Health inspection·April 4, 2025

F 0725 Level of Harm - Minimal harm or potential for actual harm Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Residents Affected - Many Based on record review and interview, the facility failed to ensure adequate weekend staffing. This finding had the potential to affect all 89 residents residing in the building. The facility census was 89. Findings include: Review of the Staffing Data Report information for the fourth quarter (07/01/24 to 09/30/24) revealed the facility triggered for excessively low weekend staffing. Interview on 04/04/25 at 9:33 A.M. with the Administrator confirmed the facility triggered for excessively low weekend staffing for the fourth quarter on the Staffing Data Report form. The Administrator indicated this staffing issue was fixed when the facility hired new staff for the building. Interview on 04/04/25 at 10:09 A.M. with Regional Human Resources (HR) Director #950 indicated the facility had reported the accurate hours for the Staffing Data Report form for the fourth quarter but the facility had hired additional staff to correct the issue and added 24-hour nursing staff. Interview on 04/04/25 at 10:55 A.M. with the Administrator revealed the facility had adequate staffing but the acuity increased due to the additional residents in the vent unit which triggered the low weekend staffing on the Staffing Data Report for the fourth quarter. The deficient practice was corrected on 01/15/25 when the facility implemented the following corrective actions: • On 07/01/24, the Administrator added 24 additional hours of nursing staff (2 extra nurses, one on nightshift and one on dayshift for 12-hour shifts). • The facility received the Staffing Data Report form in 01/2025. • Page 1 of 2 366459 366459 04/04/2025 Brunswick Pointe Transitional Care 4355 Laurel Road Brunswick, OH 44212

F 0725 Level of Harm - Minimal harm or potential for actual harm On 01/15/25, the Administrator, Director of Nursing (DON), Assistant Director of Nursing (ADON) #829 and HR Director #901 started to conduct meetings every Monday to review the master schedule and daily staffing schedules to make sure they were accurate, filling gaps in the schedule, sending out shifts for staff to pick up shifts and making plans to fill shifts. Residents Affected - Many • On 01/15/25, the Administrator, DON, and ADON #829 began to complete weekly audits on the staffing schedules to ensure adequate staffing. • The Administrator and Regional HR Director #950 confirmed the facility hired 16 additional staff members from 10/18/24 to 03/26/25 including Registered Nurse (RN) #827 on 10/18/24, RN #920 on 01/31/25, RN #896 on 02/04/25, RN #924 on 02/12/25, RN #840 on 03/14/25; Licensed Practical Nurse (LPN) #871 on 12/12/24; Certified Nursing Assistant (CNA) #810 on 12/09/24, CNA #892 on 02/12/25, CNA #856 on 02/26/25, CNA #865 on 03/03/25; CNA #923 on 03/06/25, CNA #850 on 03/07/25, CNA #807 on 03/10/25, CNA #820 on 03/14/25, CNA #838 on 03/14/25, and CNA #908 on 03/26/25. • Per the Administrator, LPN #801 was promoted to nightshift supervisor on 01/31/25 and she would work the floor depending on the day. On other days, LPN #801 would be a free-floating supervisor to work the floor as a support and to audit and assist the CNA's with their work and the nurses with their work including admissions. This deficiency represents non-compliance investigated under Complaint Number OH00162469. 366459 Page 2 of 2