Health inspection·December 31, 2025

F 0610 Respond appropriately to all alleged violations. 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, resident representative interview, resident interview, staff interview, and facility policy review, the facility failed to investigate an allegation of abuse thoroughly. This affected one (Resident #39) of three residents reviewed for abuse. The census was 111.Findings Include:Resident #39 was admitted to the facility on [DATE]. Her diagnoses were seizures, chronic embolism and thrombosis, osteoarthritis, peripheral vascular disease, hyperlipidemia, dementia, major depressive disorder, anxiety disorder, and Parkinson's disease. Review of her minimum data set (MDS) assessment, dated 11/20/25, revealed she had a mild cognitive impairment.Review of Resident #39's progress notes, dated 12/02/25, confirmed an incident that happened between Resident #39 and Resident #79. Resident #79 became agitated and grabbed Resident #39, but did not strike her. Resident #79 was removed from the situation to calm the environment. Resident #39 was fully assessed and no injuries were noted. Resident #39 indicated she had a stress induced headache which was a result of the negative interaction she had with Resident #79. Staff addressed the headache with pain reliever.Review of Resident #39 and Self Reported Incident (SRI) investigative documents, dated 12/01/25, revealed it was reported that Resident #79 was hitting Resident #39. The facility completed an investigation and determined no abuse had occurred. There was no documentation that indicated Resident #79 had touched Resident #39 during this entire incident; it only referenced that Resident #79 did not abuse Resident #39. There was documentation that Resident #39's representative was near the incident when it occurred, but there was no documentation that Resident #39's representative was interviewed to provide clarity on this incident. Interview statement from Licensed Practical Nurse (LPN) #166, who was the nurse that was directly involved with this incident, stated Resident #79 was aggressive and agitated, but did not reflect there was any physical interaction between the two residents. Interview statement written by Director of Nursing (DON) regarding an interview she completed with Resident #39, indicated Resident #39 was never struck by Resident #79. There was no mention of any physical interaction between the two residents. Finally, an interview statement given by LPN #164 indicated she was called to the area by staff. She stated she was given information about the incident, but there was nothing specific about what was told to her about the incident.Interview with Resident #39's representative on 12/30/25 at 9:50 A.M. confirmed she was in the facility and in the immediate vicinity when Resident #79 attacked Resident #39, clarifying that Resident #79 was aggressive toward Resident #39 and grabbed her shoulders. Resident #39's representative stated LPN #166 quickly intervened, but Resident #79 had grabbed Resident #39 prior to the LPN intervening. She stated she spoke to the facility management about this and feels they are covering it up because they told her they did not have any evidence that Resident #39 was touched/grabbed by Resident #79 at all.Interview with LPN #166 on 12/30/25 at 10:02 A.M. confirmed she was in the area of the building where Resident #39 and Resident #79 had their incident. She confirmed Resident #39's daughter was in the area and saw everything as well. She confirmed she reported to management that Resident #79 Residents Affected - Few (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 3 Event ID: 366259 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 366259 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/31/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Scioto Rehabilitation & Care Center 433 Obetz Road Columbus, OH 43207 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)