Health inspection·January 15, 2026

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observations, interviews, and facility policy review, the facility did not ensure safe smoking practices within the facility for Residents #67 and #34. This affected two residents (#67 and #34) out of two residents reviewed for smoking. The facility census was 92.Findings Include:1. Review of the medical record revealed Resident #67 was admitted to the facility on [DATE] with diagnoses of muscle weakness, chronic obstructive pulmonary disease (COPD), chronic kidney disease, disorders of bone density and structure, rheumatoid arthritis, pain in left hip, patient's noncompliance with other medical treatment and regimen due to unspecified reason, mental disorder, major depressive disorder, acquired absence of the right leg below the knee, tobacco use, anxiety disorder, and hypertension. Review of the Smokers List provided by the facility revealed as of 09/05/25, Resident #67 was on the independent smokers list.Review of the psych note dated 09/08/25 revealed the nurse practitioner observed Resident #67 lying in bed vaping. This resident has oxygen in her room. Review of the smoking assessment dated [DATE] revealed Resident #67 had no cognitive impairment, no visual deficit, and no dexterity problems. She was able to light her own cigarette, did not need adaptive equipment, and a care plan initiated to assure the resident is safe while smoking. Review of the care plan with a review start date of 11/24/25 revealed Resident #67 had a history of smoking in community/inappropriate smoking related to history of using tobacco products and cigarettes. Interventions instruct the resident residents, family members, responsible parties or visitors about smoking guidelines as necessary, instruct residents, family members, and visitors not to share lighted cigarettes, lighters or other smoking materials with other residents, instruct the resident to ask staff to provide/light smoking material, and place smoking material in designated area for storage. Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #67 has a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. Observation on 01/12/26 at 10:01 A.M. revealed Resident #67 had three Prime vaporizers on her bedside table.Interview on 01/12/26 at 10:05 A.M. Certified Nursing Assistant (CNA) #347 confirmed the vaporizers on the bedside table. There was a no smoking sign on Resident #67 door. Observation on 01/15/26 at 8:45 A.M. revealed an empty box of Geek vaporizers on Resident #67's bedside table. On 01/14/2026 at 10:35 A.M. interview with Activity Director #303 revealed that she does the smoking assessment on each smoker. She was the person who informed the residents if they were a supervised smoker or an independent smoker. If someone was being downgraded to a supervised smoker, she gave them an explanation why it happened. 2. Review of the medical record for Resident #34 revealed an admission date of 04/09/24 with diagnoses of chronic systolic congestive heart failure, COPD, heart failure, major depressive disorder, personal history of other mental and behavioral disorders, personality disorders, nicotine dependency, adjustment disorder, bipolar disorder, anxiety, depression, and tobacco use. Review of the Smokers List provided by the facility revealed as of 09/05/25, Resident #34 was on the (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: 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 01/15/2026 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)