Health inspection·October 30, 2025

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, the facility failed to ensure medications were given as prescribed. This affected one (#15) of four residents reviewed for medication administration. The facility census was 107.Findings include:Review of the medical record for Resident #15 revealed an admission date of 5/30/25. The resident was admitted with diagnoses including schizoaffective disorder, Chronic Obstructive Pulmonary Disease (COPD), major depressive disorder and syndrome of inappropriate secretion of anti-diuretic hormone.The quarterly Minimum Data Set (MDS) dated [DATE] revealed she was cognitively intact and required supervision with eating, bed mobility, toileting hygiene and transfers.Observation on 10/29/25 at 10:19 A.M. of the medication pass with Registered Nurse (RN) #100 for Resident #15 revealed he prepared Fluphenazine (antipsychotic) one 10 milligram (mg) tablet (tab), Hydroxyzine Pamoate (antihistamine) 25 mg, Metoprolol (high blood pressure) 25 mg tab, Lamotrigine (Bipolar disorder) 25 mg, Trihexyphenidyl (Tremors) five mg tab, Turmeric (supplement) 500 mg capsule, Stress formula vitamin one tab, Sennosides (constipation) 8.6 mg tab, Lorazepam (anxiety) one, one mg tablet and Geodon (antipsychotic) 20 mg tablet and placed them into a medication cup.Observation on 10/29/25 at 10:29 A.M. revealed RN #100 took the medication cup to the table where Resident #15 was seated. Resident #15 looked in the medication cup and asked where her Bumex (diuretic) and Aspirin (salicylate) were. RN #100 returned to the medication cart and opened the electronic medical record for Resident #15. After reviewing the medications, he opened the medication drawer and removed the card for Bumex one mg tablet and placed it into a medication cup, he then opened a bottle of Aspirin 81 mg, enteric coated and added it into the medication cup. He then delivered the additional two pills to Resident #15. Review of the physician orders for Resident #15 revealed an order for Fluphenazine 10 mg tablet, give two tablets, two times daily with a start date of 08/19/25. Further review revealed an order for Aspirin 81mg chewable tablet with a start date of 05/31/25 and an order for Bumex one mg by mouth daily with a start date of 05/31/25.Interview on 10/29/25 at 10:27 A.M., RN #100 verified he had only given one tablet of Fluphenazine instead of two and had given an 81 mg, enteric coated Aspirin instead of the chewable tablet as ordered. RN #100 acknowledged he did not prepare Bumex and Aspirin for administration until Resident #15 informed him it was not present in the medication cup.This deficiency represents non-compliance investigated under Complaint Number 2591479. 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: 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 10/30/2025 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)