Inspection·May 9, 2023

F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, medical record review, policy review and interview, the facility failed to honor Residents #2's preferences. This affected one of three residents reviewed for transfer assistance. The census was 88. Findings include: Review of the medical record for Resident #2 revealed an admission date of 09/29/21 with diagnoses of multiple sclerosis, B-cell lymphoma, history of falling, seizures, need for personal assistance and major depressive disorder. Review of the activities of daily living (ADL) care plan, updated 05/10/22 revealed Resident #2 had an activities of daily living self-care performance deficit related to disease process. Resident #2 required staff assistance to complete ADL tasks daily. Resident #2 required extensive by one staff to move between surfaces daily and as necessary. Review of the nursing admission/readmission assessment dated [DATE] revealed Resident #2 usually woke up between 5:00 A.M. and 6:00 A.M. Review of the Minimum Data Set (MDS) 3.0 annual assessment dated [DATE] revealed Resident #2 was cognitively intact, required extensive physical assistance of two-person for transferring and utilized a wheelchair for mobility. Review of the nutrition/hydration status assessment dated [DATE] revealed Resident #2 fed herself, used a wheelchair and had meals in the dining room. Observation on 05/02/23 at 8:48 A.M. revealed Resident #2 was lying in bed, wearing a hospital gown, with an untouched breakfast tray on her overbed table. Interview, during the observation, with Resident #2 revealed she woke up around 5:30 A.M. and liked to be out of bed by 9:00 A.M. but there were not enough aides to get her up on time. Observation on 05/02/23 at 8:50 A.M. revealed Agency State Tested Nurse Aide (STNA) #6 was passing out breakfast trays while Registered Nurse (RN) #5 was sitting at the nursing station working on the computer on the Purple unit. Interview, during the observation, with RN #5 revealed Agency STNA #6 arrived late to work at 8:15 A.M. so RN #5 directed STNA #6 to pass breakfast trays then get Resident #2 out of bed. RN #5 stated she was passing medications. RN #5 verified Resident #2 was not out of bed and verified Resident #2 was supposed to be out of bed before breakfast as she liked to come to the dining room before breakfast. RN #5 also revealed Resident #2 would always complain that she (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: 366179 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 366179 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/09/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Solon Pointe at Emerald Ridge 5625 Emerald Ridge Parkway Solon, OH 44139 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)