Health inspection·November 1, 2023

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Based on record review, policy review, Ohio Department of Health Certification and Licensure Self-Reporting Incidents website review, theft report review, resident interview, family interview and staff interview, the facility failed to report an allegation of misappropriation to the state agency when a resident alleged, she did not receive her correct change or receipt when a facility staff member purchased items for her. This affected one (#63) of three residents reviewed for misappropriation. The facility census was 90. Findings include: Review of Resident #63's medical record revealed an admission date of 02/14/19, with pertinent diagnosis of: quadriplegia, pressure ulcer sacral region, seizures, neuromuscular dysfunction of the bladder, dysphagia, contracture, mood affective disorder, chronic pulmonary embolism, major depressive disorder, colostomy status, generalized anxiety disorder, alcohol use, osteoarthritis, glaucoma, hypertension, retention of urine, and stiffness of unspecified joint. Review of the 10/11/23 quarterly Minimum Dat Set (MDS) assessment revealed the resident was cognitively intact and is dependent for eating, personal hygiene, putting on footwear, lower and upper body dressing, toileting, showering oral hygiene and eating. Review of the Ohio Department of Health Certification and Licensure Self-Reporting Incidents website on 10/26/23 at 11:45 A.M., revealed there was not a Self-reported incident filed in regard to misappropriation of Resident #63's money. Review of the facility form titled. Theft or Missing Items Policy/Report, dated 09/08/23 at 1:34 P.M., revealed a statement: When there is an allegation of misappropriation of resident property a complete investigation will be completed and reported to ODH (Ohio Department of Health). The form listed Resident #63's name and the description of item: change from Walmart/carry out items. The facility resolution was listed: will have resident give list to DON (Director of Nursing) and activities to very upon returning, will have two staff verify correct change. Under the signature category was a handwritten note: Activities not returning receipt and change. Two receipts listed. Facility reimbursed resident $40 on 09/08/23, verified with nurse aide resident received Walmart items and items were located in room. Interview on 10/26/23 at 1:25 P.M., with Resident #63 revealed she had given Activity Worker #23, 50 dollars to go to the store for her and when he came back, he did not give her a receipt or any change. She stated the facility never reimbursed her and never did anything about the situation. Page 1 of 2 366347 366347 11/01/2023 Veranda Gardens & Assisted Living 11784 Hamilton Avenue Cincinnati, OH 45231

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Interview on 10/26/23 at 1:53 P.M., with Resident #63's daughter revealed she or the resident was never reimbursed for the items and did not take any money from the Former Activity Director #30. Interview on 10/26/23 at 2:30 P.M., with the Administrator, revealed she did not report the allegation of misappropriation to the state agency and was unable to provide a receipt where they reimbursed the resident for the items. Interview on 10/26/23 at 2:40 P.M., with State Tested Nurse Aide (STNA) #19 revealed on 09/08/23, Resident #63 stated she did not get a receipt and her change back from a trip to the store by Activity Worker #23. STNA #19 alleged the Former Activity Director #20 gave Resident #63's daughter $40 out of her pocket to reimburse the resident for the items. Review of the policy titled, Abuse, Neglect, Exploitation and Misappropriation of Resident Property, dated 11/21/16, revealed all incidents allegations of exploitation or misappropriation of Resident property must be reported immediately to the Administrator or designee. In response to allegations, ensure that all alleged violations are reported not later than 24 hours and do not involve abuse or serious bodily injury to other officials including the state agency. This deficiency is an incidental finding discovered during the complaint investigation. 366347 Page 2 of 2