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
resident, family, and staff interview, observation, policy review, and record review, the facility failed to
ensure Resident #40's bathing preferences were honored. This affected one (Resident #40) of one resident
reviewed for bathing. The facility census was 85.
Residents Affected - Few
Findings include:
Review of the medical record for Resident #40 revealed an admission date of 01/24/25. Diagnoses included
rheumatoid arthritis, dementia, ataxia following cerebral infarction, and aneurysm.
Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #40
had intact cognition and required substantial assistance from staff for showering.
Review of the shower documentation revealed Resident #40 often refused bathing. There was no evidence
Resident #40 received a tub bath.
The resident's medical record did not have evidence of finding out the reason behind why Resident #40
often refused bathing.
Review of the care conference notes dated 04/21/25 revealed Resident #40 prefers tub baths instead of
showers and tub baths were not always available.
Review of Resident #40's [NAME] (a quick-reference guide that condenses resident information, including
medical orders and preferences) revealed no preferences for tub baths were listed.
Observation and interview on 04/29/25 at 9:32 A.M. with Resident #40 appeared to be appropriately
dressed and groomed properly. Resident #40 stated she hates showers because of the spraying in the face.
She stated she mentioned it to the facility and would prefer a tub bath. Resident #40 stated she will just
stink because she cannot get a tub bath. Resident #40 stated the staff will bring her a washcloth and one
towel to clean herself up.
An interview on 04/29/25 at 10:29 A.M. with Licensed Social Worker (LSW) #203 revealed during a care
conference, he was told that Resident #40 prefers tub baths instead of a shower. LSW #203 stated
Resident #40 felt the staff do not give good showers.
An interview on 04/29/25 at 11:22 A.M. with the Director of Nursing (DON) stated she was not informed
Resident #40 wanted tub baths instead of showers. The DON said she was just informed Resident #40
refused showers. DON stated there were three bathtubs that were available for residents.
(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 2
Event ID:
365927
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
365927
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/29/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Regina Health Center
5232 Broadview Rd
Richfield, OH 44286
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)
F 0558
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
The telephone interview on 04/29/25 at 11:24 A.M. with Resident #40's daughter revealed her mother does
not take showers at the facility because of the shower sprayed her in the face. The daughter stated she had
not given her mother a shower since she was admitted to the facility. The daughter stated she had spoken
to the facility and stated that her mother prefers tub baths over showers. Her mother stated to her the
nursing aides that showered her do not pay attention to her. The daughter stated two weeks ago, she had to
cut her mother's hair because it was so [NAME] and dirty.
Review of the facility's policy titled Bathing, dated 05/2015 revealed a bed bath, shower, or bath will be
given as necessary.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365927
If continuation sheet
Page 2 of 2