Health inspection·September 13, 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 medical record review, call light response log review, and resident and staff interview, the facility failed to ensure call lights were answered in a timely manner. This affected two (#8 and #14) of three residents reviewed for call light response times. The facility census was 75. Residents Affected - Few Findings include: 1. Review of Resident #8's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included diabetes, urinary tract infections, anemia, and sepsis. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #8 was cognitively intact and able to make all needs known. Interview with Resident #8 on 09/12/23 at 6:59 A.M. stated her call light can take up to one hour for staff to respond to and was too long to wait for help. Resident #8 stated she recently moved rooms, and call light response times were a bit better in her current location, but still took a long time for staff to answer. Review of facility call light response logs between 09/02/23 and 09/11/23 revealed Resident #8's call light response times were monitored during this time frame. On 09/02/23, it took staff 25 minutes to answer the call light. On 09/03/23, three call lights were observed and took 26 minutes, 34 minutes, and 26 minutes, respectively, to answer. On 09/04/23, it took staff 25 minutes to answer a call light. On 09/05/23, six call lights were observed and took 27 minutes, 58 minutes, 40 minutes, one hour and two minutes, 50 minutes, and 29 minutes, respectively to answer. On 09/06/23, five call lights were observed and took 33 minutes, 53 minutes, 25 minutes, 23 minutes, and 46 minutes, respectively, for staff to answer. On 09/07/23, two call lights were observed and took one hour and three minutes and 23 minutes, respectively, to answer. On 09/09/23, a call light was observed to take 33 minutes for a staff member to answer. On 09/10/23, two call lights were observed and took staff 38 minutes and 43 minutes, respectively, to answer. On 09/11/23, to call lights were observed and took staff 59 minutes and 41 minutes, respectively, to answer. 2. Review of Resident #14's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included quadriplegia and pressure ulcers. Further review of Resident #14's medical record revealed the resident was assessed as cognitively intact and able to verbalize all needs. Interview with Resident #14 on 09/12/23 at 11:40 A.M., confirmed it took staff in the facility forever to answer his call light. Resident #14 stated he had used his phone multiple times to call the facility number because no one would answer his call light. (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 4 Event ID: 365896 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 365896 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/13/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Fox Run Manor 11745 Township Road 145 Findlay, OH 45840 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)