Health inspection·January 22, 2026

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interviews, Centers for Disease Control and Prevention (CDC) guidance, and facility policy review, the facility failed to ensure timely and accurate documentation of COVID-19 outbreak identification and reporting. Residents tested positive for COVID-19 between 01/02/26 and 01/03/26; however, documentation reflected delays in notifying residents' responsible parties until 01/06/26 and the county health department until 01/07/26. This affected three residents (#11, #60 and #64) who tested positive for COVID-19 and were not timely notified, 24 residents (#1, #6, #7, #9, #12, #14, #17, #19, #20, #22, #26, #27, #31, #34, #37, #38, #43, #45, #48, #53, #55, #59, #62, #63) who were neither tested nor had documented outbreak notification. The facility census was 63.Findings include: A review of Resident #60's clinical record revealed an admission date of 09/12/25 with diagnoses including dementia with psychotic disturbance, restlessness, agitation, schizophrenia, malnutrition, anxiety, delusional disorder, conversion disorder with seizures and paranoid personality disorder. Resident #60 resided on the memory care unit and had impaired cognition with poor memory.A review of Resident #11's clinical record revealed an admission date of 12/19/25 with diagnoses including Alsheimer's disease, malnutrition, depression, high blood pressure and cholesterol, peripheral vascular disease, chronic kidney disease, and gastroesophageal reflux disease. Resident #11 resided on the memory care unit and had poor cognition with poor memory.A review of Resident #64's clinical record revealed an admission date of 09/08/25 and re-admission on [DATE] with diagnoses including dementia, adult failure to thrive, psychosis, depression and malnutrition. Resident #64 resided on the memory care unit and had poor cognition and poor memory.A review of Resident #60's clinical record revealed he had tested positive for COVID-19 on 01/02/26 and Resident #11's and Resident #64's clinical record revealed they had tested positive for COVID-19 infection on 01/03/25. A review of the three residents' clinical record revealed their responsible party and/or family were notified on 01/06/26 of the outbreak of COVID-19 infections by Social Service Designee (SSD) #65.Review of the medical records for 24 residents (#1, #6, #7, #9, #12, #14, #17, #19, #20, #22, #26, #27, #31, #34, #37, #38, #43, #45, #48, #53, #55, #59, #62, #63) on the Buckeye Trail unit revealed no documented evidence that the facility failed to implement and document facility-wide COVID-19 testing following identification of an outbreak, no documented evidence the residents or responsible parties were notified of the outbreak of COVID-10 infections in the facility. An interview with SSD #65 on 01/21/26 at 8:41 A.M. revealed she was informed on 01/06/26 that the facility had determined they had an outbreak of COVID-19 infections in the facility. SSD #65 stated she notified the residents' responsible parties of the COVID-19 outbreak of infections in the facility on 01/06/26. SSD #65 stated she notified the residents and residents' responsible parties of the residents who resided on the Cascade and [NAME] nursing units but didn't notify the residents or the responsible parties or visitors of the residents who resided on the Buckeye Trail unit.An interview on 01/21/26 from 9:45 A.M. and 10:30 A.M. with Infection Control Preventionist (ICP) #66 revealed Residents Affected - Some Page 1 of 2 365826 365826 01/22/2026 Continuing Healthcare of Cuyahoga Falls 300 East Bath Road Cuyahoga Falls, OH 44223

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Resident #60 tested positive for COVID-19 infection on 01/02/25. ICP #66 stated the hospital had determined Resident #60 had contracted the infection in the facility and notified the facility on 01/03/25 that he had tested positive for COVID-19 infection on 01/02/25. ICP #66 stated the facility tested all the residents who resided in the memory care unit and found Resident #11 and Resident #64 had also tested positive for COVID-19 along with one staff member, Licensed Practical Nurse (LPN) #67. ICP #66 stated the facility had performed COVID-19 testing on two (Cascade and [NAME] nursing units) out of the three nursing units ([NAME], Cascade and Buckeye nursing units) in the facility. ICP #66 stated the facility tested the employees who worked on the memory care unit ([NAME]) and other employees who came in contact with LPN #67. Signs were placed outside of the memory care unit with personal protective equipment and stated the receptionist placed a sign outside the main entrance for visitors in the facility to alert them that the facility had an outbreak of COVID-19 infections. ICP #66 stated she called the county health department and notified them of the outbreak of COVID-19 infections in the facility. ICP #66 stated the facility had identified six residents (#11, #60, #64, #56, #3, and #13) and one staff member (LPN #67) who had tested positive for COVID-19 infection between 01/02/26 to 01/07/26.An interview with County Health Department Registered Nurse (CHDRN) #69 on 01/21/26 at 9:52 A.M. revealed the facility had notified her of the outbreak of COVID-19 infections on 01/07/26. CHDRN #69 provided guidance to minimize the spread of the COVID-19 infections in the facility via email.An interview with Receptionist #68 on 01/21/26 at 10:33 A.M. revealed she had not placed signage on the doors of the main entrance. Receptionist #68 stated she was not told to place signs outside of the main entrance by the administrative staff or other supervisory staff and verified there was no sign placed outside the main entrance door during the COVID-19 outbreak.Interviews with Resident #9 and Resident #38 on 01/21/26 between 10:45 A.M. and 11:00 A.M. revealed they were unaware the facility had an outbreak of COVID-19 and were not offered a mask or other personal protective equipment. Resident #38 stated he was in and out of the main entrance doors several times a day and stated there were no signs placed on the door to alert visitors and/or residents of an outbreak of COVID-19 infections in the facility.The facility policy titled Report a Facility Outbreak (Including COVID-19) dated 10/08/25 indicated outbreaks of COVID-19 infections should be reported by the end of the next business day to the county health department and Long-Term Care Bureau of Ohio.The CDC guidance titled Viral Pathogens Toolkit for Nursing Homes dated 01/09/26 indicated to control the spread of COVID-19 infections in the facility implement broad-based testing in nursing homes as opposed to only testing close contacts to identify asymptomatic infection.This deficiency represents non-compliance investigated under Complaint Number 2711895 and is a recite to the surveys completed on 11/19/25 and 12/08/25. 365826 Page 2 of 2