Health inspection·June 13, 2023

F 0729 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on personnel record review, staff interview, and interview with Nurse Aide Registry staff, the facility failed to ensure all State Tested Nursing Assistants (STNAs) providing direct care to residents had a current and active license. This affected one (Aide #99) of three staff members reviewed for active licenses. This had the potential to affect all 100 residents residing in the facility. The facility's census was 100. Findings include: Review of the personnel record for Aide #99 revealed a hire date of [DATE]. Review of the State Tested Nursing Assistant (STNA) licensure verification revealed Aide #99 was not eligible to work due to an expired status. The expired status explanation stated, No work verification had been received in the past 24 months, therefore individual is not eligible for employment in a long term care facility. Review of the Nurse Aide Registry Request for Reciprocity dated [DATE] revealed the application was filled out. Included with the application was two letters. One letter was from the facility dated [DATE] stating Aide #99 was hired by the facility on [DATE]. The letter was requesting Aide #99's STNA license to be listed as 'active' due to the fact, Aide #99 worked as a Physician Medical Assistant (PMA) at his previous job, utilizing his STNA license. The second letter was dated [DATE] from Family Practice #1 verifying Aide #99 worked as a PMA utilizing his STNA license at their practice. Interview on [DATE] at 12:20 P.M. with the Director of Nursing (DON) verified Aide #99 worked at the facility as an STNA caring for residents and was on the schedule for third shift that night. Interview on [DATE] at 12:45 P.M. with the Administrator revealed the facility called the Nurse Aide Registry and received information related to Aide #99's employment. The Administrator stated he completed the required documentation but was unsure if the Nurse Aide Registry received it. The Administrator reported they received a letter from Aide #99's previous employer stating Aide #99 worked as a physician's assistant. The Administrator stated the letter from the previous employer would qualify Aide #99 to work as an STNA. Interview on [DATE] at 12:53 P.M. with Nurse Aide Registry Supervisor #200 verified Aide #99 was not an active STNA and was not eligible for hire as an STNA in a skilled facility. Nurse Aide Registry Supervisor #200 verified no documentation had been received from the facility and Aide #99's previous employment would not qualify for re-activation of his STNA license. Page 1 of 2 365843 365843 06/13/2023 Kenton Nursing and Rehabilitation Center 117 Jacob Parrott Boulevard Kenton, OH 43326

F 0729 Level of Harm - Minimal harm or potential for actual harm Interview on [DATE] at approximately 1:45 P.M. the Administrator verified the request for reciprocity information had not been sent to the nurse aide registry previously but was sent the day of the survey ([DATE]). This deficiency represents non-compliance investigated under Complaint Number OH00142834. Residents Affected - Many 365843 Page 2 of 2