Health inspection·August 27, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident and staff interview the facility failed to treat one (#48) of three reviewed in a dignified manner. The facility census was 85. Findings Included: Review of the medical record revealed Resident #48 was admitted [DATE]. Diagnoses included vascular dementia, type two diabetes, and lumbago with sciatica. Review of the minimum data set (MDS) dated [DATE] revealed Resident #48 had a Brief Interview of Mental Status score of 08 that indicated the resident was cognitively impaired. Review of email dated 08/05/24 written by the Administrator revealed he had spoken to the Dietician #204 with the referencing an encounter with Resident #48. The Dietician stated she had realized what she had said, was very sorry and that the phrase was her common refrain when giving a banana to her grand kids. Dietician #204 was extremely remorseful, almost to the point of tears. Administrator stated that he comfortably says that she had no negative intention or connotation with her comment. Interview on 08/26/24 at 10:10 A.M. with Dietician #204 revealed Resident #48 who was sitting in gathering room off the elevator had stated he would like a snack. Dietician #204 stated she went to kitchen and got Resident # 48 a banana to give him. Dietician # 204 confirmed she approached Resident # 48 and said does the monkey wanted a banana and handed the banana to the resident. Dietician # 204 stated she meant nothing by this, and felt horrible, but this was something she had said to her grand kids and meant no harm from saying this. Dietician # 204 stated she had told the Administrator what had happened and explained she had not meant harm. Interview on 08/26/24 at 11:08 A.M. with Cooperate Administrator (CA) #277 who stated that she did speak with Administrator who was not at the facility on this day and verified Dietician #204 had come to him right away to explain the situation and felt bad. CA #277 stated that the Administrator revealed the Assistant Director of Nursing (ADON) #261 had investigated the incident and interview the staff. Review of facility State Tested Nursing Assistant (STNA) interview completed by the facility dated 08/26/24 revealed STNA #296 stated she was on the elevator on 08/05/24 around 11:30 A.M. when Dietician #204 had got on the elevator with a banana. Dietician #204 had asked STNA #296 if she had seen Resident #48, which STNA #296 had directed to location in dinning room. STNA #296 stated when elevator door open Dietician #204 had approached Resident #48 and peeled back the banana to hand Resident #48. STNA #296 stated Dietician #204 said to Resident #48 I have a banana for the monkey. STNA #296 (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 6 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 08/27/2024 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)