Health inspection·April 26, 2023

F 0563 Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff and resident interviews, review of personnel files, and review of facility policy, the facility failed to ensure residents were allowed to have visitors of their choice. This affected two residents (#11 and #16) out of six Residents reviewed for visitation. The facility census was 47. Residents Affected - Few Findings included: 1) Review of the clinical record for Resident #11 revealed the resident was admitted to the facility on [DATE]. Diagnoses included, but are not limited to, type II diabetes, cognitive communication deficit, major depressive disorder, hypertension, morbid obesity, and overactive bladder. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] for Resident #11, revealed the resident had moderate cognitive impairment. Review of the care plan for Resident #11, addressed her being dependent on staff for meeting emotional, intellectual, physical, and social needs related to immobility. Interventions included encouraging ongoing family involvement and inviting the resident's family to attend special events, activities, and meals. Interview on 04/26/23 at 2:45 P.M. with Resident #11, revealed the resident indicated she would like to have one visitor and it was a former Activities Director from the facility. Resident #11 indicated she talked to former Activities Director #60 regularly on the phone. Resident #11 indicated she was told by former Activities Director #60 that she was not allowed to come and visit. 2) Review of the clinical record revealed Resident #16 was admitted to the facility on [DATE]. Diagnoses included, but are not limited to, schizoaffective disorder, sensorineural hearing loss bilaterally, major depressive disorder, intellectual disabilities,' mild cognitive impairment, type II diabetes, and cognitive communication deficit. Review of the quarterly MDS assessment dated [DATE], revealed Resident #16 had had a BIMS score of 11 indicating she had moderate cognitive impairment. She needed supervision for activities of daily living. Review of the care plan for Resident #16, revealed the resident was dependent on staff for meeting emotional, intellectual, physical, and social needs related to cognitive deficits. Interview on 04/26/23 at approximately 2:50 P.M. with Resident #16, revealed the resident indicated Page 1 of 2 366288 366288 04/26/2023 Sunrise Nursing Healthcare LLC 3434 State Route 132 Amelia, OH 45102

F 0563 she would like to have former Activities Director #60 visit her in the facility. Level of Harm - Minimal harm or potential for actual harm Interview on 04/26/23 at 10:45 A.M. with Administrator and the Director of Nursing (DON), revealed former Activities Director#60 started in December 2021 and walked off the job in October 2023. The Administrator indicated former Activities Director #60 was aggressive and had emotional outbursts with other staff members prior to leaving. Administrator indicated the Corporate Policy was that when someone quit, they were not to be back in the building. Administrator indicated a friendly reminder was sent to former Activities Director #60 via text message on 03/09/23, after she came to visit residents on a weekend. Administrator displayed his phone to the surveyor, which revealed a text message to former Activities Director #30 stating, I was notified by residents that you were on Sunrise Manor premises visiting and as another reminder, you are not allowed on premises. This is a company policy. Administrator denied having any documented evidence that the Former Activities Director #60 had been verbally or physically abusive to the residents. Residents Affected - Few Review of the personnel file for former Activities Director #60, revealed no disciplinary action against her prior to a 10/26/22 write up for misconduct when she had outbursts and unprofessional behavior during staff meetings. The personnel file revealed a 90-day evaluation dated 02/25/22, which indicated former Activities Director #60 was rated as working well with others, taking pride in her work, seeking improvement, was always concerned with safety and was always polite and willing to help. Review of the Employee Handbook effective 12/01/18, revealed the corporate employee policy page 35 and under a section titled Visitors stated personal visits to residents during working hours are prohibited. If you resign or (are) terminated from Sunrise Nursing Healthcare and wish to return to visit a resident, you may do so only after obtaining permission from the Administrator. Review of the facility's policy titled Visitation revised in September 2022, revealed the facility permitted residents to receive visitors subject to the resident's wishes and the protection of the rights of other residents in the facility. The Residents are permitted to have visitors of their choosing at the time of their choosing. This deficiency represents non-compliance investigated under Complaint Number OH00141089. 366288 Page 2 of 2