Bradford Place Care Center

Review of the quarterly resident funds statement for

resident's representative had been notified when the balance in the account reached $200 less than

02/05/22 with diagnoses including Alzheimer's disease, congestive heart failure, and type two diabetes mellitus. Resident #62's payor source was Medicaid.

Review of the MDS assessment for Resident #62 dated 01/12/26 revealed the resident was severely cognitively impaired and required assistance with ADLs.

Review of the quarterly resident funds statement for Resident #62 dated 10/01/25 to 12/31/25 revealed the resident had a beginning balance of $2519.33 and a ending balance of $2612.98.

There was no documentation indicating Resident #62 and/or the resident's representative had been notified when the balance in the account reached $200 less than the SSI resource limit.

Review of the quarterly resident funds statement for Resident #62 dated 01/01/26 to 03/31/26 revealed the resident had a beginning balance of $2612.98 and a ending balance of $4973.56.

There was no documentation indicating Resident #32 and/or the resident's representative had been notified when the balance in the account reached $200 less than the SSI resource limit.

Interview with the Administrator on 04/21/26 at 11:57 A.M. verified the facility had not provided notification to Residents #2, #4, #27, #32, #47, and #62 nor to the residents' representatives when the resident funds accounts reached $200 less than the SSI resource limit.

365277 04/24/2026

Bradford Place Care Center 1302 Millville Avenue Hamilton, OH 45013

Review of the medical record for Resident #67 revealed it did not include a DNRCC form

Review of the Minimum Data Set (MDS) assessment for Resident #67 dated 03/05/26 revealed the resident was cognitively intact and required assistance with activities of daily living (ADLs.) Review of Resident #67's chart from 02/27/26 to 04/03/26 revealed Resident #67 did not have a do not resuscitate (DNR) form signed by the physician in the medical record.

Review of a nursing note for Resident #67 04/03/26 at 7:39 P.M. per Registered Nurse (RN) #189 revealed the nurse received an order to send the resident to the hospital via emergency medical services (EMS) for an evaluation. RN #189 called 911 and paramedics took the resident to the hospital.

Review of the EMS run report for Resident #67 dated 04/03/26 at 7:30 P.M. revealed care staff at the facility had stated Resident #67's code status was a DNRCC, but the facility did not have a DNRCC form to send with the resident.

Interview on 04/20/26 at 1:40 P.M. with RN #189 verified Resident #67 went to the hospital per EMS on 04/03/26 and the facility did not have a signed copy of Resident #67's DNRCC form on file to give to EMS.

Interview on 04/20/26 at 2:21 P.M. with Paramedic #500 confirmed the facility staff did not have a copy of Resident #67's DNRCC form signed by the physician when Resident #67 was transferred to the hospital by EMS on 04/03/26. As a result, EMS considered Resident #67 to be full code during the ambulance ride and upon admission to the hospital.

Interview on 04/20/26 at 2:38 P.M. with Paramedic #501 confirmed the staff did not have a copy of Resident #67's DNRCC form signed by the physician when Resident #67 was transferred to the hospital by EMS on 04/03/26.

Paramedic #501 reported staff gave him a face sheet that indicated Resident #67 was a DNRCC, but EMS required a copy of the state form in order for them to honor the resident's advanced directive.

Review of the facility policy titled Advanced Directives dated September 2022 revealed the nurse supervisor was required to inform EMS personnel of a resident's advanced directive regarding treatment options and provide such personnel with a copy of the advanced directive.

This deficiency represents noncompliance investigated under Complaint Number

• 365277 04/24/2026

Bradford Place Care Center 1302 Millville Avenue Hamilton, OH 45013

Review of the facility SRI for Resident #62 created on 02/21/26 at 9:01 P.M. and completed 02/26/26 at 8:09 P.M. by the Administrator revealed a SRI was filed for misappropriation of Resident #62's resident fund account with Former BOM #220 and Former AD #221 listed as suspected perpetrators.

The SRI was substantiated. Resident #62 was not able to recall if he ordered or received the items. Resident #62's room was searched and some of the items were missing and some of the items were in the activities department.

Review of the facility policy titled Resident Trust Funds undated revealed resident requests to withdraw funds from the resident funds account using resident trust petty cash disbursements should be supported by a voucher signed by the resident or check disbursements which are supported by a check request form signed by the resident or their designee and an invoice.

Review of the facility policy titled Abuse Policy undated revealed each resident had the right to be free from misappropriation of resident property.

Misappropriation of resident property was defined as the deliberate misplacement, exploitation, or wrongful, temporary or permanent use of the resident's belongings or money without the resident's consent.

This deficiency represents noncompliance investigated under Complaint Numbers 2786208, 2793039 and 2809682.

365277 04/24/2026

Bradford Place Care Center 1302 Millville Avenue Hamilton, OH 45013

Review of the facility policy titled Resident Trust Funds undated revealed resident requests to withdraw funds from the resident funds account using resident trust petty cash disbursements should be supported by a voucher signed by the resident or check disbursements which are supported by a check request form signed by the resident or their designee and an invoice.

Review of the facility policy titled Abuse Policy undated revealed each resident had the right to be free from misappropriation of resident property.

Misappropriation of resident property was defined as the deliberate misplacement, exploitation, or wrongful, temporary or permanent use of the resident's belongings or money without the resident's consent.

Misappropriation should be reported to the state agency within required timeframes.

365277 04/24/2026

Bradford Place Care Center 1302 Millville Avenue Hamilton, OH 45013

Review of the facility

voucher signed by the resident or check disbursements which are supported by a check request form

Policy undated revealed each resident had the right to be free from misappropriation of resident property.

Misappropriation of resident property was defined as the deliberate misplacement, exploitation, or wrongful, temporary or permanent use of the resident's belongings or money without the resident's consent.

Misappropriation should be reported to the state agency within required timeframes and should include a thorough investigation.