F 0641
Ensure each resident receives an accurate assessment.
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 and staff interview, the facility failed to ensure oral assessments were completed
accurately. This affected one (#6) of three residents reviewed for assessments. The census was 87.
Residents Affected - Few
Findings include:
Review of the medical record for Resident #6 revealed the resident was admitted to the facility on [DATE].
Diagnoses included spastic hemiplegia affecting the right dominant side, insomnia, cellulitis of the left
upper limb, dysphagia, unspecified severe protein-calorie malnutrition, and generalized anxiety.
Review of the annual Minimum Data Set (MDS) 3.0 assessment, dated 02/21/24, revealed Resident #6 was
assessed with intact cognition. The resident was assessed to require maximal assistance for toileting,
bathing, dressing, and transfer as well as supervision for eating, oral hygiene, and personal hygiene. The
assessment indicated Resident #6 had no broken or loosely fitting dentures.
Review of the dietary progress note dated 10/10/23 revealed Resident #6 experienced unplanned
significant weight loss and revealed Resident #6's wife reported the resident's dentures were now loose
due to the weight loss.
Interview on 02/27/24 with MDS Nurse #110 confirmed she had not completed an oral assessment that
included observation of Resident #6's dentures.
This deficiency represents an incidental finding discovered during investigation of Complaint Number
OH00150785.
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:
366347
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
366347
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/27/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Veranda Gardens & Assisted Living
11784 Hamilton Avenue
Cincinnati, OH 45231
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)
F 0802
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition
service.
Based on observation and staff interview, the facility failed to ensure dietary staff had the appropriate
competencies and skill set to carry out the functions of the dietary department in a manner to ensure safe
food handling. This had the potential to affect 87 all residents residing in the facility. The census was 87.
Findings include:
Observation of the tray line for the lunch meal on 02/27/24 from 11:39 A.M. to 1:00 P.M. revealed Dietary
Staff #98 wore long acrylic nails without gloves and was observed placing fruit into small bowls. Dietary
Staff #98 touched her cellular phone and placed it on the workstation without washing her hands.
Continued observation revealed Dietary Staff #98 also drank from a bottle of water at her workstation,
Dietary Staff #98 was also observed carrying bowls to be used for food service against the front of her
shirt. In addition, [NAME] #222 was observed placing a grilled cheese sandwich he just made into a piece
of aluminum foil which he had been holding against the front of his shirt.
Interview on 02/27/24 at 12:55 P.M. with Dietary Staff #98 confirmed the observations made during tray line
of touching food items without gloves, touching a cellular phone without washing hands, drinking fluids at
the work station, and carrying clean bowls against the staff member's shirt.
Interview on 02/27/24 at 12:59 P.M. with [NAME] #222 revealed he was not aware he had been holding the
aluminum foil against his shirt prior to placing the grilled cheese sandwich inside it, and he stated, If you
seen what you seen, when asked about the observation.
This deficiency represents non-compliance investigated under Complaint Number OH00150785.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
366347
If continuation sheet
Page 2 of 2