F 0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, resident and staff interviews and record reviews, the facility failed to ensure resident
refrigerators were monitored for sanitary conditions and that food was maintained at temperatures safe for
consumption. This affected 17 (#6, #8, #9, #12, #13, #17, #19, #20, #25, #29, #30, #31, #32, #36, #40, #41
and #45) of 17 residents identified by the facility as having personal refrigerators. The facility census was
49.Findings include: Interview on 07/08/25 at 10:50 A.M. with Resident #12, revealed he was concerned
about his refrigerator being safe and the floor surrounding the refrigerator area having a red dried
substance. Observation of Resident #12's refrigerator revealed a red, dried substance on the bottom shelf.
The thermometer in the refrigerator showed a temperature of 50 degrees Fahrenheit (F). There was food in
the refrigerator. Further observation revealed a refrigerator temperature monitoring log for June 2025
hanging on the outside of the refrigerator that had only been completed until 06/13/25. There was no July
2025 log. Resident #12 stated the staff did not monitor his refrigerator.Observation on 07/08/25 at 10:55
A.M., with Registered Nurse (RN) #281, of Resident #12's refrigerator verified the above findings.
Concurrent interview with RN #281 revealed staff were to take care of the refrigerators in the resident
rooms.Interview on 07/08/25 at 11:03 A.M. with Maintenance Director (MD) #200 revealed the
housekeeping staff cleaned Resident #12's refrigerator weekly. He stated he had been on vacation the last
two weeks of June 2025.Interview on 07/08/25 at 11:13 A.M. with Social Services (SS) #220 revealed the
activities department was monitoring the refrigerators while MD #200 was on vacation. She stated there
was a separate binder with all of the refrigerator monitoring logs that was kept in the activities office. SS
#220 stated Activity Assistant (AA) #222 had the binder.Interview on 07/08/25 at 11:25 A.M. with AA #222
revealed the refrigerator temperature monitoring binder was in her office. She provided the binder which
revealed there were 17 residents who had refrigerators in their rooms. On reviewing the logs with AA #222,
she verified the logs for June 2025 were not completed for any of the residents in the binder. She stated
different staff were designated so many rooms and they were to monitor the refrigerators and she had been
assigned to four rooms. AA #222 verified the four rooms she was assigned to were not
completed.Observations on 07/08/25 from 11:46 A.M. through 1:17 P.M. with RN #281 revealed there were
17 residents who had refrigerators in their rooms. The 16 additional resident refrigerators revealed: On
07/08/25 at 11:46 A.M., room [ROOM NUMBER], Resident #20's refrigerator had a refrigerator temperature
monitoring log for June 2025 that had not been completed. There was no July 2025 monitoring log on the
refrigerator. There was food in the refrigerator.On 07/08/25 at 11:47 A.M., room [ROOM NUMBER],
Resident #25's refrigerator had a refrigerator temperature monitoring log for June 2025 and was only
completed until 06/08/25. There was no July 2025 monitoring log on the refrigerator. There was food in the
refrigerator.On 07/08/25 at 11:50 A.M., room [ROOM NUMBER], Resident #13's refrigerator had a
refrigerator temperature monitoring log for June 2025 that had not been completed for 06/17/25 through
06/21/25.
Residents Affected - Some
(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:
365826
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
365826
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Continuing Healthcare of Cuyahoga Falls
300 East Bath Road
Cuyahoga Falls, OH 44223
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)
F 0813
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
FORM CMS-2567 (02/99)
Previous Versions Obsolete
The July 2025 log was handwritten at the bottom of the page and had not been completed on 07/04/25,
07/05/25 and 07/07/25. There was food in the refrigerator.On 07/08/25 at 11:55 A.M., room [ROOM
NUMBER], Resident #19's did not have a temperature monitoring log for July 2025. The refrigerator
thermometer showed a temperature of 72 degrees F. There was food in the refrigerator.On 07/08/25 at
11:58 A.M., room [ROOM NUMBER], Resident #40's refrigerator had a refrigerator temperature monitoring
log for June 2025 that was completed, however, there was not a log for July 2025. Inside the refrigerator
there was a dried yellow food substance. There was no thermometer in the refrigerator to monitor the
temperature. There was food in the refrigerator.On 07/08/25 at 11:59 A.M., room [ROOM NUMBER],
Resident #26's refrigerator had a refrigerator temperature monitoring log for June 2025 that was completed,
however, there was not a log for July 2025. There was food in the refrigerator.On 07/08/25 at 12:00 P.M.,
room [ROOM NUMBER], Resident 32's refrigerator had a refrigerator temperature monitoring log for June
2025 that was not completed from 06/07/25 through 06/22/25. July log was not done on 07/04/25 and
07/05/25. There was food in the refrigerator.On 07/08/25 at 12:01 P.M., room [ROOM NUMBER], Resident
#8's refrigerator did not have a refrigerator temperature monitoring log. There was food in the
refrigerator.On 07/08/25 at 12:03 P.M., room [ROOM NUMBER], Resident #29's refrigerator did not have a
refrigerator temperature monitoring log. There was food in the refrigerator.On 07/08/25 at 12:04 P.M., room
[ROOM NUMBER], Resident #30's refrigerator did not have a refrigerator temperature monitoring log. The
refrigerator thermometer showed a temperature of 44 degrees F. There was food in the refrigerator.On
07/08/25 at 12:07 P.M., room [ROOM NUMBER], Resident #45's refrigerator had a refrigerator temperature
monitoring log for June 2025 that had not been completed. The refrigerator thermometer showed a
temperature of 50 degrees F. There was food in the refrigerator. On 07/08/25 at 12:08 P.M., room [ROOM
NUMBER], Resident #9's refrigerator had a refrigerator temperature monitoring log for June 2025 that had
been completed from 06/10/25 through 06/31/25 (there are only 30 days in June 2025). There was not a log
for July 2025. The refrigerator had a dried brown substance on the bottom shelf. There was food in the
refrigerator. On 07/08/25 at 12:09 P.M., room [ROOM NUMBER], Resident #6's refrigerator had a
refrigerator temperature monitoring log for June 2025 that had been completed until 06/13/25. There was
not a log for July 2025. The refrigerator thermometer showed a temperature of 48 degrees F. There was
food in the refrigerator. On 07/08/25 at 12:10 P.M., room [ROOM NUMBER], Resident #41's revealed there
was not a refrigerator temperature monitoring log on the refrigerator. There was food in the refrigerator. On
07/08/25 at 12:13 P.M., room [ROOM NUMBER], Resident #17's refrigerator had a refrigerator temperature
monitoring log for June 2025 that had been completed from 06/01/25 through 06/03/25 and on 06/20/25.
There was not a log for July 2025. There was food in the refrigerator. On 07/08/25 at 1:17 P.M., room
[ROOM NUMBER], Resident #31's refrigerator had a refrigerator temperature monitoring log for July 2025
and was up to date, but no log for June 2025. There was food in the refrigerator. Review of the facility
document titled, Housekeeping Cleaning Checklist, undated, revealed daily assignments included to clean
the refrigerators, defrost them if needed, keep the temperature log up to date and to check that the food
was dated and thrown out after three days.Review of the facility policy titled, Resident Refrigerators, revised
September 2024, revealed refrigerator temperatures must be maintained at or below 41 degrees F. This
deficiency represents non-compliance investigated under Complaint Number OH00167124 (iQIES
Complaint Number 1307553) .
Event ID:
Facility ID:
365826
If continuation sheet
Page 2 of 2