Health inspection·September 15, 2025

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, observation, and interview, the facility failed to ensure a resident, who was dependent on staff for personal care, was provided the assistance needed to complete bathing activities of her choice when scheduled, and nail care was provided when needed. This affected one (Resident #7) of four residents reviewed for activities of daily living (ADL's). The facility census was 48. Findings include: Review of Resident #7's medical record revealed she was admitted to the facility on [DATE]. Her diagnoses included rheumatoid arthritis, osteoarthritis, difficulty walking, and adult-onset diabetes mellitus. Review of Resident #7's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident did not have any communication issues. Her cognition was moderately impaired. She was not known to have displayed any behaviors or reject care during the seven day assessment period (06/20/25- 06/26/25). She required partial/ moderate assistance with showers/ bathing and required set up or clean-up assistance for personal hygiene. Review of Resident #7's active care plans revealed she had a care plan in place for the resident to be at risk for ADL/ mobility decline and required assistance related to limited mobility, rheumatoid arthritis, and polyarthritis. The care plan was initiated on 04/02/25. The goal was for the resident to have her needs anticipated and met by staff. The interventions included encouraging the resident to participate in ADL's to promote independence, provide hand hygiene and nail care per the resident's preference, and to provide showers and/ or bed baths per the resident's preference. There was nothing in her active care plans that indicated she was non-compliant or known to refuse personal care services to include bathing and nail care. Review of Resident #7's care record that was part of her electronic medical record (EMR) revealed the resident's shower days were Wednesdays and Saturdays. Her bathing activity was to occur on the day shift. Review of Resident #7's shower documentation under the task tab of the EMR revealed the resident's last documented shower was on 08/23/25. Nail care was indicated to have been provided on that date as part of her bathing activity. She was indicated to have refused her shower when offered on 08/27/25 (Wednesday). There was no indication of her being offered a shower/ bath on 08/30/25 (Saturday), which was the last day she was scheduled to receive one. On 09/02/2025 at 1:03 P.M, an observation of Resident #7 noted her to be lying in bed. She was noted to have a dark substance under her fingernails on some of her fingers. On at 09/03/2025 at 10:16 A.M., further observation of Resident #7 noted her to be in bed. Her fingernails continued to have a dark colored substance under the ends of her fingernails. An interview with the resident at the time of the observation revealed she did not recall staff offering her a shower on 08/30/25 (Saturday), the last day she was scheduled to receive one. On 09/03/25 at 10:19 A.M. an interview with RN #200 revealed all showers/ baths were documented in the computer. She denied the facility used any paper shower sheets for the documentation of showers. On 09/03/25 at 10:30 A.M., an interview with the Director of Nursing (DON) confirmed Resident #7's scheduled shower days were on Wednesdays and Saturdays and were to be completed on day shift. She Residents Affected - Few (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 6 Event ID: 365780 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 365780 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Marietta Heights Post Acute 5001 State Route 60 Marietta, OH 45750 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)