI) review, and policy review, the facility failed to ensure a resident's privacy was maintained, when the resident was video recorded without their permission. During the recording, a staff member was questioning the resident about their opinion on body piercing's. Subsequently the video was posted to a social media website with laughing emojis (small digital image or icon used to express an idea, emotion, etc.) at the bottom of the video. This affected one (#4) of three resident reviewed for privacy. The facility census was 163. Residents Affected - Few Findings include: Review of Resident #4's medical record revealed an admission date of 02/14/2012. Diagnoses included paranoid schizophrenia, dementia, severe psychotic disturbances and with agitation, extrapyramidal and movement disorders, anxiety disorder, delusional disorder, and epilepsy. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #4 was cognitively intact with disorganized thinking which fluctuates and changes in severity. Review of a SRI dated 03/04/24 revealed a State Tested Nurse Aide (STNA) was scrolling through Instagram and came across familiar worker from activities and seen a video of a Resident #4 from [NAME] Woods. The STNA immediately reported to the Assistant Director of Nursing (ADON)/RISK manager immediately. Resident #4 was immediately interviewed and stated she felt safe. Activities Lead #464 was suspected called immediately and suspended pending investigation. Interviews and investigation in progress. Interview on 03/11/24 at 10:27 A.M., with Resident #4 revealed she was talkative. Resident #4 identified herself as a recruiter, a captain, and a volunteer. Resident revealed she never recalled being videotaped. Interview on 03/11/24 at 10:30 A.M., with Registered Nurse (RN) Unit Manager #441 revealed Resident #4 identified as different people daily. Interview on 03/11/24 at 10:33 A.M., with Administrator confirmed on 02/18/24, Activities Lead #464 recorded Resident #4 on her personal phone and posted it on social media. The Administrator revealed she was made aware of the post by another employee on 03/04/23. Administrator revealed she spoke with Activities Lead #464 on 03/04/24 who confirmed she recorded Resident #4 on her personal phone and posted it on social media. Administrator revealed she viewed the post on social media on 03/04/23 and removed the post at that time. Page 1 of 3 365779 365779 03/12/2024 Wyant Woods Healthcare Center 200 Wyant Rd Akron, OH 44313

F 0583 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Observations on 03/11/24 at 10:35 A.M., with the Administrator viewed the video with surveyor which revealed Resident #4 was sitting in the dining room while being recorded. Activities Lead #464 was talking with Resident #4 while video recording her. The conversation included Resident #4 revealing she did not understand those nose rings, Activities Lead #464 laughing questioning what my nose rings. Resident #4 revealed they were like lasers in her eyes, revealed Activities Lead #464 was not working and made a threatening statement. On the bottom of the video shared by Activities Lead #464 on social media were four laughing emojis. Review of the facility policy titled, Social Media Policy dated 10/01/19, included Site Contributors are responsible for assuring it complies with all HIPPA Privacy Policies. This deficiency represents non-compliance investigated under Complaint Number OH00151704 and OH00151219. 365779 Page 2 of 3 365779 03/12/2024 Wyant Woods Healthcare Center 200 Wyant Rd Akron, OH 44313

F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Based on record review of the Payroll Based- Journal (PBJ) Staffing Data Report and staff interview, the facility failed ot meet the required minimum staffing levels to meet the needs of the residents. This had the potential to affect all 163 residents residing at the facility. The facility census was 163. Findings include: Review of the PBJ Staffing Data Report for quarter three 2023, dated 04/01/23 through 06/30/23, revealed a one star staffing rating and excessively low weekend staffing. Interview on 03/12/24 at 2:51 P.M., with Administrator confirmed the PBJ Staffing Data Report for 04/01/23 through 06/30/23 was reported correctly. The facility reported less than sufficient staffing to meet the needs of the residents. The Administrator verified the facility has no evidence of corrective action to fix the low staffing situation. This deficiency represents non-compliance investigated under Complaint Number OH00151062 and OH00151071. 365779 Page 3 of 3