F0584

D

Failure to Maintain Resident Privacy and Safe Environmental Conditions

Cincinnati, Ohio Survey Completed on 02-19-2026

Penalty

No penalty information released

Summary

The facility failed to ensure a safe, functional, and homelike environment by not maintaining resident privacy and by allowing the use of prohibited electrical equipment. For two cognitively intact residents sharing a semi-private room, surveyors observed that the shared bathroom door did not close completely, which did not provide adequate privacy while using the bathroom adjacent to their sleeping quarters. Both residents expressed concerns that the bathroom door’s inability to close fully did not provide enough privacy for either of them. A Human Resources staff member confirmed that the bathroom door adjacent to each resident’s sleeping quarters did not close completely. Facility documentation on Resident Rights stated that residents are guaranteed rights to privacy under Federal and State laws.

In another room, a resident with severe problems with thinking and memory, and diagnoses including hemiplegia following cerebral infarction, type II diabetes mellitus, anxiety disorder, polyneuropathy, muscle weakness, major depressive disorder, and alcohol-induced persisting dementia, was found with an unmonitored portable space heater plugged in and running on the floor, with the room door standing open. A CNA verified that the space heater was running in the resident’s room, and the DON stated that the heater was being used because the room’s heat was not working properly. Review of the facility’s Electrical Safety for Residents policy, revised January 2011, stated that portable space heaters are not permitted in the facility. The facility’s Quality of Life–Homelike Environment policy stated that residents are to be provided with a safe, clean, comfortable, and homelike environment, including a clean, sanitary, and orderly environment.