Health inspection·December 31, 2024

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure staff donned appropriate personal protective equipment (PPE) prior to provision of care for residents on enhanced barrier precautions (EBP.) This affected two (Residents #11 and #13) of three residents reviewed. The facility census was 107 residents. Residents Affected - Few Findings include: 1. Review of the medical record for Resident #13 revealed an admission date of 02/27/23 with diagnoses including hypotension, gastrotomy, colostomy, obesity, and dysphagia. Review of the Minimum Data Set (MDS) assessment for Resident #13 dated 12/07/24 revealed the resident had mild cognitive deficits and required substantial to total dependence with activities of daily living (ADLs.) Review of care plan for Resident #13 dated 09/23/24 revealed the resident required EBP related to an indwelling medical device (colostomy) regardless of multi drug resistant organisms (MDROs). Interventions included staff should don gowns and gloves prior to and during high-contact resident care activities that provided opportunities for transfer of MDROs to staff hands and clothing. Examples of high-contact interactions included dressing, bathing, showering, transferring, providing hygiene, changing linens, changing briefs/toileting, and device care or use. Observation of incontinence care for Resident #13 on 12/31/24 at 10:00 A.M. per Certified Nursing Assistant (CNA) #33 revealed the aide did not don a gown prior to proving incontinence care to the resident. Interview on 12/31/24 at 10:05 A.M. with CNA #33 confirmed that she did not don a gown prior to providing incontinence care for Resident #13. 2. Review of the medical record for Resident #11 revealed an admission date of 04/29/20 with diagnoses including bipolar disorder, schizophrenia, and psychotic disorder. Review of the MDS assessment for Resident #11 dated 10/19/24 revealed the resident had no cognitive deficits and was independent with ADLs. Review of the care for Resident #11 plan dated 06/11/23 revealed the resident required EBP related to a left ankle wound. Interventions included staff should don gowns and gloves prior to and during high-contact resident care activities that provided opportunities for transfer of MDROs to staff hands and clothing. Examples of high-contact interactions included dressing, bathing, showering, (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 2 Event ID: 366220 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 366220 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/31/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Harmony Court Rehab and Nursing 6969 Glenmeadow Lane Cincinnati, OH 45237 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)