Health inspection·November 17, 2022

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, record review, and review of facility policy, the facility failed to ensure Resident #37's wheelchair was in good repair. This affected one resident (Resident #37) out of three residents reviewed for wheelchairs in good repair. Residents Affected - Few Findings include: Review of Resident #37's medical record revealed an admission date of 04/25/16 and diagnoses included schizoaffective disorder, bipolar type, obesity, and chronic pain syndrome. Review of Resident #37's Quarterly Minimum Data Set (MDS) 3.0 assessment revealed Resident #37 was cognitively intact and required supervision of staff with set up help only for bed mobility, transfers, and toilet use. Resident #37 used a wheelchair. Review of Resident #37's care plan revised, 06/07/21, included Resident #37 was at risk for impaired skin integrity related to confined to a chair all or most of the time, depression, edema, impaired cognition, incontinent of bladder, pain, venous ulcers, and morbid obesity. Resident #37 refused to sleep in bed at times, slept in his wheelchair. Observation on 11/14/22 at 12:09 P.M. with Resident #37 of his wheelchair revealed the left arm of the wheelchair had loose padding and sharp metal pieces under the loose padding. Resident #37 stated he could not get anyone to fix his wheelchair, it was dangerous because he grabbed the left arm for transfer and he could be cut badly by the sharp metal pieces. Resident #37 indicated the wheelchair had been broken about a month and he told therapy about it. Resident #37 stated he did not remember who he told in the therapy department about the broken arm of his wheelchair. Observation on 11/15/22 at 1:03 P.M. of Resident #37's wheelchair revealed the left arm of the wheelchair had loose padding and exposed sharp metal pieces under the loose padding. Interview on 11/15/22 at 2:10 P.M. with Physical Therapist (PT) #574 revealed she did not know which wheelchair Resident #37 was using right now. PT #574 stated a new wheelchair was ordered and in the facility for Resident #37's mobility and positioning, and he had an older wheelchair also. PT #574 stated she did not know the arm of Resident #37's wheelchair was broken and she would look into which wheelchair it was. Interview on 11/15/22 at 2:36 P.M. with PT #574 revealed Resident #37 was using the old wheelchair because the new wheelchair would not fit in the bathroom, and it was being modified so Resident #37 could use it in the bathroom. PT #574 confirmed the old wheelchair left arm padding was loose with exposed sharp metal pieces under the loose padding. PT #574 stated she replaced the arm and padding (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: 366095 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 366095 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/17/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Glenwood Care and Rehabilitation 836 West 34th Street NW Canton, OH 44709 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)