Health inspection·June 29, 2023

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observations and interview, the facility failed to ensure food was stored, prepared and served under sanitary conditions. This had the potential to affect all 138 residents in the facility who ate meals from the kitchen. No residents were identified by the facility as being nothing by mouth (NPO). Findings include: Tour of the kitchen on 06/29/23 from 7:05 A.M. through 7:30 A.M. with Licensed Social Worker (LSW) # 400 revealed the table top mixer had dried food splatter on the back splash of the bowl guard, pudding was splattered on the side of the reach-in refrigerator, the reach-in refrigerator had spilled milk and dry food residue on the bottom, dried chicken gravy and noodles on the floor located near the tilt skillet, food residue was on the clean side of the dish machine. Walls in the dish room, prep area and service area had liquid and food splatter. On the outside of bins containing flour and sugar there was food splatter and dirt on the bins. Interview on 06/29/23 at 11:30 A.M. with Dietary Manager (DM) #401 revealed dietary had been short staffed lately and there were no sanitation policies for the kitchen. DM #401 stated no residents were NPO. This deficiency represents non-compliance investigated under Complaint Number OH00143817. Page 1 of 2 366333 366333 06/29/2023 Scenic Pointe Nursing and Rehab Ctr 8067 Township Road 334 Millersburg, OH 44654

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 observations, interviews, and review of the cleaning schedule, the facility failed to ensure all areas of the facility were clean and sanitary. This had the potential to affect 35 residents residing on the 100-hall (Resident #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26, #27, #28, #29, #30,#31, #32, #33, #34, #35) and 33 residents residing on the 400-hall ( #106, #107, #108, #109, #110, #111, #112, #113, #114, #115, #116, #117, #118, #119, #120, #121, #122, #123, #124, #125, #126, #127, #128, #129, #130, #131, #132, #133, #134, #135, #136, #137 and #138.) The census was 138. Findings included: Observation and interview on 06/29/23 at 7:44 A.M. of the 100-hall shower room with STNA #307 revealed there was black substance around the bottom perimeter of the shower floor. STNA #307 verified there was black substance around the bottom perimeter of the shower in the 100-hall shower room. Observation and interview on 06/29/23 at 8:00 A.M. of the 400-hall shower room with HK #313 revealed in both showers there was an approximate two-inch gap between the floor tile and shower walls and within this gap there was a dirty, black residue. The shower walls were also dirty. HK #313 verified the floor tile and shower walls were not clean and sanitary. Review of the daily cleaning schedule revealed shower rooms and showers were to be cleaned daily by the housekeepers. This deficiency resulted from non-compliance identified during the investigation of Complaint Number OH00143817. 366333 Page 2 of 2