Continuing Healthcare Of Cuyahoga Falls

F 0584

son brought her a Levo fly trap. CNA #409 confirmed these observations. This deficiency represents non-compliance investigated under Complaint Number 2624366.

Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Continuing Healthcare of Cuyahoga Falls

300 East Bath Road Cuyahoga Falls, OH 44223

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)

F 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

record review, observation, resident and staff interviews, and review of facility policy, the facility failed to ensure residents received adequate nutritional and communication assistance. This affected one Resident (#20) of three reviewed for activities of daily living (ADL's). The facility census was 56.Review of Resident #20's medical record revealed an admission date of 10/01/21. Diagnoses included dementia, dysphagia, psoriatic arthritis, essential hypertension, neuromuscular dysfunction of bladder, anxiety and colostomy.Review of Resident #20 Care Plan dated 04/22/25 revealed resident was at risk for malnutrition and weight loss and required interventions including providing assistance with all meals, snacks and supplements. Resident had a communication impairment with interventions that included using communication tools, terms, gestures the resident can understand.Review of Resident #20 quarterly Minimum Data Set (MDS) assessment dated [DATE REDACTED] revealed resident required setup or clean-up assistance with eating but was dependent on all other ADL areas. Resident's Brief Interview for Mental Status (BIMS) score was zero, which indicated severe cognitive impairment. Review of Resident #20 Eating task dated 09/11/25 through 09/24/25 revealed resident fluctuates from independent to dependent with eating.Observation on 09/24/25 at 1:20 P.M. revealed Resident #20 trying to open her milk carton. Resident was unable to use built-up silverware fork and was using her hands to eat a corndog and bread. After surveyor intervention, facility staff were aware the resident needed assistance. No communication tools were observed in the resident's room.Observation and interview on 9/25/25 at 08:38 A.M. with Resident #20 revealed resident was eating breakfast and using her hands to eat pieces of French toast. Resident was unable to use built-up silverware spoon to eat cereal. Resident revealed she had cut up food with scissors. Resident #20 was very hard to understand and no communication tools were observed at bedside. Observation and interview on 09/25/25 at 08:42 A.M. with Certified Nursing Assistant (CNA) #364 revealed Resident #20 being unable to feed herself with the spoon. CNA #20 revealed she had cut up the residents food and resident was able to feed herself sometimes. CNA #20 assisted Resident #20 with eating her cereal. CNA #364 revealed Resident #20 can sometimes be hard to understand and she has not seen any communication tools at bedside to assist with understanding what the resident needed.Review of facilities Activities of Daily Living-Highest Level of Functioning Policy with a revised date of 03/2019 revealed the facility is responsible to provide necessary care to all residents who are unable to carry out activities of daily living on their own to ensure they maintain proper nutrition. This deficiency represents non-compliance investigated under Complaint Number 2624366.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Continuing Healthcare of Cuyahoga Falls

300 East Bath Road Cuyahoga Falls, OH 44223

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)

F 0679 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

the October activities calendar revealed Sip & Chat was scheduled for 9:45 A.M. and Craft was scheduled for 10:30 A.M. Sip & Chat started at 10:00 A.M. At 10:25 A.M. AA #406 was reading the Daily Chronicle, followed by Sittercise which involved playing music and doing stretches in chairs. At 11:00 A.M. residents were still listening to music. No observation of the Craft activity being done at 10:30 A.M.Review of October activity calendar for the secured memory care unit for 10/16/25 revealed that Bingo was scheduled for 2:30 P.M. Observation at 2:40 P.M. on secured memory unit revealed no activities being done. Interview on 10/16/25 at 2:40 P.M. with Registered Nurse (RN) #338 revealed residents that are able and wanted to go off unit were taken to bingo on non-secure unit. She does not think there are enough activities on the secure unit. She revealed she does not think Hydration Station should be considered an activity and the activity calendar is not being followed. RN #338 revealed if facility had more activities it would help with the behaviors on the secure unit.Review of facility policy titled Activities with a revised date of 05/2024 revealed

The Facility's activity program shall provide meaningful, person-centered activities to meet each resident's physical, mental, and psychosocial well-being, per their comprehensive care plans.This deficiency represents non-compliance investigated under Complaint Number 26224366.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Continuing Healthcare of Cuyahoga Falls

300 East Bath Road Cuyahoga Falls, OH 44223

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)

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

record review, interview, and review of facility policy, the facility failed to ensure Resident #55 blood sugar was monitored appropriately. This affected one resident (Resident #55) of three residents reviewed for quality of care. Facility census was 56. Resident #55 was admitted to the facility on [DATE REDACTED] and had diagnoses including heart failure, type 2 diabetes, atrial fibrillation (abnormal heart rhythm), and low back pain.

Residents Affected - Few

Resident #55 had an order dated 06/20/25 for a Dexcom G7 Sensor (a wearable continuous blood sugar monitor) for blood sugars every ten days.

Review of the Medication Administration Record (MAR) for 08/01/2025 to 08/31/25 revealed on 08/20/25 Resident #55 did not receive the Dexcom G7 Sensor due to being out of the facility without medications and on 08/30/25 nothing was indicated on the MAR; the entry was blank. Review of the MAR for 09/01/25 to 09/30/25 revealed on 09/09/25 and 09/29/25 Resident #55 did not receive the Dexcom G7 Sensor.

Resident #55 was not administered the Dexcom G7 Sensor from 08/20/25 to 09/18/25.

Review of the progress notes revealed no documentation indicating any further attempts were made to administer the Dexcom G7 Sensor to Resident #55.

Interview on 10/07/25 at 10:23 A.M. with the Director of Nursing (DON) #335 verified the above findings.

Review of the policy titled Nursing Policies and Procedures: Administration of Drugs dated 06/2019 revealed the following: the facility will administer medications as prescribed by the physician, medications must be administered according to physician orders, all medications must be recorded on the resident's MAR, medications should be administered as scheduled, and if a medication is not given an explanatory note should be entered.

This deficiencies represents non-compliance investigated under Complaint Number 2624366.

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Continuing Healthcare of Cuyahoga Falls

300 East Bath Road Cuyahoga Falls, OH 44223

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)

F 0685

Assist a resident in gaining access to vision and hearing services.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

interview and record review, the facility failed to ensure Resident #22 received treatment to maintain vision.

This affected one resident (Resident #22) of three residents reviewed for vision. The facility census was 56.

Review of Resident #22's medical record revealed the resident was admitted on [DATE REDACTED] with diagnoses including chronic diastolic heart failure, type 2 diabetes mellitus, morbid obesity, asthma, insomnia, major depressive disorder, dry eyes syndrome of bilateral lacrimal glands and bilateral combined forms of age-related cataract.Review of an annual Minimum Data Set (MDS) 3.0 assessment completed on 08/01/25 revealed Resident #22 was alert and oriented with intact cognition. Further review revealed Resident #22 vision was severely impaired.Record review revealed Resident #22 was seen by the eye care consultant on 03/18/25 and recommended following up with ophthalmologist of facility choice for cataract evaluation.Interview on 09/24/25 at 3:57 P.M. with Resident #22 revealed she is unable to see due to having cataracts in both eyes. Resident #22 revealed cataract surgery was recommended by a ophthalmologist but

an appointment has not been scheduled.Interview on 09/25/25 at 3:14 P.M. with Receptionist #323 who revealed she had trouble finding an ophthalmologist that took Resident #22 insurance and can accept bariatric patients. Receptionist #323 provided documentation of eight ophthalmologist offices she had contacted during 07/2025 with no further evidence the appointment had been scheduled.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Continuing Healthcare of Cuyahoga Falls

300 East Bath Road Cuyahoga Falls, OH 44223

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)

F 0760 Level of Harm - Minimal harm or potential for actual harm

administration from 08/01/25 through 09/16/25.Review of facility policy Administration of Drugs with a revised date of 06/2019 revealed medications must be administered in accordance with the written orders of the ordering/prescription physician.This deficiency represents non-compliance investigated under Complaint Number 2644009, 2624366, and 2618865.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Continuing Healthcare of Cuyahoga Falls

300 East Bath Road Cuyahoga Falls, OH 44223

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)

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation, staff interview, and policy review the facility failed to ensure medications were labeled, unexpired, and stored in an appropriate manner. This had the potential to affect all residents served from two of two storage rooms, two of two treatment carts, and two of three medication carts available for medication storage in the facility.Findings include:1.Observation of the facility medication storage rooms and [NAME] Unit treatment cart on 09/30/25 at 9:51 A.M. to 10:27 A.M. with the Assistant Director of Nursing revealed the following:The medication storage room in the [NAME] Unit contained (1) bottle of Children's Flonase 0.38fl oz expired on 04/2025 and (4) Zyno Medical administration sets (tubing used for intravenous (IV) medication) expired on 01/25/25.The [NAME] treatment cart contained (15) packets Procure triple antibiotic ointment 0.9 grams and an opened (1) DermaRite 4x4 xeroform gauze (medicated gauze used in wound treatment).The medication storage room in the Cascade Unit contained an opened box of Monject filter needles (a needle used to withdraw medications from glass ampules) expired on 07/01/25 and ICU Medical sterile caps expired on 11/01/24 (1) and 01/01/25 (2). The above findings were verified with the ADON at the time of observation. Review of the policy titled Nursing Policy and Procedure: Medication Storage dated 11/24 revealed medications that are in containers without secure or contaminated are to be removed from inventory and disposed of according to procedure, and all expired medications will be removed from supply and destroyed. 2. Observation of the medication carts and treatment carts on 09/30/25 at 11:28 A.M. to 12:06 P.M. with the Director of Nursing (DON) revealed the following:The [NAME] Unit medication cart contained Assure blood glucose control high and low expired on 02/23/25, (28) Hyoscyamine 0.125 milligrams (mg) (to treat stomach disorders) PRN (as needed) expired

on 09/25/25, (4) tramadol (a narcotic pain reliever) 50mg expired 08/15/25.The Cascade unit treatment cart contained a small piece of opened xeroform gauze, a box of expired Dynamerx iodine prep pads (for skin), opened (1) DermaRite 4x4 xeroform gauze, opened (2) DermaRite 4x4 hydrogel gauze (medicated gauze used for wound care), and opened (1) DermaGinate/AG 4x8 dressing (a medicated dressing used for wound care).The above findings were verified with the DON at time of observation. Review of the policy titled Nursing Policy and Procedure: Medication Storage dated 11/24 revealed medications that are in containers without secure or contaminated are to be removed from inventory and disposed of according to procedure, and all expired medications will be removed from supply and destroyed.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Continuing Healthcare of Cuyahoga Falls

300 East Bath Road Cuyahoga Falls, OH 44223

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)

F 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, interview and facility policy, the facility failed to provide food at appetizing temperatures. This had the potential to affect 55 of 56 residents as the facility identified Resident #17 as receiving no food by mouth. Facility census was 56.Findings include:Review of Resident Council dated 06/26/25 revealed complaint that Certified Nursing Assistants (CNA) are only passing their assigned resident trays which results in food sitting for a long time. There was no evidence of the resolution to the council minutes following the June 2025 meeting.Interview on 09/24/25 at 3:32 P.M. with Resident #56 revealed she usually eats meals in her room and food is not always warm.Interview on 09/24/25 at 9:30 A.M. with Resident #55 revealed the dining room is not open so he usually eats in his room and the food is sometimes not warm.A test tray was plated on 09/23/25 at 6:13 P.M. and arrived on the Buckeye Hall at 6:17 P.M. Test tray was completed at 6:34 P.M., after all room trays were served. The food was not at the appropriate temperature. The pasta was 122.4 degrees Fahrenheit (F), the raspberry applesauce was 61 degrees F. Temperatures were verified with Dietary Manager #393. Each food item was tasted and the pasta was lukewarm. Both the pasta and raspberry applesauce tasted appetizing.Interview on 09/23/25 at 6:46 P.M. with the Dietary Manager #393 and Administrator joining the interview revealed they checked the food temps in the kitchen and plated everything fast, and the issue with hall trays being passed was because it took over 20 minutes to pass out 13 trays. Dietary Manager #393 revealed she asked everyone to help and there was just no sense of urgency with the other staff. Dietary Manager #393 revealed she was aware of issues with cold food. Review of facilities Nutrition Services Policy not dated revealed that food temperatures would be maintained at acceptable levels during food storage, preparation, holding, serving, delivery, cooling and reheating.This deficiency represents non-compliance investigated under Complaint Number 2624366.

Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Continuing Healthcare of Cuyahoga Falls

300 East Bath Road Cuyahoga Falls, OH 44223

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)

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE REDACTED] revealed Resident #18 was cognitively intact, dependent on staff for toileting, and was frequently incontinent of bowel and bladder.

Observation of incontinence care for Resident #18 with Certified Nurse Assistant (CNA) #364 and CNA #373 was made on 09/25/24 at 2:35 P.M. Supplies were already gathered before entering the resident room. After hand hygiene was completed and gloves donned a bedside table was moved next to the bed and supplies including a basin, pack of wipes, a towel and multiple washcloths were set down on top of it,

the table was not cleaned or was a barrier placed before supplies were set down. During perineal care CNA #364 took the pack of wipes from the bedside table and placed them directly on top of Resident #18's bed.

Before resident was turned to the right-side CNA #364 removed gloves and donned a new pair without any hand hygiene.

Interview with CNA #364 on 09/25/25 at 2:56 P.M. verified the above findings.

Review of the policy titled Perineal Care, dated 12/23 revealed perineal care will be provided in a manner that reduces the risk of infection and soiled gloves should be removed before applying a clean brief followed by hand hygiene before donning new gloves. 3.Review of Resident #52's medical record revealed they were admitted to the facility on [DATE REDACTED]. Diagnoses include sepsis, mild neurocognitive disorder, schizoaffective disorder, diabetes mellitus type two, chronic obstructive pulmonary disease (a lung disorder), and anxiety disorder.

Review of the significant change MDS 3.0 assessment dated [DATE REDACTED] revealed Resident #52 was cognitively impaired and required moderate to maximal assistance for activities of daily living.

Review of the physician order dated 09/28/25 revealed Resident #52 had an order to clean the left lateral ankle with normal saline and then apply a dry dressing every shift and as needed.

Observation of wound care for Resident #52 with Licensed Practical Nurse (LPN) #350 on 09/29/25 at 3:00 P.M. revealed supplies were gathered prior to the procedure. Hand hygiene was completed prior to the procedure starting. Supplies were set onto the bedside table without the table being cleaned or a barrier placed before supplies were set down the procedure. The wound care procedure was then completed.

Interview with LPN #350 on 09/29/25 at 3:05 P.M. verified the bedside table was not cleaned or a barrier placed before supplies were set on it.

Review of the policy titled Nursing Policies and Procedures Dressing Change: Wound dated 06/2019 revealed the facility will follow general infection control principles during dressing changes.

This deficiency represents non-compliance investigated under Complaint Number 2624366.

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet