Health inspection·May 29, 2024

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on observations, medical record review, resident interview, staff interview, and facility policy/procedure review, the facility failed to maintain a sanitary living environment. This affected one resident (#68) of three residents reviewed for a sanitary living environment. The facility census was 75. Findings include: Observations on 05/29/24 at 10:30 A.M. and 10:45 A.M. revealed mouse droppings in a basket in Resident #68's bedroom. The basket had personal items in it, as well as a box of snack cakes (each individual cake was sealed). Resident #68 was admitted to the facility 11/24/22 with diagnoses including type II diabetes, chronic obstructive pulmonary disease, vascular dementia, need for assistance with personal care, difficulty walking, dysphagia, cerebral aneurysm, autonomic neuropathy, insomnia, ventral hernia, hyperlipidemia, depression, obesity, atrial fibrillation, hypothyroidism, and hypertension. Review of the Minimum Data Set (MDS) assessment, dated 03/01/24, revealed Resident #68 was cognitively intact. Interview with Resident #68 on 05/29/24 at 10:35 A.M. confirmed she had seen mice in her room, but it had been a couple weeks since this has occurred. She confirmed there were mice droppings in her basket, which was located on top of her mini fridge. She keeps snacks and other personal items in that basket, which she can reach and get things out of it when she wants. Interview with State Tested Nursing Aide (STNA) #101 on 05/29/24 at 10:45 A.M. confirmed the mice droppings in Resident #68's basket in her room. She confirmed that should be cleaned and personal items should not have mice droppings in them. Interview with the Administrator on 05/29/24 at 11:16 A.M. confirmed he was told about the mice droppings found in Resident #68's room. He confirmed there was documentation that Resident #68 room was deep cleaned on 05/15/24, so he was not sure if the mice droppings were missed at that time, or if it occurred after the deep cleaning. Review of the facility Room Cleaning Checklist revealed each day, the following items will be cleaned by the housekeeping staff: within resident rooms, furniture, blinds, windows/sills, mattress, doors/knobs, privacy curtains, empty trash, floors, make bed, ensure supplies in bathroom are refilled, toilet, mirrors, sinks, and any handrails. Page 1 of 2 366286 366286 05/29/2024 Continuing Healthcare at Cedar Hill 1136 Adair Avenue Zanesville, OH 43701

F 0921 This deficiency represents non-compliance investigated under Complaint Number OH00153908. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 366286 Page 2 of 2