Ohio Living Breckenridge Village

accommodate safely, you must ask or call for help!4) Under no circumstances should a resident be facing forward on a slope without guidance!5) If process of transporting cannot be done in a safe manner, the driver has the right to refuse.6)The transporter needs to call the office for a final decision.-On 09/16/25, an ad hoc Quality Assurance and Performance Improvement (QAPI) meeting was held to review the incident with the Interdisciplinary Team (IDT) and the Medical Director.

The Administrator monitored compliance in a QAPI meeting monthly for three months and then on-going as needed.-On 09/17/25 and 10/02/25, Resident #63 had follow-up medical appointments.-On 09/22/25, a care conference and incident review was held with Resident #63's daughter and son-in-law with the DON, Administrator, and Executive Director.-Social services followed Resident #63 for psychosocial impact and offered support after returning from the hospital on [DATE]. -Resident #63's skin tear was followed by nursing staff and Wound Nurse #211 from Encore Wound Group weekly after return from the hospital on [DATE] and was healed on 10/09/25.-On 09/22/25 additional education was completed by Transportation Driver #204 using computer learning entitled Lift and Securement Review which was specific to the incident.

Transportation driver #204 no longer transports facility residents. -Additional Driver education on Lift and Securement was then completed.

Transportation Driver #204 was permanently removed from future transports for nursing home residents.

Relias transcript of completed additional Relias training attached upon return from leave.-On 10/22/25, the Administrator reviewed results of the audits and investigation at the quarterly Quality Committee meeting.This deficiency represents non-compliance investigated under Complaint Number

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