Health inspection·July 9, 2025

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 Page 1 of 2 365826 365826 07/09/2025 Continuing Healthcare of Cuyahoga Falls 300 East Bath Road Cuyahoga Falls, OH 44223

F 0813 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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) . 365826 Page 2 of 2