Health inspection·August 24, 2023

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to ensure staff addressed Resident #36 by her given name. This affected one resident (#36) out of three residents reviewed for resident rights. The facility census was 85. Findings include: Review of the medical record for Resident #36 revealed an admission date of 01/10/22. Diagnoses included atrial fibrillation, trans ischemic attacks (TIA), obstructive sleep apnea (OSA), anxiety, and hypertension. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #36 had intact cognition. The resident required extensive assistance of two staff members for bed mobility. Resident #36 required extensive assistance of one staff member for eating, toileting, and personal hygiene. Resident #36 was totally dependent on one staff member for wheelchair mobility. Interview on 08/22/23 at 3:30 P.M. with the Administrator revealed State Tested Nursing Assistant (STNA) #801 admitted to calling all the female residents he cares for beautiful or other terms of endearment. The Administrator stated she educated STNA #801 on calling residents anything other than their name was against the resident's rights and should only address residents by their given name. The Administrator stated STNA #801 did not do this maliciously and only wanted to make the residents feel good about themselves. Interview on 08/22/23 at 3:45 P.M. and 08/24/23 at 12:00 P.M. with Resident #36 revealed STNA #801 called her beautiful on 08/17/23 while getting her ready for bed. She stated she would rather be called by her first name. Interview on 08/24/23 at 1:24 P.M. with STNA #801 revealed he admitted to calling Resident #36 beautiful, and stated he called all the female residents beautiful or other terms of endearment, so they feel good about themselves. He did not mean this in a sexual way or to demean the resident in any way. He stated he did receive education on resident rights and to address all residents by their given names. Review of STNA #801's personal record revealed education completed on 08/17/23 on addressing residents by their given names and not as Beautiful or other terms of endearment. Page 1 of 2 366431 366431 08/24/2023 Avenue at Aurora 425 South Chillicothe Road Aurora, OH 44202

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to maintain a complete and accurate medical record for Resident #36. This affected one resident (#36) out of three resident records reviewed. The facility census was 85. Findings include: Review of the medical record for Resident #36 revealed an admission date of 01/10/22. Diagnoses included atrial fibrillation, trans ischemic attacks (TIA), obstructive sleep apnea (OSA), anxiety, and hypertension. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #36 had intact cognition. The resident required extensive assistance of two staff members for bed mobility. Resident #36 required extensive assistance of one staff member for eating, toileting, and personal hygiene. Resident #36 was totally dependent on one staff member for wheelchair mobility. Review of Resident #36's progress notes from 07/24/23 to 08/23/23 revealed there was no documentation of the resident's allegation of sexual assault in her medical record. There was no documented evidence of the physician being notified or of the investigation in progress in her medical record. Interview with the Administrator on 08/22/23 at 3:30 P.M. revealed she confirmed there was no documentation of the allegations, the investigation in progress, or notification made to the physician. She stated the physician was notified and the Nurse Practitioner (NP) saw Resident #36 on 08/21/23. The Administrator stated she nor the Director of Nursing charted the incident and should of. Review of the facility investigation dated 08/17/23 revealed the physician was notified and the NP saw Resident #36 on 08/21/23. 366431 Page 2 of 2