Health inspection·April 7, 2025

F 0624 Prepare residents for a safe transfer or discharge from the nursing home. 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, interview, policy review, the facility failed to ensure home health services were arranged prior to resident discharge from the facility. This affected one resident (#139) of three resident records reviewed. The census was 136. Residents Affected - Few Findings include: Review of Resident #139's medical record revealed he was admitted to the facility on [DATE] and discharged on 03/20/25. Diagnoses included cerebral infarction, hemiplegia and hemiparesis, vascular dementia, dysphagia, impulse disorder, major depression, and intermittent explosive disorder. Review of the annual minimum data set (MDS) assessment dated [DATE] revealed his cognition was intact. He required supervision or touching assistance with eating, oral hygiene, dependent on toileting, dressing, personal hygiene and turning and repositioning. He was frequently incontinent of urine and always incontinent of bowel. Review of the physician's orders revealed an order on 03/20/25 to discharge home. Review of the progress notes dated 03/18/25 at 10:54 A.M. by Social Service revealed Social Worker #256 faxed the resident's needed information to [NAME] Bridge Home Health. On 04/07/25 at 11:28 A.M. interview of Social Service Designee (SSD) #201 revealed on resident discharge they make the arrangements for home health, follow-up appointments, equipment and therapy prior to them going home. In regard to Resident #139, SSD #201 did not discharge Resident #139 but will check and see if therapy was ordered since therapy suggested it be ordered. On 04/07/25 at 1:08 P.M. during phone interview with [NAME] Bridge Home Health Staff #200 revealed they did not have a client by that name (Resident #139). On 04/07/25 at 9:52 A.M. and 1:10 P.M. phone interviews with Resident #139 revealed the resident has not had home health services since he was discharged from the facility and came home. The home health agency the facility contacted do not take care of residents under the age of 60. On 04/07/25 at 1:15 P.M. interview with the Administrator and Director of Nursing (DON) revealed they were not aware Resident #139 was not receiving Home Health services. They thought they had been arranged prior to the resident's discharge. Review of the Discharge Process for Planned Discharge policy and procedure dated 08/15/13 and revised 04/30/18 revealed Social Service or designated person will coordinate the resident's discharge (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 2 Event ID: 366333 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 366333 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Scenic Pointe Nursing and Rehab Ctr 8067 Township Road 334 Millersburg, OH 44654 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)