Health inspection·December 16, 2025

F 0550 diagnoses of cerebral infarction, diabetes mellitus type II and major depression. Level of Harm - Minimal harm or potential for actual harm Review of the MDS Quarterly assessment dated [DATE] revealed that Resident #94 had severe cognitive impairment and required set up or clean-up assistance for meals. Residents Affected - Few Review of the plan of care for Resident #94 dated 09/26/25 revealed that Resident #94 was at risk for ADL self-care performance deficit related to disease process, fatigue, pain, and stroke. Interventions were to keep nails trim and clipped, avoid scrubbing and pat dry sensitive skin during bathing, allow sufficient time for dressing and undressing, the resident required assistance by one staff to dress, and resident required weekly skin inspections. Observation on 12/01/25 at 9:41 A.M. revealed Resident #94 was sitting in the lounge area watching television dressed in a hospital gown, pants, and shoes. The hospital gown was thin and Resident #94 ' s breast could be seen through the gown. There were six (Residents #62, #58, #38, #5, #68, and #71) other residents in the immediate proximity of Resident #94 watching television. Interview on 12/10/25 at 9:42 A.M. with Certified Nursing Assistant (CNA) #279 verified that Resident #94 ' s breast could be seen through the hospital gown that was worn thin. CNA #279 revealed she did not know how long Resident #94 had been sitting in the main lounge area, because she just brought the residents who smoke back in from the smoke break. CNA #279 revealed Resident #94 had no clothes available and that she would replace the current hospital gown. 3. Review of the medical record revealed Resident #100 was admitted to the facility on [DATE] with diagnoses of diabetes mellitus type II, morbid obesity due to excess calories, cord compression, conductive hearing loss unilateral, and anxiety disorder. Review of the MDS admission assessment dated [DATE] revealed Resident #100 had intact cognition and required supervision or touching assistance for oral care, toileting, and personal hygiene, and substantial maximal assistance for bathing. Review of the plan of care for Resident #100 dated 10/23/25 revealed that Resident #100 was risk for ADL self-care performance deficit related to disease process, and musculoskeletal impairment. Interventions included check nail length and trim, resident required assistance of one to two staff members for showering, resident required assistance of one to two staff members to provide personal hygiene and encourage resident to participate to the fullest extent possible with interaction. Observation on 12/03/25 at 2:38 P.M. from the corridor outside of Resident #100 ' s room revealed the resident room door was wide open and allowed direct and unobstructed view by the Surveyor of Resident #100 laying in his bed. CNA #209 was observed applying deodorant to Resident #100 under the resident ' s arms. Resident #100 had a sheet that was folded down to the middle of his chest which left his chest exposed with no hospital gown on. Interview on 12/03/25 at 2:39 P.M. with CNA #209 revealed she had just provided Resident #100 a bed bath. CNA #209 revealed she opened the door after the bed bath was done to leave and Resident #100 called her back in the room to apply the deodorant. CNA #209 verified Resident #100 was exposed with the door open and this was a privacy issue. Interview on 12/03/25 at 2:40 P.M. with Resident #100 verified he was provided privacy, until the aid tried to leave, and he called her back in to his room to apply deodorant under his arms. Resident (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366238 If continuation sheet Page 2 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few #100 verified that the door was open when he did have his deodorant applied by CNA #209, but it was not her fault. Resident #100 verified it would be a dignity issue if a person who knew him witnessed him exposed from the hallway. Review of the facility policy titled, Resident Rights, dated August 2009, revealed employees should treat all residents with kindness, respect, and dignity. Review of facility policy titled Activities of Daily Living-Supporting, dated 04/2025, revealed that the resident is provided with care, treatment, and services to ensure their activities of daily living do not dimmish, unless the circumstances of their clinical condition (s) demonstrate diminishing activity of daily living are unavoidable. This deficiency represents non-compliance investigated under Complaint Number 1296290 (OH00162471) and 1296291 (OH00163286). FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366238 If continuation sheet Page 3 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff and resident interviews, observation, and review of facility policy, the facility failed to provide information on the grievance process and how to file a grievance. This affected three (Residents #37, #66 and #106) of three residents reviewed on how to file a grievance and had the potential to affect all residents residing in the facility. The facility census was 111. Based on record review, staff and resident interview, observation, and policy review, the facility failed to provide information on the grievance process and how to file a grievance. This affected three (Residents #37, #66 and #106) of three residents reviewed on how to file a grievance. This had the potential to affect all residents residing in the facility. The facility census was 111. Findings include: 1. Review of medical record and quarterly Minimum Data Set (MDS) dated [DATE] for Resident #37 revealed he was admitted to facility on 07/17/25 and revealed resident to be cognitively intact. Resident #37 currently serves as the presiding president of the facility's Resident Council. Interview on 12/09/25 at 4:20 P.M. with Resident #37 revealed Resident #37 was unaware of the right to file a grievance and how the process was accomplished. Resident #37 denied ever having the grievance process explained to him individually or during a resident council meeting. 2. Review of medical record and quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #66 was admitted on [DATE], with moderate cognitive impairment. Interview on 12/10/25 at 9:40 A.M. with Resident #66 revealed Resident #66 was unaware of how to lodge a grievance and admitted he was unaware of a process for filing a grievance. Resident #66 revealed he attended most resident council meetings but cannot remember anyone ever talking about the grievance process. 3. Review of medical record and quarterly MDS dated [DATE] for Resident #106 revealed he was admitted on [DATE] and is cognitively intact. Interview on 12/10/25 at 9:52 A.M. with Resident #106 revealed Resident #106 was aware of what a grievance was but was unaware the facility had a structured program for filing and resolution of grievances. Resident #66 revealed he had attended resident council meetings and had never heard anyone talk about the grievance process. Interview on 12/10/25 at 9:37 A.M. with the Administrator revealed the Administrator had not been involved in a formal grievance since coming to the facility. The Administrator was able to provide a facility policy on Grievances and the names of the three members of the grievance committee (Resident #66, Social Services Assistant #232 and Nurse Practitioner #996). Observation during a tour of the facility on 12/10/25 at 3:32 P.M. with Assistant Director of Nursing #224 revealed no posted information on the grievance process or how to file a grievance. Interview on 12/10/25 at 3:32 P.M. with Assistant Director of Nursing (ADON) #224 verified no knowledge of how the grievance process worked. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366238 If continuation sheet Page 4 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Review of the policy titled, Grievances/Complaints, Filing, undated, revealed residents and their representatives have the right to file grievances either orally or in writing, to facility staff or to the agency designated to hear grievances (e.g. the State Ombudsman). Review of the policy titled, Resident Rights, revised August 2009, revealed the resident had the right to voice grievances and have the facility respond to those grievances, and the facility will make every effort to assist each resident in exercising his/her rights to assure that the resident is always treated with respect, kindness, and dignity. Event ID: Facility ID: 366238 If continuation sheet Page 5 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, resident interview, and policy review, the facility failed to ensure residents were provided with necessary assistance for Activities of Daily Living (ADL's). This affected three (Residents #17, #73 and #76) of five residents reviewed for ADL's. The facility census was 111. Based on medical record review, staff interview, resident interview, observation, and policy review, the facility failed to ensure residents were provided with necessary assistance for Activities of Daily Living (ADL's). This affected three (Residents #17, #73 and #76) of five residents reviewed for ADL's. The facility census was 111. Findings included: 1.Medical record review for Resident #17 revealed an admission date of 08/13/24. Medical diagnoses included diabetes, cerebrovascular attack, dysphagia, cognitive communication deficit, and gastrostomy. Review of the annual Minimum Data Set (MDS) dated [DATE] revealed Resident #17 was severely cognitively impaired. Functional status revealed eating was not applicable, dependent for toileting, bed mobility and transfers. He was frequently incontinent for bowel and bladder. Review of the care plan dated 11/05/25 revealed Resident #17 has an ADL self-care performance deficit related to activity intolerance. The resident required assistance from two staff members with bathing/showering to be given twice weekly and as necessary.Observation on 12/01/25 at 11:12 A.M. revealed the resident was lying in bed. His feet had a thick coating of a yellow substance, and his mattress had flakes of a yellow substance and a white film on it. Interview with Certified Nursing Aide (CNA) #279 on 12/01/25 at 11:19 A.M. confirmed his feet were encrusted with yellow substance and his mattress was dirty. 2. Medical record review for Resident #73 revealed an admission date of 02/08/25. His medical diagnoses included diabetes, cancer, viral hepatitis, and hypertension. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #73 was cognitively intact. His functional status was for bathing was supervision or touching assistance for mobility and setup or clean-up assistance for bathing. Review of the shower documentation for Resident #73 dated from 11/04/25 through 12/02/25 revealed out of nine opportunities he received one on 11/04, 11/11, 11/18, 11/21, and 12/02/25. He refused on 11/25/25 and on 11/07, 11/14, 11/17, and 11/28 the bathing was documented as non-applicable. Interview with CNA #283 on 12/08/25 at 9:13 A.M. revealed the residents were supposed to receive two bathing experiences a week and stated they should be documented on the tasks button under was shower given. She confirmed Resident #73 did not receive the bathing twice a week. 3. Review of the medical record revealed Resident #76 was admitted to the facility on [DATE] with diagnoses of atrial fibrillation, diabetes mellitus type II, protein-calorie malnutrition, malignant neoplasm of prostate, uropathy of bladder and hypertension. Review of the Minimum Data Set (MDS) Quarterly assessment dated [DATE] revealed Resident #76 had intact cognition and was occasionally incontinent of bowel and had a catheter for the bladder. The resident required supervision for eating, oral and personal hygiene, toileting, dressing and transfers, moderate assistance for bathing, and was independent for bed mobility. Review of the plan of care for Resident #76's last reviewed 07/07/25 revealed Resident #76 had an ADL self-care deficit related to his disease process, fatigue, musculoskeletal impairment and cancer. The resident required assistance from one staff with bathing/showering twice weekly and as necessary. Interview on 12/09/25 at 1:50 P.M. with Resident #76 revealed resident was doing his own showers every other day without any staff assistance. Resident #76 revealed he had worked with therapy to get his strength back to be able to do his own showers. Resident #76 revealed when he first arrived at the facility, he received no regular bathing. He revealed he was not sure what his bathing schedule was then and was still not certain what days he was to get assistance with showers. Interview on 12/10/25 at 2:12 P.M. with a family Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366238 If continuation sheet Page 6 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete member (who did not want to be identified) revealed concerns about the lack of bathing of Resident #76. They expressed concern initially as Resident #76 was too weak to bathe on his own. The family member revealed they now believed Resident #76 could do some of his own bathing but should still be supervised. Review of shower documentation for Resident #76 revealed he was to be assisted with bathing on Mondays and Thursdays during dayshift (7:00 A.M. to 7:00 P.M.). Review of shower sheets for Resident #76 dated from 07/19/25 to 12/10/25 revealed resident #76 was not scheduled for any showers from 07/26/25 to 08/10/25, 08/26/25 to 09/05/25, and 10/07/25 to 10/17/25. Review of policy titled Activities of Daily Living revealed residents are provided with care, treatment, and services as appropriate to maintain or improve their ability to carry out activities of daily living (ADLs). Residents who are unable to carry out activities of daily living independently receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene. This deficiency represents non-compliance investigated under Complaint Numbers 2685204, 2656231, 2594798, and 1296294 (OH00165918). Event ID: Facility ID: 366238 If continuation sheet Page 7 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, medical record review, staff and resident interviews, and policy review, the facility failed to ensure residents were safely smoking on the facility property. This affected two (#47 and #103) of two residents reviewed for smoking. The facility identified there were fifteen residents who required assistance with smoking. The facility census was 111. Findings include: 1. Review of the medical record for Resident #103 who revealed an admission date 08/09/22. Diagnoses included mood affective disorder, major depressive disorder, anxiety disorder, bipolar disorder, and prediabetes. Review of the smoking observation and assessment dated [DATE] revealed Resident #103 had smoking device use was cigarettes, was cognitive impaired, and had visual impairment. Resident #103 had dexterity impairments. Resident #103 can light his own smoking device. Smoking adaptive equipment needed was smoking apron. Level of assistance during smoking revealed supervision was required. Review of the plan of care dated 08/09/22 revealed Resident #103 was a supervised smoker, and may only go out during supervised smoking times. Interventions included to assist to and from the smoking area as needed, ensure smoking materials was extinguished before entering the building, explain facility smoking policy to the resident, observe resident for unsafe behaviors and attempt to obtain smoking material from outside sources, provide smoking assistive device as needed, reassess smoking safety quarterly, annual, and with significant change, and remove oxygen before taking resident out to smoke. Observation on 12/01/25 at 9:52 A.M. revealed Resident #103 was dressed in his room. He was sitting in his wheelchair. Resident #103 had three burns on his grey sweatshirt with a skeleton on it. Interview on 12/01/25 at 9:52 A.M. with Resident #103 stated he had no concerns at the facility and was waiting for his smoke break. Observation on 12/04/25 at 1:32 P.M. revealed Resident #103 did not have a smoking apron on during the 1:30 P.M. smoking break. 2. Review of the medical record for Resident #47 revealed an admission date 11/26/21. Diagnoses included chronic obstructive pulmonary disease, major depressive disorder, legal blindness, and osteoporosis. Review of quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #47 was cognitively impaired. Resident #47 required supervision or touching assistance for meals and was dependent on staff for dressing upper and lower body. Review of the plan of care dated 09/23/24 revealed Resident #47 was a supervised smoker and may only go out during supervised smoking times. Interventions included assisting to and from the smoking area as needed, ensure smoking material was extinguished before entering the building, explain facility smoking policy to resident and family, provide smoking assistive devices as needed, remove oxygen (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366238 If continuation sheet Page 8 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few before taking resident out to smoke, smoking apron to be worn at all smoke breaks, and store smoking material in safe place. Observation on 12/01/25 at 1:30 P.M. revealed Resident #47 was smoking at the designated 1:30 P.M. smoke break time. There were no residents who were smoking with a smoking apron on, including Resident #47. At 1:34 P.M., Resident #47 went inside the facility after smoking. Resident #47 was never offered a smoke apron for protection. Interview on 12/01/25 at 1:37 P.M. with Certified Nursing Assistant (CNA) #279 verified Resident #47 did not have a smoking apron on and did smoke with her supervising her. CNA #279 stated she did not know that Resident #47 required a smoking apron. Review of the facility policy titled Smoking Policy – Residents, revised July 2017, revealed the facility shall establish and maintain safe resident smoking practices. The resident will be evaluated on admission to determine if he or she is a smoker or non-smoker. If a smoker, the evaluation will include: a. current level of tobacco consumption; b. method of tobacco consumption; c. desire to quit smoking, if a current smoker; d. ability to smoke safely with or without supervision. Any smoking-related privileges, restrictions, and concerns shall be noted on the care plan, and all personnel caring for the resident shall be alerted to these issues. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366238 If continuation sheet Page 9 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0697 Provide safe, appropriate pain management for a resident who requires such services. Level of Harm - Actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, observation, resident and staff interview, hospice staff interview, review of the hospice record, review of the controlled drug receipt/record/disposition form, review of the text message correspondence, and policy review, the facility failed to ensure a resident with chronic pain syndrome received as needed medication for breakthrough pain. This resulted in Actual Harm, when staff failed to ensure Resident #08 received as needed (PRN) pain medication when she reported severe pain. This affected one (#08) of three residents reviewed for pain. The census was 110. Residents Affected - Few Note: The nursing home is disputing this citation. Findings include: Medical record review for Resident #08 revealed an admission date of 12/14/24. Diagnoses included chronic pain syndrome, malignant neoplasm of the larynx, anxiety, depression, posttraumatic stress disorder, osteomyelitis of the back, fibromyalgia, and bowel rupture with colostomy. Resident #08 was diagnosed on [DATE] with cT3NO (a cancer tumor that has spread into the outermost layer but has not spread to the lymph nodes) head and neck cancer. On 09/17/25 hospice services began. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #08 was cognitively intact. The resident was independent for most activities of daily living, including tracheal stoma and colostomy care. Review of the pain plan of care for Resident #08 revealed to administer pain medications as ordered, be aware of resident's diagnoses to ensure pain medication had been ordered and observe for pain every shift. The goal was for Resident #08 not to experience pain during stay in the facility. Review of the physician orders dated 09/30/25 revealed oxycodone (opioid medication for moderate to severe pain) hydrochloride (HCl) oral tablet 10 milligrams (mg), give two tablets by mouth every three hours as needed (PRN) for pain.?Review of the Medication Administration Record (MAR) from 12/01/25 through 12/02/25 revealed the order was documented as given to the resident on 12/01/25 at 10:01 A.M., then again on 12/02/25 at 10:32 A.M., 8:53 P.M. and 11:59 P.M. Review of the progress notes dated 12/01/25 through 12/02/25 revealed the ordered oxycodone was administered at 10:01 A.M. on 12/01/25 and on 12/02/25 at 10:32 A.M, 8:53 P.M. and 11:59 P.M. There was no documentation on 12/01/25 revealing Resident #08 requested pain medication multiple times beginning at 1:30 P.M. through 9:30 A.M. on 12/02/25. Additionally, there was no documentation the hospice nurse was notified the pain medication was not available for administration. Review of the controlled drug receipt/record/disposition form dated 11/24/25 revealed on 12/01/25 at 12:00 A.M., two pills were signed as given leaving two pills remaining. On 12/01/25 at 10:00 A.M., two pills were signed as given and left a remaining count of zero oxycodone pills. On 12/02/25, 15 pills of oxycodone were checked in on the count sheet by Licensed Practical Nurse (LPN) #244, and two pills were documented as given on 12/02/25 at 10:32 A.M.?Review of the hospice note dated 12/01/25 revealed Resident #08 was out of oxycodone, and it was reordered and will receive tonight. Interview and observation with Resident #08 on 12/02/25 at 9:52 A.M. revealed her pain level was not controlled. She stated she had asked the nurse for the PRN oxycodone more than once and was told it was not available. Resident #08 tearfully reported it had been almost 24 hours since her last PRN pain medication dose was administered, her pain was at level nine out of 10 on a numeric pain scale of one to 10 with 10 being the worst pain. Resident #08 was told the medication was still not available, and she was unclear if it was the fault of the hospice or the pharmacy. She stated she had pain (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366238 If continuation sheet Page 10 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0697 Level of Harm - Actual harm Residents Affected - Few Note: The nursing home is disputing this citation. in her neck, hip, back and wrist and had reduced ability to move and perform activities of daily living. Interview and observation on 12/03/25 at 12:26 P.M. with LPN #273 revealed it was reported to her that the facility was out of Resident #08's PRN oxycodone since the morning of 12/01/25 so some was ordered. She verified there was a bottle of oxycodone from the local pharmacy filled on 12/02/25 for 12 tablets with only 10 tablets left in the bottle and assumed it was an emergent order. A telephone interview on 12/03/25 at 2:44 P.M. with the hospice LPN #915 revealed Resident #08 texted on 12/01/25 at 1:27 P.M. to inform her the pain medication was out. The hospice LPN #915's review of the oxycodone medication revealed the active prescription still had 266 tablets available and she was uncertain why they were not there. Resident #08 texted her again on 12/02/25 at 9:13 A.M. reporting she still was in pain and had not received any administrations of oxycodone since the previous morning and was told the facility received the wrong medications from the pharmacy. The hospice LPN #915 further reported she was informed the facility was trying to rectify an automatic discontinue on this order for Resident #08. The hospice LPN #915 obtained an emergency order for twelve oxycodone tablets, called the order into the local pharmacy, picked up the medication and brought it to the facility for administration at 10:32 A.M. on 12/02/25. LPN #915 reported a note from a hospice Registered Nurse (RN) #910 dated 12/01/25 revealed the facility was out of Resident #08's oxycodone. It was standard procedure for the facility to inform the hospice if a refill was needed. A follow-up telephone interview on 12/10/25 at 1:31 P.M. with hospice LPN #915 revealed she had been notified via text message on 12/01/25 at 1:27 P.M., that Resident #08 was out of her breakthrough pain medication. She said she reviewed the orders for her oxycodone, and they were active and had remaining refills. She said the facility was having some issues with the pharmacy and keeping the medication refilled. LPN #915 said they had the same issue on 11/25/25 when Resident #08 ran out of pain medication. LPN #915 said she received another text message the morning of 12/02/25 at 9:13 A.M., that the wrong medication was sent and Resident #08 was still in pain. LPN #915 called for an emergency order for 12 tablets of oxycodone medication, picked it up from a local pharmacy, and brought it to the facility for administration at 10:32 A.M., on 12/02/25. Interview on 12/11/25 at 9:44 A.M. with LPN #244 verified she only administered one dose of Oxycodone 10 milligrams at 10:01 A.M. on 12/01/25 to Resident #08 because the resident had no more Oxycodone available. LPN #244 said she told Resident #08 she had no more Oxycodone available. When LPN #244 was asked why she didn't request access to the Omni-Fill emergency distribution system, she replied by saying the resident had not requested any more pain medication that day. LPN #244 verified the Oxycodone order refill did not arrive until 12/02/25. Review of the five screen shots of a text message correspondence between Resident #08 and the hospice LPN #915 on 12/01/25 at 1:27 P.M., revealed the facility notified Resident #08 they were out of her PRN oxycodone, and again on 12/02/25 at 9:13 A.M. Resident #08 sent a text message reported, per the facility, pharmacy received the wrong medication. The hospice LPN #915 replied she was on her way to the facility. Review of the policy titled Administering Medications dated April 2019, revealed medication administration times are determined by resident need and benefit, not staff convenience, and include enhancing optimal therapeutic effect of the medication, consistent with his or her care plan. Medication errors are documented, reported and reviewed by the QAPI (Quality Assurance and Performance Improvement) committee to inform process changes and/or the need for additional staff training. Review of the policy titled Pain Assessment and Management dated October 2022, revealed the facility is to implement medication regimen as ordered, document and communicate directly to the provider results of interventions when appropriate and ongoing communication between prescriber and staff is necessary for the optimal and judicious use of pain medications; notify the provider immediately (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366238 If continuation sheet Page 11 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0697 if the resident's pain or the medication side effects are not adequately controlled. This deficiency represents non-compliance investigated under Master Complaint Number 2685204 and Complaint Number 2626999. Level of Harm - Actual harm Residents Affected - Few Note: The nursing home is disputing this citation. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366238 If continuation sheet Page 12 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on observation, staff interviews, and policy review, the facility failed to provide a homelike environment. This affected seven (#114, #47, #25, #50, #17, #71, and #73) out of seven residents reviewed for the environment. In addition, the facility failed to ensure the elevator was clean and had appropriate lighting. This had the potential to affect any resident who used the elevator. Additionally, the facility failed to ensure the memory care unit (MCU) was free from odors. This had the potential to affect all residents who resided in rooms 251, 252, 253, 254, 255, 256, 257, 258, and 259. The facility census was 111.Findings included:Observation of Resident #17's room on 12/01/25 at 11:12 A.M. revealed his tube feeding pole had a dried brownish substance running down the pole. His blind on the window was broken. The privacy curtain that was in the room had brown spots on it. Interview with the certified nursing assistant (CNA) #279 on 12/01/25 at 11:19 A.M. confirmed the tube feeding pole was dirty and had not been cleaned in some time. She confirmed the blind was broken and the curtain was dirty. Observation of #73's room on 12/01/25 at 11:23 A.M. revealed his blind was broken, and his privacy curtains had brown stains on them. Interview with the Housekeeping Aide #321 on 12/01/25 at 11:26 A.M. confirmed the blind was broken and the privacy curtain had brown stains on them.Observation of Resident #71's room on 12/01/25 at 11:27 A.M. revealed her privacy curtain was broken and hanging off the hooks in the ceiling. Observation of Resident #47's room on 12/02/25 at 11:30 A.M. revealed the curtains had a brown substance on them. Observation of Resident #25's room on 12/01/25 at 11:31 A.M. revealed the curtains on her windows had a yellowish brownish tint to them. The privacy curtain was off the track and was missing hooks.Observation on 12/01/25 at 11:59 A.M. of Resident #50's room revealed his privacy curtain was hanging halfway off the track.Interview with the Housekeeping Aide #321 on 12/01/25 at 12:00 P.M. confirmed Resident #71, #47, #25, and #50's privacy curtains needed cleaned or replaced. Observation of Resident #114's room on 12/01/25 at 11:45 A.M. revealed the walls coming into the room on the right-hand side had drops of a light brown substance running down them, there was a hole the size of a softball on the right side of the wall walking into the room and another hole on the left side of the wall walking into the room. Interview with the Maintenance Supervisor (MS) #211 on 12/01/25 at 11:45 A.M. confirmed holes in the walls needed to be fixed, confirmed the splashes running down the walls. Observation of the south elevator on 12/02/25 at 11:34 A.M. revealed there were stains on the floor and dirt in the corners. The lights were dim and the panels covering the lights had bugs and a black substance in them. There was one panel that was yellow in color. Interview with the Maintenance Assistant (MA) #229 on 12/01/25 at 11:40 A.M. confirmed the elevator was dim and dirty. Observation of the MCU on 12/03/25 at 1:04 P.M. revealed there was a pungent smell of urine and feces down the hall with room numbers 251, 252, 253, 254, 255, 256, 257, 258, and 259. Observation on 12/08/2025 at 11:20 A.M. revealed there was a pungent smell of urine and feces on the MCU down the same hall and in the same rooms as above. The Licensed Practical Nurse (LPN) #278 took spray and sprayed in the rooms and the hallway. She found a trash bag in a closet that looked like a wet blanket in it. Observation on 12/08/25 at 1:00 P.M. revealed there was a pungent smell of urine and feces on the MCU affecting the same hall and rooms. Interview with LPN #278 on 12/08/25 at 1:05 P.M. confirmed she didn't know what the smell was on the hall but would have to investigate it and call housekeeping. Review of the policy titled Homelike Environment dated 02/01/21 revealed residents will be provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible.Policy Interpretation and ImplementationI. Staff provides person-centered care that emphasizes the residents' comfort, independence and personal needs and preferences.2. The facility staff and management (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366238 If continuation sheet Page 13 of 14 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 366238 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Norwood Towers Post-Acute 1500 Sherman Avenue Cincinnati, OH 45212 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)

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. These characteristics include: a. clean, sanitary and orderly environment.b. comfortable (minimum glare) yet adequate (suitable to the task) lighting.c. inviting colors and decor.d. comfortable and safe temperatures ande. comfortable sound levels.3. Comfortable and adequate lighting is provided in all areas of the facility to promote a safe, comfortable and homelike environment. The lighting design emphasizes:a. sufficient general lighting in resident-use areas.b. task lighting as needed.c. reduction in glare (through use of light filters, no wax floors);d. even light levelsThis deficiency represents non-compliance investigated under Complaint Numbers 2661780, 2656231, 2655586, and 129629 (OH00162471). Event ID: Facility ID: 366238 If continuation sheet Page 14 of 14