Health inspection·January 4, 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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and medical record review, the facility failed to ensure urinary catheter bags were covered to maintain resident dignity. This affected one (#49) of two residents reviewed for urinary catheters. The census was 56. Findings include: Review of the medical record for Resident #49 revealed an admission date of 08/09/23. Diagnoses included severe intellectual disabilities, acute kidney failure, retention of urine, chronic obstructive pyelonephritis, unspecified hydronephrosis, and benign prostatic hyperplasia with lower urinary tract symptoms. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #49 was assessed with moderately impaired cognition. Observation on 01/02/24 at 8:23 A.M. revealed Resident #49 was sitting in the common dining room awaiting breakfast and his urinary catheter (Foley) bag was not covered. Interview with State Tested Nurse Aide (STNA) #135 and STNA #140 verified Resident #49's urinary privacy bag was not covered in the common dining area. This deficiency represents an incidental finding investigated under Complaint Number OH00149334. Page 1 of 2 366237 366237 01/04/2024 Wadsworth Pointe 540 Great Oaks Trail Wadsworth, OH 44281

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, medical record review, staff interview, review of a facility policy, and review of the Centers for Disease Control and Prevention (CDC) website, the facility failed to ensure urinary catheters were maintained in a manner to prevent infection. This affected one (#49) of two residents reviewed for urinary catheters. The census was 56. Residents Affected - Few Findings include: Review of the medical record for Resident #49 revealed an admission date of 08/09/23. Diagnoses included severe intellectual disabilities, acute kidney failure, retention of urine, chronic obstructive pyelonephritis, unspecified hydronephrosis, and benign prostatic hyperplasia with lower urinary tract symptoms. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #49 was assessed with moderately impaired cognition and used a manual wheelchair for mobility around the facility. Review of the plan of care dated 08/16/23, last reviewed 12/04/23, revealed Resident #49 required an external catheter and nephron tube due to acute kidney failure and urinary retention. Review of a progress note dated 10/11/23 revealed Resident #49's a urinary catheter (Foley) that was intact and draining clear yellow. The resident also had a right nephrostomy tube with a dressing that was clean, dry, intact, and draining clear yellow. Observation on 01/02/24 at 8:23 A.M. revealed Resident #49 sitting in the dining room awaiting breakfast. The resident's Foley catheter bag was hooked on the cross bar under his manual wheelchair and there was not enough space for the Foley catheter bag to be up off the floor. Further observation revealed approximately one-third of the Foley bag was resting directly on the floor uncovered. Interview with State Tested Nurse Aide (STNA) #135 and STNA #140 at 8:35 A.M. on 01/02/24 stated Resident #49 could transfer himself and also could reach where the Foley bag was hooked on the wheelchair. STNA #135 and STNA #140 verified Resident #49's Foley bag was resting on the floor uncovered, and the resident dragged the bag around the facility under the wheelchair and in and out of the elevator when the resident to different floors of the facility. Review of the infection control policy, dated 08/19/20, revealed employees are to support resident safety by adhering to all policies and procedures related to infection prevention. Review of the CDC website at, https://www.cdc.gov/infectioncontrol/guidelines/cauti/index.html, last reviewed 11/05/15, and titled, Catheter-Associated Urinary Tract Infections (CAUTI), revealed under proper techniques for urinary catheter maintenance to keep the collecting bag below the level of the bladder at all times. Do not rest the bag on the floor. This deficiency represents non-compliance investigated under Complaint Number OH00149334. 366237 Page 2 of 2