Health inspection·February 7, 2024

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Based on medical record review, observation, and staff interview the facility failed to ensure residents' toilets were functioning properly. This affected two (Residents #58 and #63) of two residents reviewed for physical environment. The facility census was 102 residents. Findings include: 1. Review of the medical record for Resident #63 revealed an admission date of 01/24/23 with diagnoses including Alzheimer's disease with late onset and adult failure to thrive. Review of the Minimum Data Set (MDS) assessment for Resident #63 dated 12/26/23 revealed the resident had severe cognitive impairment and was dependent on staff for all activities of daily living (ADLs). Observation on 01/30/24 at 12:45 P.M. of Resident #63's bathroom revealed the bathroom floor was covered with water and pieces of toilet paper and paper towels. A large piece of clear plastic was on the bathroom floor beside the bathroom door which had been used to cover the toilet. The toilet was out of order and did not flush properly. Interviews on 01/30/24 at 12:55 P.M. with Licensed Practical Nurse (LPN) #163 and State Tested Nursing Assistant (STNA) #296 confirmed Resident #63's bathroom floor was covered with water and pieces of toilet paper and paper towel. LPN #163 and STNA #296 confirmed the resident's toilet was out of order and the large piece of plastic in the bathroom had been used to cover the toilet and indicate it was out of order. STNA #296 confirmed when she was Resident #63's assigned aide in December 2023 the resident's toilet was not working and had been covered with a large piece of clear plastic. 2. Review of the medical record for Resident #58 revealed an admission date of 12/20/23 with diagnoses including chronic obstructive pulmonary disease, osteoarthritis, schizoaffective disorder, and anxiety disorder. Review of the MDS for Resident #58 dated 12/06/23 revealed the resident had moderate cognitive impairment and required set up assistance, supervision, and verbal cues for all ADLs. Observation on 01/30/24 at 12:50 P.M. of Resident #58's room revealed the resident's bathroom was covered with water and pieces of toilet paper and paper towel. Water overflowed out of the bathroom and extended into the resident's bedroom. Interviews on 01/30/24 at 12:55 P.M. with LPN #163 and STNA #296 confirmed Resident #58's bathroom Page 1 of 3 366220 366220 02/07/2024 Harmony Court Rehab and Nursing 6969 Glenmeadow Lane Cincinnati, OH 45237

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few floor was covered with water and pieces of toilet paper and paper towel. Interview confirmed Resident #58's toilet was out of order. Interview on 01/30/24 at 1:17 P.M. with Maintenance Director (MD) #210 confirmed Resident #58 and Resident #63 toilets were clogged and out of order, because both bathrooms shared the same drainage pipe. This deficiency represents non-compliance investigated under Complaint Number OH00150152 and is an example of continued noncompliance from the survey dated 12/26/23. 366220 Page 2 of 3 366220 02/07/2024 Harmony Court Rehab and Nursing 6969 Glenmeadow Lane Cincinnati, OH 45237

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Based on record review, observation, staff interview, and review of the facility policy, the facility failed to ensure the water temperature in residents' rooms was within safe temperature limits to prevent possible scalding injuries. This affected two (Residents #35 and #38) of two residents reviewed for physical environment. The facility census was 102 residents. Findings include: 1. Review of the medical record for Resident #35 revealed an admission date of 01/17/24 with diagnoses including schizoaffective disorder bipolar type, anxiety disorder, blindness of right eye and low vision of left eye. Review of the Minimum Data Set (MDS) assessment for Resident #35 dated 01/21/24 revealed the resident had moderate cognitive impairment and required supervision and verbal cues for all activities of daily living (ADLs). Observation on 01/30/24 at 2:03 P.M. with Maintenance Director (MD) #210 revealed the water temperature of the Residents #35's bathroom sink was 127 degrees Fahrenheit (F.) Interview on 01/30/24 at 2:15 P.M. with MD #210 confirmed the water temperature for Resident #35's bathroom sink was 127 degrees F. 2. Review of the medical record for Resident #38 revealed an admission date of 08/17/18 with diagnoses including cerebral atherosclerosis, nonexudative age-related macular degeneration, personal history of traumatic brain injury, vascular dementia, impulse disorder, and schizoaffective disorder bipolar type. Review of the MDS for Resident #38 dated 11/30/23 revealed the resident had moderate cognitive impairment and required supervision and set up for all ADLs. Observation on 01/30/24 at 2:15 P.M. with MD #210 revealed the water temperature in Resident #38's bathroom was 122 degrees F. Interview on 01/30/24 at 2:15 P.M. with MD #210 confirmed the water temperature for Resident #38's bathroom sink was 122 degrees F. MD #210 further confirmed water temperatures in resident rooms should not exceed 120 degrees F so as to prevent possible scalding injuries. Review of the facility policy titled Water Temperature Regulation revised January 2018 revealed the staff should ensure water temperatures in residents areas were maintained at a safe and comfortable level. A safe temperature range was 100 degrees F to a maximum of 120 degrees F. This deficiency represents non-compliance investigated under Complaint Number OH00150387. 366220 Page 3 of 3