Health inspection·August 13, 2024

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. 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, interview, and facility policy review, the facility failed to ensure medications were administered in a safe manner. This affected one resident (#58) of five residents reviewed for medication administration. The facility census was 66. Residents Affected - Few Findings include: A review of medical records for Resident #58 revealed an admission date of 07/09/24. Significant diagnoses included, osteomyelitis of vertebra, sacral and sacrococcygeal region, sepsis due to methicillin resistant staphylococcus aureus, diabetes mellitus type two, paraplegia, hypertension, and gastroesophageal reflux disease. Significant orders included oxybutynin five milligrams (medication to treat overactive bladder) by mouth daily, Topamax 25 milligrams (anticonvulsant) daily, zinc sulfate 220 milligrams (supplement) daily, melatonin three milligrams (hormone to aide in sleep) at bedtime, gabapentin 100 milligrams (anticonvulsant and nerve pain medication) two times daily, vitamin C 500 milligrams (supplement) two times daily, acidophilus (supplement) one capsule daily, cholecalciferol 50 micrograms (Vitamin D supplement) daily and cranberry oral capsule 450 milligram (supplement) daily. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #58 was cognitively intact. Review of the medication administration assessment for self-administration dated 07/14/24 revealed Resident #58 was unsafe to self-administer medications. An observation on 08/08/24 at 10:30 A.M. revealed medications left at the bedside of Resident #58. There was one small white tablet and one small tan tablet in a plastic medication cup on the bedside table of Resident #58. There was a small white tablet in Resident #58's hand and a white capsule on the bed. Resident #58 stated the medications in the cup on the bedside table were from the previous night. Resident #58 picked up the cup of pills and placed them in the garbage can. Resident #58 stated she does not like to take medication until after breakfast and then swallowed the small white tablet in her hand. The Director of Nursing (DON) verified the findings at the time of the observation. The DON stated medications should not be left at the bedside of Resident #58. A review of the policy titled Medication Administration-General Guidelines, dated August 2014, revealed in point #18, the resident is always observed after administration to ensure that the dose was completely ingested. Page 1 of 2 366471 366471 08/13/2024 Avenue at Broadview Heights 1201 Akins Road Broadview Heights, OH 44147

F 0684 This deficiency represents non-compliance investigated under Complaint Number OH00155697. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 366471 Page 2 of 2