Health inspection·March 28, 2024

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observations, staff interviews, and policy review, the facility failed to perform appropriate hand hygiene while preparing food for residents. This affected four (#13, #20, #21, and #22) of six residents sampled for food preparation. The facility census was 58. Findings include: 1. Review of the medical record revealed Resident #13 was admitted to the facility on [DATE] and had diagnoses including unspecified epilepsy and stage III chronic kidney disease. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #13 had moderately impaired cognition, had no behaviors, did not wander, and did not reject care. 2. Review of the medical record revealed Resident #20 was admitted to the facility on [DATE] and had diagnoses including type II diabetes and vascular dementia. Review of the most recent MDS 3.0 assessment dated [DATE] revealed Resident #20 was cognitively intact, had no behaviors, did not wander, and did not reject care. 3. Review of the medical record revealed Resident #21 was admitted to the facility on [DATE] and had diagnoses including unspecified dementia, and coronary artery disease. Review of the most recent MDS 3.0 assessment dated [DATE] revealed Resident #21 was cognitively intact, had no behaviors, did not wander, and did not reject care. 4. Review of the medical record revealed Resident #22 was admitted to the facility on [DATE] and had diagnoses including unspecified dementia and alcoholic polyneuropathy. Review of the most recent MDS 3.0 assessment dated [DATE] revealed Resident #22 had severely impaired cognition, had no behaviors, did not wander, and did not reject care. Observations made on 03/28/2024 from 12:24 P.M. to 12:34 P.M. revealed Stated Tested Nurse Aide (STNA) #119 prepared lunch for Residents #21 and #22. STNA #119 used gloved hands to place slices of pizza onto serving platter after using salad tongs to transfer salad from carryout carton to a porcelain serving dish. STNA #119 handed serving tray and porcelain bowl to STNA #115. STNA #119 did not change gloves or sanitized hands before preparing lunch plate for Resident #13. STNA #119 sliced pizza in the box with a wheeled pizza slicer then used her gloved hands to transfer pizza from the pizza Page 1 of 2 366445 366445 03/28/2024 Otterbein Loveland 6405 Small House Circle Loveland, OH 45140

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some box to plate. STNA #119 scooped a serving of green beans on the plate and covered the plate with foil. STNA #119 went to the pantry and came back with a serving tray. STNA #119 placed the plate and Styrofoam cup on the tray and handed the tray to STNA #115 to deliver to Resident #13. STNA #119 did not change gloves or perform hand hygiene before she began to prepare food for Resident #20. STNA #119 used tongs to transfer salad from the large foil carry-out container to a porcelain serving bowl and covered the bowl with foil. STNA #119 sliced pizza then transferred pizza with her gloved hands from the pizza box to the dinner plate and covered the plate with aluminum foil. During an interview on 03/28/2024 at 12:34 P.M. 12:34 P.M. STNA #119 verified she had not changed her gloves or performed hand hygiene between preparing food plates or touching food items for Resident #13, #20, #21 and #22. STNA #119 stated she was supposed to change her gloves every time. Review of policy titled Hand Hygiene Procedure dated 11/05/2021 revealed hand hygiene occurred before cooking and assisting with meals and after removing personal protective equipment. This deficiency represents non-compliance investigated under Complaint Number OH00151947. 366445 Page 2 of 2