Inspection·June 26, 2025

F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on closed record reviews and interview, the facility failed to ensure resident medical records contained all required discharging information and appropriate information was communicated to the receiving facility. This affected two residents (Resident #55, and Resident #65) of three residents reviewed for discharge planning. The census was 49. Findings include: 1. Review of the closed medical record for Resident #65 revealed an admission date of 03/13/25 and a discharge of 03/28/25. Diagnoses included aftercare following major joint replacement, dementia and osteoarthritis. Review of the Discharge Return Not Anticipated Minimum Data Set (MDS) 3.0 dated 03/28/25 revealed Resident #65 was cognitively impaired. He required maximum assistance for showering and moderate assistance with toileting. Review of the progress notes revealed there was no indication Resident #65 was being discharged or to where. Review of the March 2025 orders revealed Resident #65 had a follow-up appointment ordered on 03/17/25 scheduled for 03/28/25 at 10:45 A.M. Review of the Discharge summary dated [DATE] revealed Resident #65 was going to an unnamed nursing home. It stated the other facility was transporting him. It also stated Resident #65's doctor's appointment would be followed up in house by the new facility. Review of the printed copy of the summary revealed Resident #65 signed it. Interview on 06/25/25 at 12:10 P.M. with Administrator and Director of Nursing (DON) revealed the prior social worker's last day was 04/04/25. There was coverage by a sister facility's social worker 05/01/25 through 05/05/25. The current social service designee started 06/10/25. Administrator and DON stated they were all helping cover social service's responsibilities including discharge planning. They verified there was a lack of documentation which did not paint a clear picture of Resident #65's discharge plans. They verified Resident #65's appointment was missed because it was not relayed to the receiving facility. Interview on 06/25/25 at 1:00 P.M. with Resident #65's doctor's office revealed he was a no-show for his scheduled appointment on 03/28/25. His appointment had to be rescheduled for 04/23/25. (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: 365859 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 365859 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Merriman 209 Merriman Rd Akron, OH 44303 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)