Shepherd Of The Valley - Niles
Inspection Findings
F-Tag F 0921
F 0921 On 05/07/25 at 10:45 A.M. an interview with Serve Pro Manager (SPM) #161 revealed housekeeping was provided to the facility seven days a week from 7:30 A.M. until 3:30 P.M. SPM #161 stated the facility cut Level of Harm - Minimal harm or housekeeping over the weekends to one person and cleaning in the skilled nursing units is only done as potential for actual harm needed on the weekends. SPM #161 stated the porter is an employee of Serve Pro and should have wiped down the baseboards and the base of the fireplaces when they saw the dust on them. Residents Affected - Many
On 05/07/25 at 2:35 P.M. an interview with Housekeeper (HK) #162 revealed some rooms are cleaned daily and some rooms are cleaned every other day. HK #162 stated she cleans resident bathrooms as needed.
A review of Resident Council meeting minutes dated 03/27/25 revealed ESS #165 was following up on Serve Pro issues.
A review of Resident Council meeting minutes dated 04/24/25 revealed there are to be two Serve Pro employees in nursing every day.
A review of the Resident Handbook page 20 that was undated revealed it is the goal to provide a clean and comfortable living arrangement and housekeeping will do a thorough cleaning once every day.
A review of the document title; [NAME] Workflow Sheet that was undated revealed carpets on all nursing units are to be vacuumed twice per week. The flow sheet revealed walls are to be cleaned as you see them marked or have food on them. The flow sheet also revealed, If you see it, clean it.
A review of the document titled; Audit Tool for Routine Daily Patient Room Cleaning dated 10/12/12 revealed toilets including attached seats, handle and underside of flush rim are to be cleaned.
A review of the document titled; Nursing Environmental Audit that was undated revealed under the subtitle bathroom, the commode is cleaned and sanitized inside and out clear to the floor.
This deficiency represents non-compliance investigated under Complaint Number OH00163463.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 2 365298