Health inspection·November 13, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on observation, record review, interview, and review of the facility self-reported incident (SRI), the facility failed to provide care and services to assist a dependent resident with activities of daily living (ADL) and the resident was identified to have maggots in her hair. This affected one (#11) of three residents reviewed for personal hygiene. The facility census was 76.Findings include: Review of the medical record for Resident #11 revealed an initial admission date of 01/19/23 and a readmission date of 11/04/25. Resident #11 was transferred to the hospital on [DATE]. Diagnoses included: multiple sclerosis, neuromuscular dysfunction of bladder, unspecified, seborrheic dermatitis, and cellulitis of head. Review of the most recent Quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #11 had a Brief Interview for Mental Status (BIMS) of 15. The resident was assessed to require dependence on staff for bed mobility, oral hygiene, toileting hygiene, eating, bathing, and transfers. Section M revealed Resident #11 was at risk for pressure ulcers and did not have any wounds.Review of Resident #11's ADL care plan revealed Resident #11 required assistance with ADL's, prefers showers, and resident refuses to allow staff to soak hair and address skin conditions. Review of Resident #11's physician's orders dated 06/11/25 revealed an order for ketoconazole shampoo 2%. Apply to scalp (shampoo) topically every day shift every Wednesday, Sunday for tinea versicolor (bath days) and Lotrisone Cream 1-0.05% (Clotrimazole-Betamethasone), apply to scalp topically two times a day for skin integrity dated 01/22/25. Review of a nursing progress note dated 10/29/25 revealed live myiasis (maggots) in Resident #11's hair and scalp. The resident's hair was washed and cream applied to open area to scalp. Hospice notified. Orders were received to send Resident #11 to the emergency room (ER).Subsequent review of medical record for Resident #11 revealed point of care (POC) task sign off documentation for scheduled bathing revealed not applicable on 09/08/25, 09/22/25, 09/26/25, 10/13/25, 10/20//25, and 10/24/25. Review of shower sheets for Resident #11 revealed missing documentation for shower or bed baths provided for dates 09/01/25, 09/05/25, 09/07/25, 09/14/25, 09/15/25, 09/21/25, 09/28/25 , 10/03/25, 10/10/25, and 10/17/25.Review of the facility's self-reported incident dated 10/30/25 revealed environmental factors such as flies in Resident #11's room may have contributed to the exposure of the wound. Review of pest control invoices dated 09/24/25, 10/30/25 and 11/10/25 revealed fly activity detected.Interview on 11/12/25 at 9:40 A.M. with Resident #11 revealed she prefers to have the hospice provider provide her with showers during visits and stated she was not getting the prescribed medications applied to her scalp as ordered prior to going to the hospital on [DATE]. Since returning from the hospital Resident #11 stated she is receiving daily showers provided by staff and topical medication to her scalp. Observation of Resident #11 at the time of the interview revealed a topical ointment applied to her scalp and Resident #11 appeared clean and well groomed.Interview on 11/12/25 at 3:15 P.M. with Licensed Practical Nurse (LPN) Residents Affected - Few (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 2 Event ID: 366173 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 366173 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/13/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Continuing Healthcare at Beckett House 1280 Friendship Drive New Concord, OH 43762 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)