Health inspection·May 4, 2021

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview the facility failed to ensure call lights were within reach and accessible for Residents #55, #63 and #74. This affected three residents of 32 residents reviewed for call light placement. Residents Affected - Few Findings include: 1. Resident #55 was admitted to the facility on [DATE] with diagnoses that included diabetes mellitus, chronic kidney disease, chronic obstructive pulmonary disease, and major depressive disorder. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #55 had intact cognition and needed supervision with one staff member for activities of daily living. Observation of Resident #55 on 04/26/21 at 12:35 P.M. revealed Resident #55 was in wheelchair with his pants around his knees. Resident #55 stated that he was not feeling well. The call light was noted to be clipped around the side of the bedrail approximately three feet from where Resident #55 was seated. Interview on 04/26/21 at 12:35 P.M. with the Director of Nursing (DON) verified the call light was out of Resident #25's reach and indicated he would be able to use the call light if it was within his reach. 2. Record review revealed Resident #63 was admitted to the facility on [DATE] with diagnoses that included diabetes mellitus, hyperlipidemia, and COVID-19. Review of the most recent MDS 3.0 assessment dated [DATE] revealed Resident #63 had intact cognition and required limited assistance with one staff member for activities of daily living. Observation of Resident #63 on 04/26/21 at 12:50 P.M. revealed Resident #63 was in lying in bed. Resident #63 stated he would use the call light if it was in reach. The call light was noted to be clipped around the side of the bedrail and the bedrail was in the down position. Interview at that time with DON in Training #86 verified Resident #63's call light was out of reach and indicated he would be able to use the call light if it was within his reach. 3. Record review revealed Resident #74 was admitted to the facility on [DATE] with diagnoses that included dysphagia, hyperlipidemia, and chronic obstructive pulmonary disease. Resident #74's care plan dated 05/26/18 revealed he was at risk for falls related to hemiplegia (paralysis on one side of the body) with left sided weakness. Interventions include for him to have the call light within reach. (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 5 Event ID: 366403 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 366403 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/04/2021 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Bath Creek Estates 186 West Bath Road Cuyahoga Falls, OH 44223 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)