Health inspection·September 18, 2025

F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observation and interview, the facility failed to ensure orders for splints were obtained for Resident #107, who was known to have impairments of range of motion (ROM) to bilateral upper extremities. This affected one (Resident #107) of two residents reviewed for positioning and mobility. The facility census was 115. Findings include:Review of the medical record for Resident #107 revealed an admission date of 04/28/24 with diagnoses including Multiple Sclerosis (MS), contracture of unspecified joint, and restless legs syndrome. Review of the care plan dated 01/02/25 revealed Resident #107 may require assistance with activities of daily living (ADL) related to disease process and condition including MS. Interventions included to provide necessary adaptive equipment to meet daily needs, half side rail for bed mobility, total assistance for ADL, mechanical lift for transfers, and notify therapy of any declines in condition. There was no plan of care to directly address limitations of ROM or hand splints. Review of the Occupational Therapy (OT) Evaluation and Plan of Treatment dated 06/05/25 revealed Resident #107 had bilateral upper extremity contractures, was dependent on staff or all ADL, and had diagnosis of progressive MS. Resident #107 had ROM impairments of bilateral elbows, wrist, and fingers. Resident #107 was noted to have impairments of dexterity, fine motor coordination, mobility and strength limitations which resulted in limitations in areas of self-care and general tasks. OT services to develop and instruct on adaptation techniques, compensatory strategies, facilitate independence with ADL, and assess safety with adaptive equipment. It was recommended Resident #107 wear a palmar guard and to further assess, order, and fabricate other splints. Review of the OT Treatment Encounter Notes from 06/05/25 to 06/18/25 revealed Resident #107 was educated on adaptive equipment to increase independence. Resident #107 practiced ROM techniques with therapy. Review of the OT Discharge summary dated [DATE] revealed Resident #107 was dependent for grasping and holding items. Resident #107 was agreeable to ROM and acquiring adaptive equipment. The adaptive equipment was not specified. It was noted Resident #107's prognosis was good with consistent staff follow-through. Review of the progress notes from June 2025 to September 2025 revealed no evidence of application of hand splints, refusals of such splints, or contraindications to hand splints. Review of the Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #107 had intact cognition with no noted behaviors. Resident #107 had ROM impairments to bilateral upper and lower extremities. Resident #107 was dependent on staff for ADL. Review of the Medication Administration Record (MAR) and Treatment Administration Record (TAR) for August 2025 and September 2025 revealed no evidence of staff applying hand braces to Resident #107 or refusals of such splints. Observation and interview on 09/16/25 at 9:08 A.M. with Resident #107 revealed she reported she felt her arms and hands were more contracted from the last time she received therapy services. Resident #107 reported her hands hurt, and she tried to stretch them herself. Resident #107 stated she had two hand braces that she would have to ask staff to put on (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 4 Event ID: 366180 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 366180 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Riverview Pointe Care Center 9027 Columbia Road Olmsted Falls, OH 44138 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)