Health Center At The Renaissance

Review of the SRI tracking system located within the Ohio Department of Health (ODH) for certification and licensing website revealed no incidents regarding Resident #48.

Interview on 09/25/25 at 8:01 A.M. with the Administrator revealed the incident of alleged abuse was not reported to the State Survey Agency.

The Administrator confirmed and verified the above findings at the time of the interview.

Review of the facility document titled Abuse, Neglect, Misappropriation, and Exploitation Policy revised 11/28/16, revealed the facility had a policy in place that all residents had a right to be free from abuse, neglect, misappropriation of resident property, and exploitation, including but not limited to, corporal punishment, involuntary seclusion, and any physical or chemical restraint not required to treat the resident's medical symptoms.

Further review of the policy revealed alleged violations would be reported to the State Survey Agency.

Review of the document revealed the facility did not implement the policy in regard to the allegation.

This deficiency represents noncompliance investigated under Complaint Number 1374287 (OH00164161).

365759 10/06/2025

Health Center at the Renaissance 26376 John Rd Olmsted Twp, OH 44138

Review of plan of care note, first dated 09/12/25 revealed Resident #2 was non-compliant with transfer assistance, and the resident had a long history of forgetfulness.

Interventions included for staff to administer medications as ordered, approach and speak in a calm manner, assess for physical factors that may foster behavior, consult psychiatric services, divert attention from stimulus, monitor for changes, provide education, redirect resident as needed, use distraction, and help the resident to understand why the behavior was inappropriate.

This care plan note did not address the resident's non-compliance as it pertained to fall risk/safety needs. On 09/24/25 at 10:35 A.M. Resident #2 was observed sitting in his wheelchair in his room.

The resident was not noted to be in a common area at this time. An attempted interview with the resident at the time of the observation revealed the resident was unable to recall having any falls.Interview on 09/24/25 at 1:44 P.M. with CNA #899 revealed being the primary caregiver for Resident #2 who required one staff assistance for transfers. CNA #899 indicated on 02/10/25 she obtained Resident #2's weight using the scale chair. CNA #899 then stood the resident up from the wheelchair and went to get the wheelchair. CNA #899 described moving the scale chair and while attempting to move the wheelchair behind Resident #2, the resident fell straight backwards onto the buttocks. CNA #899 stated Registered Nurse (RN) #952 came to help and while trying to move the resident, he grabbed his leg and stated a belief it was broken. CNA #899 indicated emergency medical services (EMS) were called and got Resident #2 off the floor.

Interview on 09/24/25 at 3:41 P.M. with RN #952 revealed being the assigned nurse for Resident #2 on 02/10/25. RN #952 stated CNA #899 was getting Resident #2's weight. CNA #899 had stood up Resident #2 and then went to get the wheelchair. RN #952 stated CNA #899 trusted Resident #2 too much and should have kept hands on Resident #2. RN #952 confirmed she educated CNA #899 on transfers following the incident. RN #952 stated Resident #2 complained of pain, was sent to hospital, and ended up with a fracture.Interview on 09/25/25 at 7:48 A.M. with Director of Nursing (DON) revealed Resident #2 was impulsive, non-compliant and did not slow down enough to allow time for safety.

The DON indicated Resident #2 was often educated following falls and was encouraged to use the call light (however, these interventions were noted to be ineffective).

The DON indicated she believed education was an adequate intervention for Resident #2 to prevent falls as the resident was resistive to changes in care and it maintained his independence without restricting him.

The DON confirmed Resident #2 sustained a fracture following the fall which occurred on 02/10/25 while being assisted by CNA #899 to transfer when the CNA failed to ensure adequate hands-on assistance was being provided to the resident.

Interview on 09/25/25 at 9:45 A.M. with Physical Therapy Assistant (PTA) #989 and Occupational Therapist (OT) #991 revealed Resident #2 required one staff assistance for transfers with contact guard assist (CGA) at the time of the fall on 02/10/25. It was noted Resident #2 was inconsistent with recommendations to call for assistance and had a history of poor follow-through.

Review of the facility policy, Falls Policy, dated August 2024 revealed all residents would receive adequate supervision, assistance, and devices to aide in prevention of falls.

This deficiency represents non-compliance investigated under Complaint Number 1374286 (OH00161744).