Health inspection·August 24, 2023

F 0557 Level of Harm - Minimal harm or potential for actual harm Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Based on observation, interview, resident record review and facility policy review the facility failed to provide dignity and respect to one resident (#39) of three residents reviewed. The facility census was 43. Residents Affected - Few Findings included: Review of Resident #39's medical record revealed an initial admission date of 11/10/22 and a readmission dated of 02/14/23 with diagnoses including metabolic encephalopathy, altered mental status, essential hypertension, and age related physical debility. Review of Resident #39's quarterly Minimum Data Set (MDS) 3.0 assessment, dated 06/12/23, revealed he was cognitively impaired. Further review revealed he needed extensive assistance from one person to physically assist him with eating. Review of Resident #39's plan of care, dated 02/27/23, revealed he had an activity of daily living self-care performance deficit related to debility, progression of aging, and needing assistance. Intervention included she required supervision by one staff to eat. Observation on 08/24/23 at 7:40 A.M. of State Tested Nursing Assistant (STNA) #129 assisting resident #39 with his breakfast. STNA #129 was standing between Resident #39 and Resident #31 at a table in the dining room. STNA #129 was physically putting food into Resident #39's mouth. Interview on 08/24/23 at 7:41 A.M. with STNA #129 verified she was standing beside Resident #39 and feeding him his breakfast. Observation on 08/24/23 at 8:15 A.M. of STNA #129 standing to the left of Resident #39 in the dining room and physically assisting him with drinking from a cup. Interview on 08/24/23 at 8:42 A.M. with STNA #129 verified she was standing beside Resident #39 and assisting him with drinking from a cup. STNA #129 verified it was not respectful to Resident #39 to stand over him and assist him with eating and drinking. STNA #129 verified she should have been sitting and at eye level with him. Review of the facility policy titled, Dining, undated revealed under the section regarding dignity, when feeding a resident made sure to be sitting at eye level. You are not permitted to stand and feed our residents. Page 1 of 3 366130 366130 08/24/2023 Riverside Landing Nursing and Rehabilitation 856 South Riverside Drive McConnelsville, OH 43756

F 0557 This deficiency represents non-compliance investigated under Complaint Number OH00145036. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 366130 Page 2 of 3 366130 08/24/2023 Riverside Landing Nursing and Rehabilitation 856 South Riverside Drive McConnelsville, OH 43756

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on interview, facility infection control log review and facility policy review the facility failed to ensure they had a complete infection control monitoring system which included the organisms causing the infection. This had the potential to affect all 43 residents. Residents Affected - Many Findings included: Review of the facility infection control logs dated May 2023 to July 2023, revealed an inability for the facility to note trends or patterns of infection due to the facility did not track the organism causing the infection on the log. Review of the infection control mapping, dated May 2023 to July 2023, revealed the facility was tracking what body system (respiratory, skin, and etc.) but not what organism affected the body system. Interview on 08/24/23 at 10:25 A.M. with Licensed Practical Nurse (LPN) #121, who was also the Infection Preventionist, verified the infection control log was not complete and the missing piece of the infection control log was what organism caused the infection. She verified the mapping the facility used noted what body system (skin, respiratory, and etc.) was affected but did not note what organism affected the system. Interview on 08/24/23 at 10:46 A.M. with the DON verified the facility should be tracking what organism is affecting the body system to track infections. Review of the facility policy titled, Infection Prevention and Control Program, undated, revealed the facility has established and maintains an infection prevention and control program designed to provide a safe, sanitary , and comfortable environment and to help prevent the development and transmission of communicable disease and infections. Further review revealed a system of surveillance is utilized for prevention, identifying, reporting, investigating, and controlling infections and communicable disease for all residents, staff, volunteers, visitors, and other individuals providing services under a contractual arrangement =based upon a facility assessment and accepted national standards. This deficiency is cited as an incidental finding to Complaint Number OH00145036. 366130 Page 3 of 3