Health inspection·October 23, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Note: The nursing home is disputing this citation. Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Based on observations, resident and staff interviews, and record review, the facility failed to ensure sufficient linens were available for resident care and ensure residents have a clean and sanitary homelike environment. This affected one (Resident #25) of the residents reviewed for hygiene and linens. The facility census was 69.Findings include: Review of the medical record for Resident #25 revealed an admission date 05/18/24. Diagnoses included morbid obesity, major depression, anxiety, and lymphedema. Interview with Resident #25 on 10/20/25 at 9:55 A.M. revealed she has been waiting to be cleaned up after having a bowel movement earlier in the morning. Resident #25 stated she put her call light on around 8 A.M. and when Certified Nursing Assistant (CNA) #819 came in, she told Resident #25 she would be right back in a few. She turned off the call light. At 10:11 A.M. CNA #819 came into Resident #25's room and again Resident #25 told her she needed changed. CNA #819 stated she came on at 7:00 A.M. and had not checked and changed Resident #25, yet. CNA #819 stated she did not have clean washcloths and towels to change her until 10:00 A.M. CNA #819 stated she could change her when she was finished with another resident's shower. Observations on 10/20/25 revealed at 10:55 A.M., Resident #25 had not been changed yet. At 10:58 A.M., CNA #819 walked by the nursing station and told the nurse there were only two more sets of linens in the closet. The nurse stated she knew about the linen situation. At 11:03 A.M., CNA #819brought clean linens into Resident #25's room and stated she was gathering her supplies. Observation on 10/20/25 at 11:12 A.M. of incontinence care for Resident #25 with CNA #819 and CNA #820 revealed Resident #25's sheets were dirty with feces Resident #25 does not wear a depends due to irritation her skin. CNA #820 had only two washcloths and had to use bathing towels to clean her up. Resident #25 had an extra-large bowel movement (BM) down her thighs and in her skin creases. CNA #819 ran out of supplies and had to go back out of the room to get more. CNA #819 stated all she could find was towels and no washcloths. Interview on 10/20/25 at 12:15 P.M. with CNA #819 and #820 revealed they run out of linens and towels all the time and have to wait to get residents cleaned up until laundry brings clean linens to their floor. CNA #819 and #820 stated they have to go to another unit or go to laundry for find clean linens, if there were some. They have to wait until laundry washes them. Observation on 10/20/25 at 12:18 P.M. of 300-Hall clean linen closet with Licensed Practical Nurse (LPN) #818 revealed no towels or washcloths were in the clean linen closet. Interview on 10/20/25 at 12:40 P.M. with Housekeeping/Laundry Supervisor (HLS) #821 verified the lack of linen supplies for staff to utilize. HLS #821 stated she does not know if staff were throwing them away or what. HLS #821 will have to do a search for the facility to see where staff were hiding all of the clean linens. Staff will put linens in empty rooms, in residents' drawers and anywhere they think someone will not find them, so they don't have to go get any when they were running low. Interview with the Administrator on 10/20/25 at 1:00 P.M. revealed management did a search, of the facility to find all the clean linens and found dozens of towels and washcloths in resident rooms, empty rooms (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 4 Event ID: 366434 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 366434 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hudson Springs Nursing and Rehab 5000 Sowul Boulevard Stow, OH 44224 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)