Health inspection·August 17, 2023

F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and policy review the facility failed to ensure restorative range of motion (ROM) exercises were completed as ordered by the physician. This finding affected two residents (#8 and #76) of three residents reviewed for restorative ROM exercises. Findings include: 1. Review of Resident #76's medical record revealed the resident was admitted on [DATE], readmitted on [DATE] and discharged to the hospital on [DATE] with diagnoses including anoxic brain damage, muscle weakness, and tracheostomy status. Review of Resident #76's physician orders revealed an order dated 03/29/23 for restorative passive ROM exercises to all extremities for at least fifteen minutes a day every shift. Review of Resident #76's Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had severe cognitive impairment and required extensive two staff assist for bed mobility, dressing, and personal hygiene as well as total dependence of two staff assist for transfers, eating, and toilet use. Review of the State Tested Nursing Assistant (STNA) tracking documentation from 07/07/23 to 08/15/23 revealed no evidence Resident #76 received passive ROM exercises as ordered. Interview on 08/15/23 at 12:10 P.M. with the Administrator confirmed the order was accidentally entered into Resident #76's electronic charting for staff to do passive ROM exercises as needed. He confirmed Resident #76's medical record and STNA documentation did not have evidence the passive ROM exercises were completed by the nursing staff as ordered. 2. Review of Resident #8's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including muscle weakness, acute on chronic diastolic congestive heart failure, and unspecified dementia. Review of Resident #8's physician orders revealed an order dated 02/05/22 for active ROM exercises to all extremities at least fifteen minutes a day every night shift. Review of Resident #8's MDS 3.0 quarterly comprehensive assessment dated [DATE] revealed the resident exhibited moderate cognitive impairment. (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 3 Event ID: 365795 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 365795 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Center for Rehabilitation and Healing 850 East Midlothian Blvd Youngstown, OH 44507 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)