Norwich Springs Health Campus

Review of Resident #58's Brief Interview for Mental Status (BIMS) score on 03/23/26 revealed that he had a score of eight indicative of moderately impaired cognitive status.An observation on 03/23/26 at 2:46 P.M. revealed that Resident #58 was able to be viewed from his open room door from the hallway. Resident #58 was dressed in a gown, sitting on a shower chair, with his buttocks exposed. An interview with Certified Resident Care Associate #413 and Registered Nurse #38 on 03/23/26 at 2:46 P.M. confirmed Resident #58's exposed buttocks were visible from the hallway.

Certified Resident Care Associate #413 revealed she had heard a resident in an adjacent room yell, so she left Resident #58's room quickly to check on the resident in the room next door.

Certified Resident Care Associate #413 revealed in her haste, she had forgotten to shut the door or pull the privacy curtain for Resident #58.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

366492 03/30/2026

Norwich Springs Health Campus 4680 Library Way Hilliard, OH 43026