Inspection·March 11, 2025

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Based on observation, interview, and policy review, the facility failed to ensure adequate supervision to prevent accidents related to smoking safety. This had the potential to affect four residents (#62, #85, #98, and #210) of four residents reviewed for smoking. The facility identified 18 current residents who smoked. The facility census was 147. Findings include: Observation on 03/10/25 at 9:15 A.M. of the resident smoke break with Activity Leader #548 revealed Resident #85 and Resident #98 were outside the building, approximately five feet from the glass exit door, smoking cigarettes. Activity Leader #548 was inside the building supervising through the glass door. Resident #210 arrived to smoke break late, and Activity Leader #548 opened the door for her to go out and smoke. Resident #210 wheeled herself out and parked her wheelchair with her back facing the glass door where Activity Leader #548 was supervising. Activity Leader #548 remained inside the building supervising through the door. Resident #85 was observed to pass his lit cigarette to Resident #210 to light her cigarette. Resident #210 then returned the cigarette to Resident #85 and both residents continued to smoke. The approved cigarette disposal receptacle was located approximately thirty feet from the building. Resident #98 smoked his cigarette down to filter and threw it on the ground and motioned Activity Leader #548, who was inside the building, to come out and help him back into the building. Resident #62 then arrived to smoke and the Activity Leader lit her cigarette. Interview with Activity Leader #548 on 03/10/25 at 9:24 A.M. stated she supervised the residents from inside the building. Activity Leader #548 verified that all four residents required supervision with smoking. She stated she did not see Resident #98 throw his cigarette on the ground nor did she see Resident #85 give his cigarette to Resident #210 to light. Activity Leader #548 stated the residents will throw routinely throw their used cigarettes on the ground instead of using the designated receptacle. At the end of the smoking session, Activity Leader #548 stated she typically will retrieve the used cigarettes the residents discard on the ground and disposes of them in the designated receptacle. Interview with the Activity Director on 03/10/25 at 9:30 A.M. stated she would allow staff to supervise residents from inside the building through the glass door if they can visibly see the residents while smoking. Activity Director #559 verified Activity Leader #548 was unable to see Resident #210 smoking. Activity Leader #548 should have walked outside and positioned herself within view of all residents who were outside smoking. Review of the facility policy titled Resident Smoking Guidelines. undated stated a supervised smoker is a resident that is unable to demonstrate safe smoking habits including smoking material (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 5 Event ID: 366008 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 366008 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Grande Pointe Healthcare Commu Three Merit Dr Richmond Heights, OH 44143 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)