Health inspection·May 31, 2023

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure Resident #82 and her representative was notified of a change of condition with a positive SARS-CoV-2 (COVID-19) test as well as notification of a room transfer. This affected one (Resident #82) of three residents reviewed for notification. The facility census was 80. Findings include: Review of the medical record for Resident #82 revealed an admission date of 04/15/23 with diagnoses including congestive heart failure, diabetes mellitus, end stage renal disease, and COVID-19 (05/07/23). Resident #82 was discharged from the facility on 05/12/23. Review of Resident #82's facility census room list revealed she was in room [ROOM NUMBER]-A on 04/24/23 and on 05/07/23 was moved to room [ROOM NUMBER]-B. Review of the nursing progress notes dated from 05/06/23 at 3:12 A.M. through 05/08/23 at 10:33 A.M. revealed no indication Resident #82 was notified that she had tested positive for COVID-19 or that she would be transferring rooms. Review of the COVID-19 testing information dated 05/07/23 for Resident #82 revealed her test was positive for COVID-19. Interview on 05/30/23 at 11:43 A.M. with the Administrator verified there was no documentation to show Resident #82 was notified of being positive for COVID-19 or that she was being transferred to another room. He stated the staff would have notified the resident as she was alert and oriented. Review of the facility policy titled, Transfer, Room to Room, revised December 2016, revealed the facility would provide the resident with information about where the room was located and why the transfer was taking place. The policy also stated the information should be recorded in the resident's medical record including the date and time the room transfer was made. Review of the facility policy titled, Change in a Resident's Condition or Status, revised May 2017, revealed the facility would notify the resident, his or her attending physician and representative of changes in the resident's medical/mental condition. Review of the facility policy titled, Positive COVID-19 Disaster Process, undated, revealed under the notify and document guidance that staff would update residents on positive tests if they were (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: 366195 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 366195 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/31/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Beeghly Oaks Center for Rehabilitation & Healing 6505 Market Street Youngstown, OH 44512 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)