Manning Gardens Care Center, INC

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide food in accordance with resident preferences for one of three sampled residents (Resident 7), when Resident 7 preferred to receive gravy on his tray and Resident 7 was not served gravy. This failure had the potential for Resident 7 to not consume his preferred food and not to receive the full nutritional benefit of his meal which could lead to weight loss.Findings: During a review of Resident 7's admission Record (AR- a document containing resident profile information), dated 12/17/25, the AR indicated Resident 7 was admitted to the facility on [DATE] with diagnoses which included intellectual disability, schizoaffective disorder (a mental illness that can affect thoughts, mood, and behavior) and dysphagia (difficulty swallowing). During a review of Resident 7's Minimum Data Set (MDS- resident assessment tool which indicates physical and cognitive abilities), dated 8/12/25, the MDS indicated a Brief Interview for Mental Status…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases (illnesses that can be spread from one person, animal, or object to another) and infections for five of seven residents (Resident 2, 3, 4, 5, and 6) when: 1. Resident 2, 3, 4, 5, and 6's personal trash bins (a metal or plastic container used for discarding garbage) without lids located at the bedside contained used blue rubber gloves (protective coverings for the hands designed to shield against chemicals, contamination, and other harmful substances). 2. Two of six large yellow barrels (a cylindrical container) with lids labeled soiled linen (gowns, bedsheets, drawsheets, towels etc. which were exposed to fluids from the human body such as stool; fecal matter, urine, and vomit) located in the east hall contained used blue rubber gloves. These…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases (Illnesses caused by viruses or bacteria that people spread to one another through contact with contaminated surfaces, bodily fluids, blood products, insect bites, or through the air) and infections for 53 of 54 residents when: 1. Staff stored personal lunch bags and a drink canister on top of the dining room ice-machine and not in the locker room refrigerator per the facility's policy and procedure (P&P) Cafeteria Meals, This failure had the potential for cross-contamination (process by which bacteria is transferred from one object or substance to another, with harmful effect) and exposure to foodborne illnesses (stomach illness acquired from ingesting contaminated food) for residents, staff, and visitors. 2. Resident 2's feeding…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the kitchen food was stored and maintained in a safe and sanitary manner when: 1. The facility failed to store food in Resident 105's room in a safe manner in accordance with the facility's policy and procedure (P&P) Foods Brought by Family/Visitors. 2. An open jar of garlic was stored in the refrigerator without an open labeled date in accordance with the facility's P&P Sanitation and Infection Control. 3. A case of bran muffins was found in the refrigerator missing half of the labeled date identifying the placed in the freezer date per the facility's P&P Sanitation and Infection Control. 4. Two dented tomato sauce cans were stored in the pantry for use and not set aside in a designated area for return to the vendor or disposed of properly per the facility's P&P Sanitation and Infection Control. These failures had the potential risk of cross contamination (process by which bacteria is transferred from one object or substance to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to keep the environment free from insects in accordance with the facility's policy and procedure (P&P) Pest Control when flies were observed in resident rooms and in the common areas of the dinning room and activities room and had the potential for rodents to enter from two holes on the laundry room wall. These failures led to insects being observed in the facility and had the potential to allow rodents to enter the facility from the outside, posing a risk of infection to residents due to cross-contamination. Findings: 1. During a concurrent observation and interview on 11/5/24 at 10:45 a.m., with Resident 40 in her room, Resident 40 was in her bed, had a fly swatter in her hand with three flies were flying around her. Resident 40 stated she hated the flies, and they were always in her room. Resident 40 stated she was unable to move in bed, or walk, because of a tumor (an abnormal growth of tissue in the body that occurs when cells divide…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to provide one of six sampled residents (Resident 44) the right to self-administer medications, when Resident 44 stated she wanted to keep her inhaler at bedside and the facility did not allow her to. This failure resulted in Resident 44's right to self-administer medications to be violated and had the potential to cause Resident 44 to experience difficulty breathing as a result of not having her inhaler at the bedside. Findings: During a review of Resident 44's admission Record (AR- a document which provides resident contact details, a brief medical history, level of functioning, preferences, and wishes), dated 11/8/2024, the AR indicated, Resident 44 was admitted with the following diagnoses: asthma (lung condition which causes the tubes that carry oxygen in and out of the lungs to become swollen making it difficult to breathe) and traumatic pneumothorax (when air gets trapped between the lung and chest wall after an injury making it hard to breathe). During a review of Resident 44's Minimum Data Set (MDS-…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to meet professional standards of practice for one of one residents (Resident 40), when Resident 40 described her waffle mattress (a pressure relief mattress overlay [on top of mattress] that's designed to be placed on top of an existing mattress to redistribute pressure from bony areas of the body, manufacturer name Air Overlay) as uncomfortable and staff did not know how to adjust the mattress. This failure resulted in Resident 40's discomfort while lying in bed and had the potential to put the resident at risk for skin breakdown. Findings: During a concurrent observation and interview on [DATE] at 2:45 p.m., with Resident 40 in her room, Resident 40 was in her bed laying on a waffle mattress (WM) that had an air pump at the foot of the bed connected to the mattress set to firm (highest setting- maximum amount of air inflating the WM). Resident 40 stated she was unable to move in bed, or walk, because of a tumor (an abnormal growth of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure one of 12 Residents (Resident 1) was assessed for the risk of entrapment (resident caught, trapped, or entangled in the space in or about the bed and side rail) from the bed side rails (adjustable metal or rigid plastic bars in various sizes that attach to the bed, and can be placed in a guard [raised] or lowered position), had no consent (form signed by resident or family explaining the risks of side rail use), no physician order, no indication for use, and no care plans prior to the installation and use when Resident 1 had two bed rails one on both sides at the head of the bed in the guard position (a position that is intended to prevent an individual from inadvertently[accidentally] rolling out of bed). This failure had the potential to cause entrapment, serious harm, injury, or death to Resident 1. Findings: During an observation on 11/5/24 at 8:35 a.m., Resident 1 was observed in bed sleeping. Bed rails were observed raised at…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review the facility failed to provide pharmaceutical services to meet the needs of one of six residents (Resident 37) when Resident 37's lorazepam (a controlled medication used to help with anxiety, sleep, and maintain calmness) medication was administered and was not documented on the controlled substances count sheet (This document is typically used in a medical setting to ensure accurate dispensing and administration of medications, as well as to provide a record of how much of a controlled substance has been used and when). This failure had the potential for Resident 37's lorazepam to be mistakenly administered to her twice and cause Resident 37 to experience side effects from an additional dose of medication. Findings: During a review of Resident 37's admission Record (AR- a document which provides resident contact details, a brief medical history, level of functioning, preferences, and wishes), dated 11/8/2024, the AR indicated Resident 37 was admitted to the facility with the following diagnoses: major depressive disorder (mood…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement the recommended diet plan for 1 of 3 residents (Resident 1) when Resident 1 received a swallowing evaluation (a test to visualize the function of the throat and esophagus while swallowing) on 5/2/24 and the facility did not obtain the result of the swallowing evaluation until 5/17/24. This failure was not the standard of practice according to the facility's policy and procedure, titled, Referrals, Social Services, and had the potential to place Resident 1 at risk for inadequate nutritional intake. Findings: During a review of Resident 1's admission Record (AR), dated 5/26/24, the AR indicated, Resident 1 was admitted on [DATE] and had a history of Hemiplegia (paralysis of one side of the body) and Hemiparesis (one-sided muscle weakness) following cerebral infarction (damage to tissues in the brain due to a loss of oxygen to the area) affecting right dominant side. During a review of Resident 1's Minimum Data Set (MDS – an…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure safe, sanitary food preparation and storage practices were followed in the kitchen when: 1. The toaster had a brown substance stuck on the front knobs and a yellow substance on the edge of the toaster opening and the plate warmer had a greasy brown substance and dirt along the bottom edge and there was a clean plate on top of brown flakes of food. 2. There was a plastic bag containing American cheese slices with brown debris on them and placed inside the refrigerator. 3. Two out of two dry food bins in the dry food storage area had a brown substance inside the bottom of the bin. 4. There were no airgaps (A fixture that provides back-flow prevention) under the three compartment sink and the food preparation sink. 5. There were sewage pipes overhead in the basement dry food storage area which had canned goods, and buckets of grains under them. 6. Two of four dietary staff members had their hair exposed outside of their hair nets while working in the kitchen. These failures placed 50 of 50 residents at…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure 2 of 18 sampled residents (Residents 26 and Resident 1) were free from unnecessary psychotropic (drugs that affect brain activity associated with mental processes and behavior) medications, as evidenced by: 1. For Resident 26, there was inadequate Divalproex Sodium side-effect (S/E) monitoring. 2. For Resident 1, Olanzapine was not started at the recommended dose and there was inadequate monitoring of recommended laboratory testing while on psychotropic therapy. These failures resulted in the potential for medication interactions, adverse reactions, and increased risks associated with the use of psychotropic medications that include but not limited to sedation, respiratory depression, falls, constipation, anxiety, agitation, memory loss and toxicity. Findings: 1. During a review of the clinical record for Resident 26, the admission Record (AR) dated 10/17/2023, indicated the resident was admitted on [DATE] with diagnoses including Altered Mental…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, including the appropriate accessory and cautionary instructions, and the expiration date as applicable when: Licensed Nurse (LN) staff did not apply adequate labels (discard by date) on inhaler medications for 3 residents (Resident 48, Resident 26 and Resident 261) and LN staff did not ensure adequate storage of discontinued medications for 3 residents (Resident 30, Resident 36, and Resident 9). These failures increased the potential for Resident 48, Resident 26 and Resident 261 to be administered expired medication and inadequately treated for breathing difficulty and for Resident 30, Resident 36, and Resident 9 to be administered unnecessary medication. Findings: During a concurrent medication cart inspection and interview on 10/16/23 3:05 p.m., with Registered Nurse (RN) 1, inhaler medications for 3 residents…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to protect the privacy of one of six sampled residents (Resident 260), when Registered Nurse (RN) 4 left the privacy curtain and door open while providing care to Resident 260 and exposed Resident 260 to public. This failure resulted in violation of Resident 260's rights to confidentiality and the potential for unauthorized access to Resident 260. Findings: During an observation on 10/16/23, at 9:30 a.m., in Resident 260's room, Resident 260 was laying in bed with eyes closed. Resident 260 was observed with a peripherally inserted central catheter (PICC-long thin tube inserted through a vein and passed through to the larger vein near the heart-used to give fluid or medication directly into a vein) on her right arm and was receiving medication from an infusion pump (medical device used to deliver fluids into a patient's body in a controlled manner). During a review of Resident 260's admission Record (AR- document which contain patient personal information), dated 10/20/23, the AR indicated Resident 260 was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to develop and implement a resident-centered comprehensive care plan for one of three sampled residents (Resident 14) when Resident 14 did not have a care plan for the use of anticoagulant (blood thinner) medication. This failure placed Resident 14 at risk for complications from not having care needs planned by licensed nurses to determine if nursing intervention needed to be added, changed, or completed. Findings: During a concurrent observation and interview during a facility tour on 10/13/23, at 8:55 a.m., in Resident 14's room, Resident 14 was observed walking using a four prong cane from the bathroom to his bed. Resident 14 stated he had been in the facility for one month and was working with therapists. Resident was observed with clean and dry dressings to both feet. Resident 14 stated he had several of his toes amputated (surgically removed). During a review of Resident 14's clinical record titled, admission RECORD dated 10/18/23, the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide an environment free of accident hazards when: 1. Resident 11's bed rail was loose and not in good working condition which led to Resident 11's fall on 10/11/23. This failure had the potential to result in additional falls which could have result in serious injury for Resident 11. 2. Multiple handrails in the hallways were found cracked with missing end pieces and exposed sharp edges. This failure had the potential to cause injuries to residents, staff, and visitors. Findings: 1. During a concurrent observation and interview on 10/16/23, at 9:15 a.m. with Resident 111, he was sitting up in his wheelchair appropriately dressed, observed with right below knee amputee (RBKA), dry, clean dressing and wearing stump support. Resident 111 stated the bed rail wiggled because the screw was loose. Resident 111 stated he lost his balance and fell when he attempted to transfer himself, while he held on to the rail. During a review of Resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 9) with an indwelling urinary catheter (a soft hollow tube which is passed into the bladder to drain urine, for persons who cannot empty their bladder) received appropriate care when Resident 9's urinary catheter bag was touching the floor on three separate occasions. This failure had the potential for Resident 9 to develop a urinary tract infection (UTI- infection in any part of the urinary system, kidneys, bladder, or urethra) which could cause sepsis (the body's overwhelming and life-threatening response to infection) and hospitalization if untreated. Findings: During a review of Resident 9's admission Record, undated, the admission record indicated, Resident 9 was admitted to the facility on [DATE] with diagnoses which included heart failure (a condition that develops when the heart cannot pump enough blood to meet the body's needs for blood and oxygen), obstructive and reflux uropathy…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide respiratory care services in accordance with professional standards of practice for one of two sampled residents (Resident 10) when Resident 10's oxygen flow rate was given at a higher rate than the physician ordered. This failure had the potential for Resident 10 to experience difficulty breathing, respiratory distress and lung damage. Findings: During a review of Resident 10's admission Record, undated, the admission record indicated, Resident 10 was admitted to the facility on [DATE] with diagnoses which included hypertensive heart disease with heart failure (long term heart problems caused by high blood pressure), chronic obstructive pulmonary disease (COPD-chronic lung disease which damages the lungs making it difficult to breathe), type 2 diabetes mellitus (a problem in the way the body regulates and uses sugar as fuel) and asthma (long term condition affecting the airways of the lungs). During a review of Residents 10's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to meet the pain management needs of residents consistent with professional standards of practice for one of six sampled resident (Resident 23) when Resident 23's pain was not managed effectively due to unavailability of Resident 23's Percocet (medication used to treat pain) medication from 10/17/23, 10/18/23 and 10/19/23. This failure resulted in Resident 23's experiencing avoidable pain and suffering for prolong periods of time from 10/17 through 10/19/23 which led to her inability to sleep at night and unable to received needed care due to severe pain to the areas of her body affected by pain. Findings: During a review of Resident 23's admission Record, undated, the admission record indicated, Resident 23 was admitted in the facility on 8/24/23, with diagnoses which included wedge compression fracture of lumbar vertebrae (lower back bone), and fibromyalgia (chronic disorder that causes pain and tenderness throughout the body). During a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to dispose of garbage and refuse according to facility policy and procedures (P&P) when two of four dumpsters did not have lids closed properly. This failure had the potential to attract pests and rodents which could lead to unsanitary conditions and spread of disease. Findings: During a concurrent observation and interview on 10/17/23 at 9:40 a.m. with the Certified Dietary Manager (CDM), the outside trash dumpsters were observed. Four trash dumpsters were observed, one blue dumpster for recycling and three brown dumpsters for trash. One brown dumpster was observed with one of the lids opened and a second brown dumpster with the lid partially opened due to overflowing trash. The CDM confirmed the trash dumpster lids were left open, could lead to an infestation, causing cross contamination and disease. During an interview on 10/17/23, at 1:58 p.m., with the Registered Dietician (RD), the RD stated the outside dumpsters should be completely closed, to prevent a rodent infestation, food contamination and illness.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide a safe, functional environment for staff members and the public when: 1. The dryer door glass was broken, and the glass was replaced by a circular piece of cardboard covering the opening in the dryer door while the dryer was in use. 2. The handwashing sink's hot water in the kitchen was 163 degrees Fahrenheit (F-unit of measurement). These failures placed staff and the public's safety at risk for harm. Findings: 1. During a concurrent observation and interview on 10/19/23 at 10:41 a.m., with the Laundry Aide (LA) in the laundry room, the front load dryer had a circular piece of cardboard covering the opening in the dryer door while it was in use. The LA stated the glass on the door had broken on Thursday (10/12/23). The LA stated when the Laundry Repair Vendor (LRV) came to fix the dryer, he cut out the cardboard to use until dryer door was fixed. The LA stated the Maintenance Supervisor (MS) was aware of the carboard and approved…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to prevent the presence of rodents when rodent excrement was found in the basement dry food storage area. This failure had the potential to lead to foodborne illnesses (illness caused by food contaminated with bacteria, viruses, parasites or toxins) for residents who eat food prepared in the kitchen. Findings: During a concurrent observation and interview on 10/19/23 at 9:12 a.m. with the Certified Dietary Manager (CDM) in the basement dry food storage area, there were several mouse and rat traps along the walls. There were small brown droppings found around a mouse trap in one corner of the basement. The CDM stated they were rodent droppings which could cause food contamination and illness. During a concurrent observation, interview, and record review, on 10/19/23 at 10:31 a.m. with the Maintenance Supervisor (MS) in the basement, the MS observed brown droppings in the corner. The MS stated the facility had a pest control service monthly and as needed. The MS stated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.