Health inspection·January 29, 2025

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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, policy review, and interview, the facility failed to ensure timely resolution of a concern regarding missing resident property. This affected one (Resident #10) of three residents reviewed for misappropriation. The facility census was 74. Findings include: Review of the medical record revealed Resident #10 was admitted to the facility on [DATE] with diagnoses including Alzheimer's disease, diabetes mellitus, anxiety disorder, depression, and personal history of malignant neoplasm of the lip, oral cavity, and pharynx. The resident expired and was discharged on [DATE]. Review of the Quarterly Minimum Data Set (MDS) assessment, dated [DATE], revealed the resident had moderately impaired cognition. Review of a Concern Report, dated [DATE], revealed Resident #10's power-of-attorney (POA) filed a concern regarding Resident #10's missing rollator walker, dentures, and glasses following a hospitalization on [DATE]. The Concern Report revealed the Administrator called the inpatient psychiatric hospital on [DATE] and left a message, with no response received. Interview on [DATE] at 9:35 A.M. with Social Services Designee (SSD) #64 revealed Resident #10 left the building with his walker when he was transferred to the hospital on [DATE], however, upon his return, the walker was not received. Interview on [DATE] at 10:55 A.M. with the Administrator confirmed the last phone call or attempt to provide a resolution for Resident #10's POA's concern regarding missing dentures, glasses, and walker was made on [DATE]. The Administrator further confirmed the resident did have dentures, glasses, and a walker upon admission to the facility. Review of the facility's policy, titled Resident Rights, dated [DATE], revealed each resident has the right to retain and use personal possessions including furnishings and clothing, as space permits. This deficiency is an incidental finding discovered during the complaint investigation. Page 1 of 2 366244 366244 01/29/2025 Continuing Healthcare at Willow Haven 1020 Taylor Street Zanesville, OH 43701

F 0622 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on closed medical record review and interview, the facility failed to ensure comprehensive resident information was provided to the receiving facility regarding a transfer. This affected one (Resident #10) of three residents reviewed for death. The facility census was 74. Findings include: Review of the closed medical record revealed Resident #10 was admitted to the facility on [DATE] with diagnoses including Alzheimer's disease, diabetes mellitus, anxiety disorder, depression, and personal history of malignant neoplasm of the lip, oral cavity, and pharynx. The resident expired in the facility and was discharged on [DATE]. Review of the Quarterly Minimum Data Set (MDS) assessment, dated [DATE], revealed the resident had moderately impaired cognition. The resident required supervision or touching assistance with ambulation, showering, and personal hygiene. Review of Resident #10's Transfer Form, dated [DATE], revealed under Section E: the facility failed to include accurate resident representative information. The resident's son was power-of-attorney (POA)/resident representative and this was not documented on the form. Interview on [DATE] at 12:21 P.M. with the Administrator confirmed Resident #10's Transfer Form did not reflect accurate resident representative information. This is an incidental finding discovered during the complaint investigation. 366244 Page 2 of 2