Health inspection·August 15, 2023

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm Based on observations, staff interview, and policy review, the facility failed to ensure residents had privacy during personal care. This affected one of three residents observed for medication administration (Resident #16). The facility census was 78. Residents Affected - Few Findings include: Observations on 08/15/23 at 7:55 A.M. revealed Licensed Practical Nurse (LPN) #80 to administer a pain patch for Resident #16. LPN #80 exposed the resident's upper thigh/hip area while she was lying in her bed and placed the pain patch to the upper thigh area. LPN #80 did not close the door to the room and did not close the privacy curtain around the bed. Two different staff persons were observed to walk by the door to the room when the resident was exposed, with the door open. Interview with LPN #80 on 08/15/23 at 8:10 A.M. confirmed she did not provide privacy for Resident #16 and should have. The surveyor requested the facility policy on privacy. The Administrator provided a policy dated 10/16 and titled Resident Rights. It stated residents are entitled to exercise their rights and privileges to the fullest extent possible. Our facility will make every effort to assist each resident in exercising his/her rights to assure that the resident is always treated with respect, kindness, and dignity. Interview with the Administrator on 08/15/23 at 1:50 P.M. revealed that resident rights included the right to privacy during personal care from staff. This deficiency represents non-compliance investigated under Complaint Number OH00144985. 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: 366215 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 366215 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/15/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Lanfair Center for Rehab & Nsg Care Inc 1590 Chartwell Street Lancaster, OH 43130 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)