Carecore At Margaret Hall

stercoral colitis is a rare inflammatory colitis that occurs when impacted fecal material leads to

necrosis and perforation, while colonic distention and increased intraluminal pressure can lead to

Library of Medicine at Constipation - self-care: MedlinePlus Medical Encyclopedia revealed Constipation is when you do not pass stool as often as you normally do.

Your stool may become hard and dry, and it can be difficult to pass.

And under the section, When to contact a medical professional, Contact your provider if you have not had a bowel movement in 3 days.

This deficiency represents noncompliance investigated under Complaint Number 2726965 and Complaint Number 2709700 and Complaint Number 2610295

365733 02/23/2026

Carecore at Margaret Hall 1960 Madison Road Cincinnati, OH 45206

Observation on 02/10/26 at 8:59 A.M. revealed DC #340 served one scoop of hot cereal from a slotted spoon onto a divided plate. DC #340 returned to the steam table and placed pureed eggs and pureed toast on the same divided plate.

Interview on 02/10/26 at 9:06 A.M. with DC #340 verified the portion sizes served did not match the dietary spreadsheets. DM #345 stated in monthly food committee meetings residents complain about portion sizes being too small, so he has been trying to give them more.

Interview on 02/10/26 at 9:28 A.M. with DM #345 verified the foods served at breakfast did not match what was on the menu. DM #345 affirmed they do not make casseroles and [NAME] when on the menu and stated they make scrambled eggs and whatever breakfast meat is supposed to be in the casseroles/[NAME] instead. DM #345 stated he had not talked to Registered Dietitian (RD) #420 about the substitutions made, but verified substitutions should be reviewed by the RD.

Interview on 02/10/26 at 2:44 P.M. with Registered Dietitian (RD) #420 verified her expectation was for the menu and spreadsheets to be followed as planned and she should be consulted for menu changes. RD #420 stated the egg bake should have been provided as planned and residents who do not eat pork should have been provided an alternate selection.

This deficiency represents noncompliance investigated under Complaint Number 2709700.

365733 02/23/2026

Carecore at Margaret Hall 1960 Madison Road Cincinnati, OH 45206

Review of the facility policy titled Food Preparation and Service dated April 2019 revealed the danger zone for food temperatures was between 41 degrees F and 135 degrees F which promoted the rapid growth of pathogenic microorganisms that caused foodborne illness.

Potentially hazardous foods (PHF) included meats, poultry, eggs, and milk.

The longer foods remained in the danger zone, the greater the risk for growth of harmful pathogens.

Therefore, PHF must be maintained below 41 degrees F or above 135 degrees F.

This deficiency represents noncompliance investigated under Complaint Number 1395179 and Complaint Number 1395177 and Complaint Number 1395176.

365733 02/23/2026

Carecore at Margaret Hall 1960 Madison Road Cincinnati, OH 45206

Review of the facility

refrigerator or freezer should be covered, labeled, and dated with a use by date. 5.

Observation on 02/10/26 at 9:18 A.M. revealed staff were distributing breakfast trays to residents from a cart in the hallway and staff accidentally dropped one of the breakfast trays onto the floor.

Staff picked the items up from the floor, placed them back on the tray, and then placed the dirty tray on top of the cart of clean meal trays.

The cart also had a rack of clean glasses, another resident's meal tray, condiments for the meal, and a gallon of milk.

Interview on 02/10/26 at 9:36 A.M. with DM #345 verified staff had placed the dirty tray from the floor onto the cart of clean meal trays and other clean items.

365733 02/23/2026

Carecore at Margaret Hall 1960 Madison Road Cincinnati, OH 45206

Review of care plan for Resident #76 dated 09/23/25 revealed the resident #76 was at risk for

included the following: record bowel movement patterns each day, monitor/document/report to medical director signs/symptoms of complications related to constipation including change in mental status, new onset of confusion and agitation.

Review of the MDS assessment for Resident #76 dated 12/06/25 revealed the resident had moderate cognitive deficits, was dependent on staff for ADLs, and was always incontinent of bowel and bladder.

Review of the bowel movement records for Resident #76 dated December 2025 and January 2026 revealed there was no documentation of bowel movements.

Interview on 02/11/26 at 2:28 P.M. with the DON verified there was no documentation of bowel movements for Resident #76 for December 2025 and January 2026.

This deficiency represents noncompliance investigated under Complaint Number 2683728.

365733 02/23/2026

Carecore at Margaret Hall 1960 Madison Road Cincinnati, OH 45206

Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had no cognitive deficits and required staff assistance with activities of daily living (ADLs.)

Review of the physician's orders for Resident #71 revealed an order dated 01/07/26 for the resident to be in EBP due the presence of an enteral tube and wounds.

Observation on 02/09/26 at 9:23 A.M. of medication administration per gastrostomy tube to Resident #71 per Licensed Practical Nurse (LPN) #330 revealed the nurse was not wearing a gown or gloves.

Interview on 02/09/26 at 9:24 A.M. with LPN #330 verified that she was not a gown or gloves while administering medication via gastrostomy tube to Resident #71. LPN #330 confirmed Resident #71 was on EBP, and she should have donned a gown and gloves prior to medication administration to the resident.

Review of the facility policy titled Enhance Barrier Precautions dated 07/30/25 revealed the facility would implement EBP as appropriate for the prevention of transmission of multidrug-resistant organisms.

365733 02/23/2026

Carecore at Margaret Hall 1960 Madison Road Cincinnati, OH 45206

Observation on 02/10/26 at 8:02 A.M. revealed the Surveyor turned on the water at the hand-washing sink in the back of the kitchen, but there was no soap available by the sink.

Interview on 02/10/26 at 8:02 A.M. with DC #340 confirmed there was no soap at the hand-washing sink in the back of the kitchen and suggested the Surveyor to get soap from hand-washing sink at the front of the kitchen.

Observation on 02/10/26 at 8:03 A.M. revealed DC #340 turned the water from the pot filling spiggot, which had been pulled over the sink, and suggested the Surveyor could complete handwashing by using the pot filling spiggot.

There were no paper towels available at the hand-washing sink at the front of the kitchen, and DC #340 took a roll of paper towels from the food preparation area and handed it to the Surveyor.

Interview on 02/10/26 at 8:03 A.M. with DC #340 verified there were no paper towels available at the hand-washing sink at the front of the kitchen.

Interview on 02/10/26 at 9:21 A.M. with Dietary Manager (DM) #345 stated he was not aware the hand-washing sink at the front of the kitchen was not working and further verified hand soap should be available at all hand-washing sinks in the kitchen.

Review of the facility policy titled Handwashing/Hand Hygiene dated 2021 revealed hand hygiene products and supplies (sinks, soap, towels) should be readily accessible and convenient for staff use to encourage compliance with hand hygiene policies.This deficiency represents noncompliance investigated under Complaint Number 1395179.