Inspection·April 12, 2024

F 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Level of Harm - Potential for minimal harm Based on observation and interview the facility failed to provide palatable food when gelatine was served in a liquid form. This had the potential to affect all residents who received food from the kitchen. The facility identified five residents (#15, #16, #18, #28 and #31) who received nothing by mouth. The facility census was 92. Residents Affected - Many Findings include: Interview on 04/11/24 at 11:30 A.M. with Resident #85 revealed no menus were provided to residents, and the food was not good. On 04/11/24 at 12:05 PM. observation of tray line in kitchen revealed a meal of pork chops, mashed potatoes, sauerkraut, and gelatine with diced pears. A test tray was requested. On 04/11/24 at 12:40 P.M. the food cart arrived to the 400-hall. At 12:50 P.M. the test tray was obtained after last the resident's tray was delivered. The gelatine was in a liquid form with diced pears in it. Interview at the time of the observation with Dietary Manager #675 verified the gelatine was not served as it should have been at the time of the test tray. Interview on 04/12/24 at 10:05 A.M. with Resident #69 revealed the food was terrible. This deficiency represents non-compliance investigated under Master Complaint Number OH00152468. 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 04/12/2024 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)