Inspection·April 11, 2023

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to provide Resident #38 with an appropriate fitting bed and mattress to prevent his feet from dangling off the end of the bed. This affected one resident (#38) of three residents reviewed for appropriate fitting beds. The facility census was 60. Residents Affected - Few Findings include: Record review for Resident #38 revealed an admission date of 01/15/20. Diagnosis included dementia, muscle weakness, and pervasive developmental disorder (delays in development of social and communication skills). Record review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #38 was severely cognitively impaired. Resident #38 required extensive one-person physical assistance for bed mobility and transfers. Observation on 04/03/23 at 12:48 P.M. revealed Resident #38 was lying in bed. There was no footboard at the end of Resident #38's bed. Resident #38's head of his bed was elevated approximately 30 degrees. Both of Resident #38's feet were dangling off the end of the bed from above the ankles down. The mattress was several inches shorter than the bed frame. There was a blue mattress extender at the end of the mattress that was several inches lower than the mattress and Resident #38's feet. Observation on 04/05/23 at 9:00 A.M. revealed Resident #38 was lying in bed. There was no footboard at the end of Resident #38's bed. Resident #38's head of his bed was elevated approximately 30 degrees. Both of Resident #38's feet were dangling off the end of the bed from above the ankles down. Observation on 04/06/23 at 2:50 P.M. with Assistant Director of Nursing (ADON) #338 confirmed Resident #38 was lying in bed, and Resident #38's feet were dangling off the end of the bed. The bed frame was several inches longer than the mattress, and there was no footboard. A bed extender was at the end of the mattress lying flat but with the head of the bed elevated as the resident normally had, the extender was lower than the mattress causing Resident #38's feet and ankles to dangle at the end of the mattress. ADON #338 confirmed the resident's feet should not be dangling off the end of the mattress. Observation on 04/06/23 at 2:57 P.M. with Certified Occupational Therapy Assistant (COTA) #602 confirmed Resident #38's feet were dangling off the end of the bed above the ankles. COTA #602 confirmed there was a bed extender at the end of the mattress, but it was significantly lower than the mattress and she would want to see an extender at the end of his bed appropriately fitted for positioning to prevent his feet from dangling over the end of the mattress. (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 5 Event ID: 365844 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 365844 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/11/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aurora Manor Special Care Cent 101 S Bissell Rd Aurora, OH 44202 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)