Health inspection·January 12, 2026

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure a dignified dining experience. This affected three (#60, #4 and #68) of three residents reviewed for dignity during meal service. The facility census was 76. Findings include:1. Review of Resident #60's medical record revealed an admission date of 09/09/21. Diagnoses included dementia, dysphagia and respiratory failure.Review of the Minimum Data Set, (MDS) assessment, dated 10/26/25, revealed Resident #60 had severely impaired cognition and was dependent on staff for eating.Additional review of the medical record revealed Resident #60 received a puree consistency diet and resided on the memory care unit. 2. Review of Resident #4's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included dementia and dysphagia.Review of the MDS assessment, dated 12/18/25, revealed Resident #4 had severely impaired cognition and was dependent on staff for eating. Additional review of the medical record revealed Resident #4 received a puree consistency diet and resided on the memory care unit. 3. Review of Resident #68's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included dementia and encephalopathy. Review of the MDS assessment, dated 01/06/26, revealed Resident #68 had severely impaired cognition and required staff assistance for eating. Additional review of the medical record revealed Resident #68 received a puree diet and resided on the memory care unit. Observation on 01/08/26 at 12:45 P.M. of the memory care unit dining room revealed Resident #60, Resident #4 and Resident #68 were sitting at the same dining room table with lunch meal trays in front of them. Continued observation revealed Certified Nursing Assistant (CNA) #600 was standing while providing eating assistance to Resident #60, Resident #4 and Resident #68.Interview on 01/08/26 at 12:45 P.M. with CNA #600 verified she stood while providing eating assistance to Resident #60, Resident #4, and Resident #68. CNA #600 confirmed she should sit beside the residents when providing assistance with eating. CNA #600 further stated she stood because she would not have been able to reach all three residents if she sat with them. Interview on 01/08/26 at 12:55 P.M. with the Director of Nursing (DON) confirmed CNA #600 should have sat with Resident #60, Resident #4, and Resident #48 while providing eating assistance. The DON further stated it was a resident dignity concern when staff stood over a resident while providing eating assistance. Review of the facility policy titled, Resident Dignity and Feeding Practices, undated, revealed the staff should sit at eye level with the resident. 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: 365946 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 365946 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/12/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE St. Theresa Care Center 7010 Rowan Hill Drive Cincinnati, OH 45227 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)