Health inspection·March 26, 2024

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observations, staff interviews, and review of facility policy, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This had the potential to affect all but one resident (#17) who facility identified as not receiving food from the kitchen. The facility census was 86. Findings include: Observation of the kitchen on 03/25/24 at 8:50 A.M. with the Admissions Director (AD) #60 revealed Kitchen Aide (KA) #55 was not wearing a hair net while working in the kitchen. Interview with AD #60 at the same time verified KA #55 was not wearing a hairnet while working in the kitchen. Observation of the kitchen on 03/26/24 at 9:03 A.M. with Kitchen Director (KD) #56 revealed KA #54 was wearing a hairnet; however, KA #54's hair hung down and extended outside of the hair net. Interview at the same time with KD #56 verified KA #54's hair hung down and outside of the hairnet. KD #56 verified Resident #17 was the only resident who did not receive food from the kitchen. Review of the 01/01/23 facility policy titled Dietary/Food Handling revealed clean uniforms must be worn daily and hairnets or caps must be worn in food service areas. This deficiency represents noncompliance investigated under Complaint Number OH00151129. 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: 366209 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 366209 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/26/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Woods Edge Rehab and Nursing 1171 Towne Street Cincinnati, OH 45216 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)