Health inspection·November 20, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 10/05/25, CNA #601 was giving Resident #95 water. CNA #603 was wiping his mouth and giving comfort to him and LPN #600 was standing by the door with him all in the room. While CNA #601 was giving him water, Resident #95 spit on her face and the room got silent for a couple of moments. CNA #601 asked Resident #95 why he did that and LPN #600 said If you spit on me, I'm smacking the dog [expletive] out of you inserting himself. Spit on me, I swear to God, LPN #600 said as he pounded on his chest a few feet in front of Resident #95, Spit on me, I dare you. Resident #95 spit at LPN #600, and LPN #600 smacked Resident #95 full palm to his right cheek. Resident #95 head moved the opposite way with the smack, and his face turned red. The room went silent, and then CNA #603 immediately tried to comfort Resident #95 who was now angry.Interview on 11/20/25 at 12:37 P.M. with the Administrator, Director of Nursing (DON), and Regional Registered Nurse (RRN) #572 revealed they learned of the incident on 10/07/25 they immediately conducted an investigation that was substantiated based on the involved staff interviews, although some were not forthcoming. The Administrator stated LPN #600 denied he had slapped Resident #95. The Administrator stated LPN #600 and CNAs #601, 602, and #603 were all terminated related to the incident. Review of the facility policy titled Ohio Resident Abuse Policy, revised 07/11/24, revealed this facility will not tolerate abuse, neglect, mistreatment, exploitation of residents, and misappropriation of resident property by anyone. It is the facility's policy to investigate all allegations, suspicions and incidents of abuse, neglect, involuntary seclusion, exploitation of residents, misappropriation of resident property and injuries of unknown source. Facility staff must immediately report all such allegations to the Administrator/Abuse Coordinator. The Administrator/Abuse Coordinator will immediately begin an investigation and notify the applicable local and state agencies in accordance with the procedures in this policy.The deficient practice was corrected on 10/08/23 when the facility implemented the following corrective actions: - On 10/07/24, LPN #600, CNAs #601, #602, and #693 were all suspended pending investigation. - On 10/07/25, a head to toe assessment, pain assessment, and skin was completed on Resident #95 by the Assistant Director of Nursing (ADON) with no negative findings. - On 10/07/25, interviewable residents were interviewed and non-interviewable residents were assessed by licensed nursing staff with no negative findings. - On 10/07/25 a message was left for Resident #95's guardian and physician. - On 10/07/24 at 6:48 P.M. the local police were notified by the Administrator. Report number 25-35825.- On 10/07/25, the Administrator submitted a SRI. - Beginning on 10/07/25 all staff education on abuse policy, Ohio abuse education with quiz, taking care of residents with dementia when resident, given medication to resident with dementia, and when a resident refuses medication, and timely reporting by Administrator. Then each department manager educated their own staff. All staff were educated was by 10/08/25. - On 10/08/25, LPN #600 and CNAs #601, #602, and #603 were all terminated. - On 10/08/25, the DON reported LPN #600's termination to the Ohio Board of Nursing. - On 10/08/25, the facility completed an Ad Hoc Quality Assurance Performance Improvement (QAPI) meeting. The Medical Director and interdisciplinary team (IDT) were in attendance. - To prevent this from happening again, the Administrator/designee will educate current staff on abuse education and reporting protocols. Agency staff will be educated upon first shift working. New hires to the facility will be educated with the onboarding procedure.- To monitor and maintain ongoing compliance the Administrator/designee will interview five residents' weekly times four weeks and then monthly times two months regarding abuse and neglect. Negative findings will be addressed and ad hoc education completed as needed.- To monitor and maintain ongoing compliance the DON/designee will complete body checks on five residents' weekly times four weeks and then monthly times two months for any signs or symptoms of abuse. Negative findings will be addressed and ad hoc education completed as needed.- To monitor and maintain ongoing compliance the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366403 If continuation sheet Page 2 of 3 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 11/20/2025 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)

F 0600 Level of Harm - Minimal harm or potential for actual harm Administrator/designee will quiz five employees' weekly times four weeks and then monthly times two months to ensure that they understand what abuse is and the reporting requirements for abuse. Negative findings will be addressed and ad hoc education completed as needed.This deficiency represents non-compliance investigated under Complaint Number 2646883. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366403 If continuation sheet Page 3 of 3