Inspection·May 20, 2022

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. 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, resident interview, observation, staff interview, and review of facility policy, the facility failed to ensure a resident was assisted with nail care. This affected one resident (#35) out of five residents reviewed for assistance with Activities of Daily Living (ADL). The facility census was 62. Residents Affected - Few Findings include: Review of the medical record revealed Resident #35 admitted to the facility on [DATE] with diagnoses including, chronic obstructive pulmonary disease (COPD), unspecified schizophrenia, hypertension, and rheumatoid arthritis. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #35 had moderately impaired cognition, had no behaviors and did not reject care. Resident #35 was a one-person assist and required limited assistance with bed mobility, toileting, and personal hygiene, and supervision for transfers, locomotion, dressing, and eating. Review of the care plan dated 04/06/2022 revealed Resident #35 had an ADL self-care deficit related to COPD, rheumatoid arthritis, weakness, and fatigue. Interventions included assistance with bathing/showering including check nail length, trim and clean on bath days. Interview on 05/16/22 at 2:29 P.M. Resident #35 reported he was bothered by his long fingernails. Resident #35 added staff did not offer to cut or clean his fingernails. Observation on 05/16/22 at 2:29 A.M. revealed Resident #35's nails appeared extremely long, dirty and jagged on both hands. Observation on 05/18/22 from 12:44 P.M. to 1:14 P.M. revealed State Tested Nurse Aide (STNA) #460 assisted Resident #35 to the shower. Resident #35 stated someone was supposed to cut his fingernails and asked if the aide was going to change his sheets. STNA #460 told Resident #35 she had everything in the room to change the sheets after the shower but did not address his comment about his fingernails. STNA #460 assisted the resident with getting dressed, propelled Resident #35 back to his room and made his bed with clean sheets. STNA #460 did not provide nail care before she left the room. Interview on 05/18/22 at 1:14 P.M. STNA #460 stated she noticed Resident #35's nails were long and jagged. STNA #460 verified Resident #35 had mentioned his nails needing cut during his shower, and verified she did not cut them. When asked about when nail care was performed, STNA #460 stated she only cut nails if a resident asked. (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 8 Event ID: 365978 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 365978 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/20/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Scarlet Oaks Nursing and Rehabilitation Center 440 Lafayette Avenue Cincinnati, OH 45220 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)