Edith Lane of Cincinnati

In the surveyor’s words

From the most serious findings on record at Edith Lane of Cincinnati, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jul 26, 2022

  Based on medical record review, review of a Self-Reported Incident (SRI), staff and resident interviews, staff written statements, review of the local police report, review of the facility investigation, and policy review, the facility failed to ensure Resident #01 was free from physical abuse by facility staff. This resulted in Immediate Jeopardy and the potential for serious physical and psychosocial harm for Resident #01, when on 07/09/22 from approximately 7:15 P.M. until 7:50 P.M., Licensed Practical Nurse (LPN) #200 was observed by three State tested Nursing Assistants (STNA) #300, #301, and #302, telling Resident #01 to sit down in the chair. […]

• Actual harm, isolatedF686Sep 3, 2024

  Based on medical record review, staff interview, observation, and review of the facility policy, the facility failed to adequately assess residents' skin and failed to ensure adequate care and services were provided to residents to prevent the development and worsening of pressure ulcers. This resulted in Actual Harm for Resident #135 when the facility staff failed to adequately assess the resident's skin and failed to implement timely interventions for a pressure ulcer until the ulcer reached an advanced stage. Actual Harm also occurred for Resident #01 when the facility staff failed to assess the resident's skin and the resident developed an unstageable pressure to the right heel caused by a removable splint device. […]

• Actual harm, isolatedF600Jun 21, 2024

  Based on medical record review, staff interview, review of the facility's investigation, review of witness statements, review of the hospital records, and policy review, the facility failed to ensure residents were free from resident-to-resident abuse. This resulted in Actual Harm on 05/31/24 when Resident #52, a resident with a known history of aggressive behaviors towards other residents, intentionally ran over Resident #14 with his wheelchair. Subsequently, Resident #14 was sent to the local hospital where she was diagnosed with a closed fracture of the right tibial plateau initial encounter. […]

• Actual harm, isolatedF689Apr 25, 2023

  Based on record review, observation, resident interview, staff interview, review of hospital reports, and review of facility policy, the facility failed to ensure staff safely assisted residents with transfers. This resulted in actual harm when a staff person was pushing Resident #73 via wheelchair without the footrests in place. Resident #73 fell face forward and sustained a laceration to his head requiring emergency hospital transfer and sutures. This affected one (Resident #73) of three reviewed for accidents. The facility's census was 133. Findings include: Review of the medical record for Resident #73 revealed an admitted [DATE] with diagnoses including quadriplegia, anxiety disorder, bipolar disorder, and schizoaffective disorder. […]

• Actual harm, isolatedF600Dec 1, 2022

  Based on medical record review, review of facility self-reported incident (SRI), review of facility investigations, observations, staff and resident interviews, and review of a facility policy, the facility failed to ensure residents were free from abuse. This resulted in Actual Harm for when Resident #118 was physically abused by Resident #72 and subsequently required hospital evaluation/treatment for a right wrist fracture, and when Resident #117 was physically abused by Resident #95 and subsequently required hospital evaluation/treatment for a broken jaw. […]