Health inspection·January 29, 2024

F 0728 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Based on review of staffing agency information, review of facility census, staff interview, staffing agency personnel interview, and review of the State of Ohio Nurse Aide Registry, review the Office of Health Assurance and Licensing (OHAL) website, the facility failed to ensure an aide had completed an approved nurse aide training and competency evaluation program (NATCEP) before working the facility. This affected one (Agency Aide #150) of three personnel files reviewed and had the potential to affect all 66 residents residing in the facility. The facility census was 66. Findings Include: Review of staffing information provided by the facility and a staffing agency revealed Agency Aide #150 worked in the facility from 09/13/23 through 12/22/23. Review of the State of Ohio Nurse Aide Registry revealed Agency Aide #150 was not registered as an state tested nursing assistant (STNA). Review of a NATCEP certificate provide by a staffing agency revealed Agency Aide #150 had completed a NATCEP program on 07/31/23. Review the OHAL website revealed the NATCEP program listed on Agency Aide #150's certificate had closed on 10/01/17. Phone interview with Staffing Agency Personnel (SAP) #200 on 01/25/24 at 1:39 P.M. revealed Agency Aide #150 was employed by the staffing agency and worked at the facility from 09/13/23 through 12/22/23. Agency Aide #150 was terminated on 12/22/23. During an interview on 01/25/24 at 2:25 P.M. the Director of Nursing (DON) stated Agency Aide #150 was terminated when a completed background check revealed offenses that disqualified her from working in a nursing facility. During an interview on 01/29/24 at 11:50 A.M. the DON and Assistant Director of Nursing (ADON) #110 stated Aide #150 had worked various shifts and various units of the facility. The DON and ADON #110 confirmed there had been no concerns regarding Agency Aide #150 while she worked at the facility including the care she provided. This deficiency represents non-compliance investigated under Complaint Number OH00150031. Page 1 of 2 366178 366178 01/29/2024 Widows Home of Dayton 50 South Findlay Street Dayton, OH 45403

F 0729 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of personnel record, staffing schedule information, review of facility census, staff interview, and review of the State of Ohio Nurse Aide Registry, the facility failed to ensure a state tested nursing assistant's (STNA) registration was not expired. This affected one (STNA #130) of three personnel files reviewed and had the potential to affect 17 (#39, #40, #41, #42, #43, #44, #45, #46, #47, #48, #49, #50, #51, #52, #53, #54, and #55) residents that STNA #130 regularly cared for. The facility census was 66. Findings Include: Review of STNA #130's personnel file revealed a hire date of [DATE]. Review of the State of Ohio Nurse Aide Registry revealed STNA #130 was not eligible to work in a long-term care facility due to not having work verification in the past 24 months. STNA #10's nurse aide registration expired on [DATE]. Review of staffing schedule information revealed STNA #130 worked in Rehab Unit on [DATE], [DATE], [DATE], and [DATE] from 7:00 A. M to 7:00 P.M. During an interview on [DATE] at 11:45 A.M. the Director of Nursing (DON) and Human Resources (HR) #100 confirmed STNA #130 was not current and in good standing State of Ohio Nurse Aide Registry. Documents had been sent to the State of Ohio Nurse Aide Registry, but no follow-up had been received. STNA #130 was a current employee and had recently worked in the facility. Review of the facility census revealed Residents (#39, #40, #41, #42, #43, #44, #45, #46, #47, #48, #49, #50, #51, #52, #53, #54, and #55) resided in the Rehab Unit. This deficiency represents non-compliance investigated under Complaint Number OH00150031. 366178 Page 2 of 2