Health inspection·November 27, 2023

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on observation, staff interview, and policy review, the facility failed to ensure residents had access to call lights. This affected three (Residents #24, #104, and #20) of five residents reviewed for call lights. The facility census was 108. Residents Affected - Few Findings include: 1. Review of the medical record for Resident #24 revealed an admission date of 05/26/21. Medical diagnoses included dementia with behavioral disturbance, restlessness and agitation, emphysema, and anxiety. Review of the Minimum Data Set (MDS) 3.0 quarterly assessment, dated 10/10/23, revealed Resident #24 to have moderately impaired cognition. Resident #24 was not coded to have any behaviors. Resident #24 was coded to have clear speech, was able to make self understood and understand others. Observation on 11/27/23 at 8:32 A.M. revealed Resident #24 repeatedly called out for help. Resident #24 was in the bed and had her bed control remote in her hand pushing various buttons. Her call light was draped over a fixture on the wall approximately three feet away from Resident #24. An interview on 11/27/23 at 8:41 A.M. with State Tested Nursing Assistant (STNA) #290 verified the call light was out of reach and should not be hanging on the wall. 2. Review of the medical record for Resident #104 revealed an admission date of 04/13/23. Medical diagnoses included dementia, glaucoma, anxiety, and altered mental status. Review of the MDS 3.0 quarterly assessment, dated 10/17/23, revealed Resident #104 was cognitively impaired. Resident #104 was coded to have clear speech, was usually able to make self understood and usually able to understand others. Observation on 11/27/23 at 8:36 A.M. revealed Resident #104 in the bed. Her call light call light was observed on the floor, tucked under the right side of the bed. An interview on 11/27/23 at 8:42 A.M. with STNA #290 verified the call light was out of reach for Resident #104. 3. Review of the medical record for Resident #20 revealed an admission date of 08/15/22. Medical diagnoses included dementia without behavioral disturbance, cerebral infarction (stroke) with hemiplegia (paralysis) affecting the right dominant side, and anxiety. Page 1 of 2 365924 365924 11/27/2023 Amherst Manor Nursing Home 175 N Lake Street Amherst, OH 44001

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Review of the MDS 3.0 quarterly assessment, dated 10/30/23, revealed Resident #20 was cognitively impaired. Resident #20 was not coded to have any behaviors. Resident #20 was coded to have clear speech, was able to make self understood and understand others. Observation on 11/27/23 at 8:38 A.M. revealed Resident #20 in bed. Resident #20's call light was observed on the floor underneath the head of her bed. An interview on 11/27/23 at 8:39 A.M. with STNA #290 verified the call light was out of reach for Resident #20 who stated it looked like the call light was thrown behind the bed onto the floor. Review of the Call Light Response Time policy, dated 02/2022, revealed it is the facility's policy to ensure resident needs and requests are responded to in a timely manner. This deficiency represents non-compliance investigated under Complaint Number OH00147984. 365924 Page 2 of 2