Marietta Heights Post Acute

F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

verified the resident's last documented shower was provided on 08/23/25, in which nail care was provided.

The resident was indicated to have refused her shower on 08/27/25, when offered. She further confirmed there was no documentation to support the resident had been offered or provided a shower on 08/30/25 (her most recent scheduled shower day). She acknowledged the resident had been observed yesterday and again today to have a dark colored substance under her fingernails. On 09/03/25 at 11:17 A.M., an

interview with Certified Nursing Assistant (CNA) #146 revealed she was just in Resident #7's room and provided her a bed bath. She indicated the resident preferred bed baths, as opposed to showers. She was asked what she did as part of that bathing activity. She reported she washed the resident's hair and also did nail care. She confirmed the resident's fingernails were dirty underneath the end of the nails. She stated that was why she cleaned them. She denied she worked last Saturday to be able to say why there was no documentation of the resident being given her scheduled complete bed bath. She reported the resident was

an extensive assist of one for bathing and personal hygiene care. She denied the resident was able to perform her own nail care and was dependent on the staff to do it. This deficiency represents non-compliance investigated under Complaint Intake Number 259304.

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

09/15/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Marietta Heights Post Acute

5001 State Route 60 Marietta, OH 45750

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 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

On 09/08/25 at 1:40 P.M., interview with CNA #129 stated residents cannot smoke without staff and sometimes there just isn't enough time to get it all done and take them to smoke. There have been times when there just wasn't enough staff to take the residents who wanted to smoke at the scheduled times due to resident care that had to be provided to another resident.

On 09/09/25 at 10:06 A.M., interview with Central Supply (CS) #100 stated stated she was also the staffing coordinator and both temporary and contractual staff were being used. CS #100 stated it was the expectation if call offs were unable to be covered by facility staff or temporary staff, the nurse management on-call staff would come in to cover the shift.

This deficiency represents non-compliance investigated under Complaint Intake Number 259304.

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

09/15/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Marietta Heights Post Acute

5001 State Route 60 Marietta, OH 45750

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 0805 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation, medical record review, dietary card review, policy review and interview, the facility failed to serve food to meet the resident needs. This affected one resident (#9) of four residents sampled for nutrition. The census was 48. Findings Include: Medical record review revealed Resident #9 was admitted

on [DATE REDACTED] with diagnoses including dysphagia, oropharyngeal phase. Review of the annual Minimum Data Set 3.0 assessment dated [DATE REDACTED] revealed Resident #9 was moderately impaired for daily decision-making, received a therapeutic and mechanically altered diet, and was edentulous.Review of the care plan: At Potential Risk of Nutritional Decline related to the resident's need for a mechanically altered diet revised 07/17/25 revealed interventions included to provide her diet and supplement per dietitian recommendation and physician order. Review of the electronic Clinical Physician Orders dated September 2025 revealed Resident #9 was ordered a regular diet, soft and bite-sized textures and thin consistency liquids. Review of

the Dinner Tray Card dated 09/03/25 dinner meal revealed the resident diet was regular with soft and bite-size texture.On 09/03/25 at 5:13 P.M. , observation of the dinner meal revealed Resident #9 was served her meal as she was seated in a straight back chair in her room in front of an overbed table with her back towards the doorway to her room. The resident meal tray could not be completely viewed at the time of

the observation. On 09/03/25 at 5:17 P.M., observation of the residents meal tray in her room revealed a hot dog on a bun, baked beans, a scoop of boiled potatoes, a bowl of diced apples, eight ounce glass of fruit punch and a styrofoam cup of hot chocolate. The hot dog was cut into five uneven pieces ranging from 0.5 inch to 1.0 inch in length. There were no condiments on the hot dog and the bun extended beyond the meat of the hot dog. No staff was observed in the room with the resident. On 09/03/25 at 5:19 P.M., observation with Licensed Practical Nurse (LPN) #120 verified Resident #9 was holding the last cut piece of one-inch hot dog on a bun in her right hand as she was chewing another bite of hot dog and bun in her mouth. LPN #120 asked the resident about the hot dog and she stated she was fine as she put the last one-inch piece of hot dog with bun into her mouth. The resident was edentulous. LPN #120 verified she was the resident's nurse but was not sure what diet she was on. After reviewing the diet card on the resident's meal tray, LPN #120 verified the resident was to receive soft, bite-sized textured foods. LPN #120 verified a hot dog cut into 1/2 to one-inch pieces would not be considered soft, bite-sized textured foods. On 09/11/25 between 10:29 A.M. and 10:47 A.M., phone interview with Registered Dietitian #203 verified a hot dog was not considered to be part of a soft diet and the hot dog on a bun in 1/2 inch to one inch pieces would not be considered to be bite-sized. The facility stated they did not have a policy for review that defined a soft diet with bite-sized texture.This deficiency represents non-compliance investigated under Complaint Number 2593047.

Event ID:

Facility ID:

If continuation sheet