Health inspection·March 5, 2020

F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Minimal harm or potential for actual harm Based on review of personnel records, staff interview, and review of facility policy, the facility failed to ensure all staff were checked against the Nurse Aide Registry prior to employment to ensure the employee did not have a finding entered into the State Nurse Aide Registry concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of property. This had the potential to affect all 93 residents residing in the facility. Residents Affected - Many Findings include: Review of personnel records revealed no evidence of employees being checked against the State Nurse Aide Registry prior to employment for the following employees: the Licensed Practical Nurse Admissions Manager (LPN AM) #155 hired on 04/25/19; Registered Nurse (RN) #166 hired on 08/16/04; Registered Nurse (RN) #177 hired on 06/10/19; and Registered Nurse (RN) #188 hired on 05/28/19. During interview on 03/03/20 at 3:00 P.M., Human Resource Manager (HRM) #70 verified the above-mentioned employees were not checked on the State Nurse Aide Registry. She stated she was not aware everyone in the facility was to be checked on the State Nurse Aide Registry. She stated she thought the LPN's and RN's were in good standing because of the check for the license with the nursing board. HRM #70 revealed the facility contracts all maintenance, housekeeping and dietary employees. Interview on 03/03/20 at 3:45 P.M. with the Administrator reviewed the hiring process documentation and confirmed the facility had not completed the State Nurse Aide Registry on the above-mentioned employees. The Administrator advised she was aware of the required State Nurse Aide Registry and thought the Human Resource department was completing the required background checks. Review of the facility policy titled Abuse, Neglect, Exploitation, and Mistreatment of Residents and Misappropriation of Resident Property, dated 11/22/17, revealed persons applying for employment with the facility they will be screened for Ohio Nurse Aide Registry. 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 4 Event ID: 366023 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 366023 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/05/2020 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Twin Towers 5343 Hamilton Avenue Cincinnati, OH 45224 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)