Health inspection·November 19, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on observation, staff interview, resident interview, and review of the facility policy, the facility failed to provide residents with a dignified dining experience by serving resident meals on Styrofoam tableware and cups with plastic cutlery. This affected three (Residents #30, #42, and #73) of three residents observed for meal service and had the potential to affect all of the residents residing in the facility. The facility census was 74 residents. Findings include: Observation on 11/19/24 at 9:16 A.M. of random residents on the memory care unit revealed one resident who had a Styrofoam cup with a plastic spoon in it, a Styrofoam plate, and a Styrofoam bowl sitting on the table in front of her. No staff were seen in the vicinity at the time of this observation. Observation on 11/19/24 at 9:26 A.M. revealed a large box of three-compartment aluminum trays, and stacks of Styrofoam plates, cups and bowls in the tray line/meal preparation area of the kitchen. Interview on 11/19/24 at 9:26 A.M. with Dietary Coordinator (DC) 133 confirmed that the dish machine in the kitchen was the only dish machine in the facility and had been broken down for at least a month. DC #133 confirmed that the facility was using the three-sink hand washing protocol for washing dishes and had been using three-compartment aluminum trays with lids to plate and serve most of the resident meals. DC #133 confirmed that the facility was awaiting corporate approval of the bid submitted on 11/18/24 to an outside vendor to fix the dish machine. Interview on 11/19/24 at 9:35 A.M. with Certified Nursing Assistant (CNA) 229 confirmed some residents had found it hard to cut meat with plastic silverware. Interview on 11/19/24 at 9:41 A.M. with Resident #30 confirmed it was difficult to eat things like meat with plastic silverware. Interview on 11/19/24 at 9:47 A.M. with Resident #42 confirmed since his admission to the facility two weeks ago the food has been served on Styrofoam plates or aluminum trays with plastic cutlery. Interview on 11/19/24 at 9:51 A.M. with Resident #73 confirmed her eggs were served this morning in an aluminum tray with a lid and that she was unable to open the container on her own. Interview on 11/19/24 at 10:09 A.M. with the Administrator confirmed the dish machine had been broken down since June 2024 of this year and was outside of the warranty date. The Administrator (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: 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 11/19/2024 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)