Health inspection·May 13, 2024

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, observations, and policy review, the facility failed to appropriate treatment and services for care of a resident who was incontinent of bowel and had a indwelling urinary catheter. This affected one (#45) of three residents reviewed for incontinence and catheter care. The facility identified there were 48 residents who were incontinent of bowel and five residents with indwelling catheters. Findings include: Medical record review for Resident #45 revealed an admission date of 06/26/23. Diagnoses included chronic obstructive pulmonary disease, coronary artery disease, peripheral vascular disease, contractures to his bilateral lower extremities, and neurogenic bladder. Review of the care plan dated 08/16/23 revealed Resident #45 was at risk for developing complications secondary to having bowel incontinence and having an indwelling urinary catheter. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #45 was cognitively intact. Resident #45 required substantial/maximal assistance from staff for toileting. Observation of incontinence care for Resident #45 on 05/08/24 at 9:17 A.M. revealed State Tested Nursing Assistant (STNA) #100 revealed she placed on a gown, mask and gloves and proceeded to go through a drawer looking for wipes. She proceeded to remove the brief and used wipes to wipe the scrotum and the resident's bottom with the wipes and kept taking wipes out of the package because she kept removing feces and bloody drainage from a rash. She continued with a soapy cloth and wiped the resident clean and dried him. She proceeded to the front of him and took the tubing connector of the catheter that drained the urine down to the bag and cleaned it. She didn't clean around the penis, or the tubing coming out of the penis and never changed her gloves through the entire process. Interview with the STNA #100 on 05/08/24 at 10:00 A.M. revealed she performed indwelling catheter care and incontinence care for Resident #45 during the observation and confirmed she didn't change her gloves from dirty to clean, clean the penis or clean the tubing coming out of the penis. She said this wasn't her normal practice. Review of the policy titled Perineal Care dated 10/01/20 revealed the purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe the resident's skin condition. (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 3 Event ID: 366156 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 366156 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/13/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Lincoln Crawford Care Center 1346 Lincoln Avenue Cincinnati, OH 45206 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)