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Inspection visit

Health inspection

WOODS EDGE REHAB AND NURSINGCMS #3662092 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 2 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

366209 03/26/2024 Woods Edge Rehab and Nursing 1171 Towne Street Cincinnati, OH 45216
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. Page 1 of 2 366209 366209 03/26/2024 Woods Edge Rehab and Nursing 1171 Towne Street Cincinnati, OH 45216
F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observations, staff interviews, and review of facility policy, the facility failed to provide a clean, sanitary, and homelike environment. This affected one (#15) resident of the three residents reviewed for environment. The facility census was 86. Findings include: Record review for Resident #15, revealed the resident was admitted on [DATE]. Diagnoses included, but not limited to, schizoaffective disorder, constipation, diabetes mellitus, and chronic back pain. Review of the Minimum Data Set (MDS) assessment dated [DATE] for Resident #15 revealed the resident had significant cognitive deficits and required supervision with activities of daily living (ADLs). Interview with Resident #15 on 03/25/24 at 2:00 P.M. revealed there were bugs in his room all the time. Observation at the same time revealed four roaches crawling on the floor and one roach was crawling up the wall. Resident #15 killed them all. Interview with Licensed Practical Nurse (LPN) #66 on 03/25/24 at 2:30 P.M. reported there had been problems with roaches on the unit for a while and when the pest control company comes to treat the facility, they only spray the room with the roaches, and they seem to migrate to another room. Review of the 07/01/22 facility policy titled Cleaning of Resident Rooms revealed staff should remain alert for evidence of rodent activity (droppings) and report such findings to the Environmental Services Director. This deficiency represents noncompliance investigated under Complaint Number OH00151838 and Complaint Number OH00151129. 366209 Page 2 of 2

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Citations

2 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0812GeneralS&S Epotential for harm

    F812 - Food safety requirements

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0921GeneralS&S Dpotential for harm

    F921 - Other Environmental Conditions

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

FAQ · About this visit

Common questions about this visit

What happened during the March 26, 2024 survey of WOODS EDGE REHAB AND NURSING?

This was a inspection survey of WOODS EDGE REHAB AND NURSING on March 26, 2024. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at WOODS EDGE REHAB AND NURSING on March 26, 2024?

Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordanc..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.