Health inspection·September 12, 2019

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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident and staff interviews and review of facility policy, the facility failed to ensure allegations of misappropriation of missing money were reported to the State Survey Agency within 24 hours after the allegation was discovered. This affected one (Resident #83) of one resident reviewed for personal property. The facility census was 92. Findings include: Record review revealed Resident #83 was admitted to the facility on [DATE]. Medical diagnoses included cerebrovascular disease, frontal lobe and executive function deficit, depression and anxiety. Review of Resident #83's quarterly Minimum Data Set (MDS) assessment, dated 08/13/19, revealed the resident was cognitively intact. Review of Resident #83's resident funds statement from January 2019 through March 2019 revealed withdrawals on 01/07/19 in the amount of $700 and another on 01/16/19 in the amount of $500. Interview with Resident #83 on 09/09/19 at 10:18 A.M. revealed the resident had withdrawn money several months ago, to purchase a new tablet. Resident #83 stated she had withdrawn $400 to purchase the tablet and that money had been missing. Resident #83 stated she had informed the director of the facility and the director had asked if she wanted to call the police but since she didn't know when the money went missing or who took it she declined to call the police. Resident #83 stated the facility did nothing about her money. Interview on 09/10/19 at 2:26 P.M. with Licensed Practical Nurse (LPN) #19 who stated she recalled the incident which involved the missing money of Resident #83 but not the particular details. Interview on 09/10/19 at 3:42 P.M. with the Director of Nursing (DON) who stated she was unaware of Resident #83 having any missing money. The DON stated for missing items, there was a theft / missing items report that was filled out with social services. The DON stated for items that had been reported as misappropriated and/or stolen the facility would file a Self-Reported Incident (SRI). Follow up interview on 09/11/19 at 9:53 A.M. with Resident #83 to clarify whom she first reported the incident to and the resident revealed she had first reported the incident to LPN #19. Then the Licensed Nursing Home Administrator (LNHA) then came to talk to Resident #83 and asked if she wanted to call the police. Resident #83 declined to call the police. Interview on 09/11/19 at 1:02 P.M. with the LNHA who stated on 01/21/19 it was reported to LPN #19 (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 7 Event ID: 366348 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 366348 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/12/2019 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Venetian Gardens 1650 State Route 28 Loveland, OH 45140 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)