Inspection·December 3, 2025

F 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview and facility policy review, the facility failed to ensure Resident #143's Advance Directive (legal document outlining your future medical care in the event you cannot communicate them yourself) code status was accurate. This affected one resident (#143) of three residents reviewed for code status and had the potential to affect 52 residents (#4, #5, #8, #11, #12, #15, #16, #27, #29, #30, #32, #34, #36, #37, #46, #47, #54, #57, #63, #65, #68, #70, #73, #76, #77, #87, #89, #90, #91, #92, #96, #99, #100, #101, #103, #104, #105, #109, #110, #111, #112, #113, #114, #118, #119, #121, #122, #128, #133, #134, #138 and #163) with an Advance Directive. The facility census was 143. Findings include: Review of the medical record for Resident #143 revealed an admission date of [DATE] and a discharge date of [DATE]. Diagnoses included diabetes, dementia, muscle weakness, depression, and breast cancer.Review of the Brief Interview for Mental Status (BIMS) evaluation dated [DATE] revealed Resident #143 was severely cognitively impaired. The Minimum Data Set (MDS) assessment was not yet due to be completed.Review of the history and physical progress note dated [DATE] and authored by Certified Nurse Practitioner (CNP) #207 revealed Resident #143 was a Full Code (all possible measures are attempted to save a patient's life during a medical emergency).Review of the multidisciplinary care conference dated [DATE] revealed Resident #143 had a code status of Do not Resuscitate; Comfort Care (a type of Do-Not-Resuscitate order indicating CPR should not be administered; DNRCC).Review of the nursing progress note dated [DATE] at 6:47 A.M. authored by Licensed Practical Nurse (LPN) #203 revealed she was called to the room around 5:25 A.M. by the Certified Nurse Aide (CNA) #210 because Resident #143 was unresponsive. Cardiopulmonary Resuscitation (CPR; an emergency procedure for someone whose breathing or heartbeat has stopped, involving chest compressions and rescue breaths to keep blood and oxygen flowing to vital organs until medical help arrives) was initiated and an emergency code, as well as 911 was called, and the residents' son/Power of Attorney (POA) were notified. When emergency services arrived, Resident's #143's heart had stopped beating.Interview on [DATE] at 10:55 A.M. with LPN #203 revealed CNA #210 told her Resident #143 was unresponsive, so she checked the resident's code status in the computer and found nothing regarding Advanced Directives. She then checked the physical chart where she saw a yellow sheet of paper in the front of the chart which was used to indicate the resident was a Full Code, at which time she began CPR and contacted emergency services. She said she did not find out until a few days after Resident #143 expired that she was a DNRCC.Interview on [DATE] at 11:26 A.M. with Resident #143 son/POA revealed Resident #143 was a DNRCC when she was admitted to the facility according to her own wishes. He confirmed the facility had called him to notify him she had an emergency code and he arrived within approximately half an hour, during which time the resident had already expired. He could not confirm if the facility told him they had initiated CPR and whether or not they honored the resident's wishes for her DNRCC.Interview on [DATE] at 1:28 (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 2 Event ID: 365823 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 365823 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Vista Center at the Ridge 3379 Main Street Mineral Ridge, OH 44440 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)