Health inspection·June 25, 2024

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff and resident interviews and policy review the facility failed to ensure the facility environment temperatures were maintained at a comfortable level. This had the potential to affect 24 (#113, #68, #109, #18, #83, #58, #25, #17, #39, #80, #96, #50, #27, #48, #33, #42, #63, #12, #89, #93, #61, #21, #86 and #91) residents residing on the 300 hall. The census was 106 Findings include: Observation and interview on 06/17/24 at 12:06 P.M. with Resident #12 revealed the resident stated her room was too be hot and stuffy. The lighted clock on her wall revealed a temperature reading of 86 degrees Fahrenheit (F). Observations and interview on 06/17/24 at 12:12 revealed the Administrator had taken an infrared temperature in the 300 hall which was 80.4 degrees F and the temperature in Resident #12's room was between 84 degrees F to 86 degrees F. The Administrator confirmed the air conditioning unit had been out for sometime, but stated the facility was scheduled to get a new roof tip air conditioning unit the next day. The Administrator verified the temperature was elevated in the hall and pointed to two portable air conditioning units which were placed on each side of the hallway. The Administrator stated the air conditioning unit had not been functioning for greater then one year. Interview on 06/17/24 at 12:54 P.M. with Maintenance Supervisor #106 revealed the left side of the air conditioning condenser unit had been out for two years. Interview and observation on 06/17/24 at 2:38 P.M. with Resident #17 revealed the room was hot and stuffy. Resident #17 stated his room had been hot all day and he had asked maintenance for a fan earlier in the day, but no one brought one in for him. Interview and observations on 06/17/24 at 2:46 P.M. with Maintenance Staff #124 revealed he was unaware Resident #17 had requested a fan. He agreed to use the infrared temperature readings for intermittent rooms on the 300 hall. Maintenance Staff #124 pointed the infrared thermometer at chair level into the rooms to obtain the temperatures. room [ROOM NUMBER] was 86 degrees F, room [ROOM NUMBER] was 86.9 degrees F, room [ROOM NUMBER] was 82 degrees F, room [ROOM NUMBER] was 86.7 degrees F, room [ROOM NUMBER] was 82.2 degrees F, room [ROOM NUMBER] was 83.7 degrees F, room [ROOM NUMBER] was 79.2 degrees F and room [ROOM NUMBER] was 82.9 degrees F. Interview on 06/17/24 at 3:12 P.M. with the Administrator and Director of Nursing (DON) revealed they were unaware any resident had requested a fan and were unsure of which residents had fans in (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 3 Event ID: 365843 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 365843 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/25/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Kenton Nursing and Rehabilitation Center 117 Jacob Parrott Boulevard Kenton, OH 43326 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)