Health inspection·July 25, 2019

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 Resident #25, #46 and #64. This affected three residents (#25, #46 and #64) of 32 residents reviewed for call light placement. Residents Affected - Few Findings Include: 1. Record review revealed Resident #25 was admitted to the facility with diagnoses that included traumatic brain injury, heart failure and pneumonia. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #25 was severely cognitively impaired and required extensive assistance of activities of daily living. Observation of Resident #25 on 07/25/19 at 9:17 A.M. revealed Resident #25 was laying in bed with his eyes open. The call light was noted to be clipped around the call cord approximately six inches from the call light shut off switch and out of reach of Resident #25. Interview with Licensed Practical Nurse (LPN) #600 on 07/25/19 at 9:19 A.M. verified the call light was out of reach and that Resident #25 would be able to use the call light if it was within reach. 2. Record review revealed Resident #46 was admitted to the facility with diagnoses that included seizures, dementia and hypertension. Review of the most recent MDS 3.0 assessment dated [DATE] revealed Resident #46 was severely cognitively impaired and required extensive assistance for activities of daily living. Observation of Resident #46 on 07/25/19 at 9:25 A.M. revealed Resident #46 was up in her room sitting in a geri chair. Resident #46's call light was noted to be wrapped around her enteral feed pole (tube feed) and out of reach of Resident #46. Interview with LPN #601 on 07/25/19 at 9:27 A.M. verified Resident #46's call light was out of reach. Interview with State Tested Nursing Assistant (STNA) #602 on 07/25/19 at 9:33 A.M. revealed Resident #46 would be able to use the call light if it was within reach. 3. Review of the medical record for Resident #64 revealed the resident was admitted to the facility on [DATE] with diagnoses including macular degeneration, legal blindness, hearing loss and anxiety. (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: 366440 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 366440 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/25/2019 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Highland Pointe Health & Rehab Center 402 Golf View Lane Highland Heights, OH 44143 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)