Health inspection·September 24, 2024

F 0687 Provide appropriate foot care. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident interview, observation, staff interview, and resident family interview, the facility failed to ensure dependent residents received proper nail care. This affected one (Resident #58) of three residents reviewed for activities of daily living (ADL) care. The facility census was 105 residents. Residents Affected - Few Findings include: Review of the medical record for Resident #58 revealed an admission date of 12/24/22 with diagnoses including chronic congestive heart failure, high blood pressure, osteoarthritis, major depression, gastroesophageal reflux disease, bilateral artificial knee joints, and cataracts. Review of the consent form for Resident #58 dated 09/17/24 revealed the resident had consented to podiatry care. Interview on 09/23/24 at 10:30 A.M with Resident #58 confirmed her representative had asked the facility to have the podiatrist cut her toenails and assess her feet a long time ago, but the resident was unable to remember the specific date of the request. Resident #58 confirmed her nails needed to be trimmed and neither the staff nor the podiatrist had assisted her. Observation on 09/23/24 at 10:45 A.M of Resident #58's feet revealed both feet had very long thick toenails. Resident #58's toes were overlapped, and the toenails were growing and pressing in the overlapped toes. The skin on Resident #58's feet was dry, red and scaly. Interview on 09/23/24 at 11:00 A.M. with State Tested Nursing Assistant (STNA) #110 confirmed Resident #58's toenails were long and thick and needed to be trimmed by a podiatrist. Interview on 09/23/24 at 12:38 P.M. with Resident #58's representative confirmed she had asked the head nurse approximately two months ago to have the podiatrist look at the resident's feet and cut her toenails. Resident #58's daughter stated the facility did not follow-up with her and the podiatrist had not cut the residents toenails or addressed her deformed toes with bunions. Interview on 09/23/24 at 2:34 P.M. with Nursing Unit Manager Licensed Practical Nurse (NUM-LPN) #111 stated the Social Service Director (SSD) had spoken with Resident #58's representative regarding the need for podiatry to evaluate and treat the resident's feet and cut her toenails. NUM-LPN #111 stated the SSD was responsible to ensure the podiatry visit was scheduled. NUM-LPN #111 confirmed she did not speak to Resident #58 or her daughter to follow-up with them regarding the podiatrist or their concern with the care of the resident's feet. (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 2 Event ID: 366428 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 366428 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/24/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE O'Neill Healthcare Fairview Park 20770 Lorain Road Fairview Park, OH 44126 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)