Inspection·April 29, 2024

F 0742 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, review of admission documents, staff interviews, and review of facility policy, the facility failed to timely implement effective and individualized interventions to address behavioral health concerns. In addition, the facility failed to monitor the effectiveness of interventions once implemented. This affected one (#70) of three residents reviewed for behavioral health services. The facility census was 167. Findings include: Review of the medical record for Resident #70 revealed an admission date of 04/17/24. Further review revealed Resident #70 passed away in the facility on 04/26/24. Resident #70 had diagnoses including left non-dominant side hemiplegia and hemiparesis following cerebral infarction, type one diabetes mellitus, psychosis, anxiety disorder, major depressive disorder, delirium, and insomnia. Further review of the medical record revealed Resident #70 was transferred from another facility. Review of admission documents, which included progress notes from the previous facility, revealed the following behaviors: 04/09/24 Resident yelling out, refused to use call light, called staff inappropriate names, used foul language, and wanted someone to stay in the room with her; 04/10/24 behaviors of yelling out; 04/11/24 Resident yells out; 04/15/24 at 12:28 A.M. Resident yells out often, almost constantly, tries to get out of bed, pulled tube feeding line apart, resident needs constant monitoring; and 04/15/24 at 9:40 A.M. Resident continues to yell out frequently and several attempts to self-transfer, interventions ineffective except sitting with resident and providing 1:1. Review of the Nursing admission Evaluation, dated 04/17/24, indicated Resident #70 exhibited no behaviors and included care planning for psychosocial well-being. Interventions included to observe for signs and symptoms of psychosocial issues and initiate resident specific interventions. Review of the plan of care initiated 04/18/24 revealed no care plan interventions related to behavioral challenges. On 04/19/24, a focus area was initiated for the use of antipsychotic and antidepressant medication. Interventions included administer medications as ordered, monitor for side effects, encourage resident to voice feelings and discuss coping skills, maintain consistent daily routine when possible, provide calm environment and limit over stimulation. Further review revealed on 04/23/24 (six days after admission), a care plan focus area was initiated, which indicated Resident #70 had a behavior problem: yelling out, delusions, agitation, resistive to personal care, crawling out of bed onto fall mat, removing soft boots and dressing to left foot, and crawling and rolling on the floor. Interventions included administer medications as ordered, observe and document effectiveness (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 5 Event ID: 365779 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 365779 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/29/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wyant Woods Healthcare Center 200 Wyant Rd Akron, OH 44313 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)