AristaCare at Manchester LLC

In the surveyor’s words

From the most serious findings on record at AristaCare at Manchester LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 26, 2024

  Complaint NJ #165621 Based on record review, interview, and review of pertinent documentation, it was determined that the facility failed to a.) adequately supervise a cognitively impaired resident (Resident # 535) with exit seeking behavior from eloping the facility. This posed the likelihood of serious injury, serious harm, serious impairment or death for 1 of 3 residents reviewed for wandering/elopement. A review of a closed record revealed a Progress Note (PN) dated 05/28/23, identified that staff were unable to locate Resident #535 in the facility for approximately one hour. Resident # 535 was found at a local restaurant located near the facility. This resulted in an Immediate Jeopardy (IJ) situation. The IJ began on 05/28/23 and was identified on 04/17/24. […]

• Immediate jeopardy, isolatedF808Apr 26, 2024

  Based on observation, interview, record review and review of pertinent documentation, it was determined that the facility failed to ensure that staff provided a resident with the appropriate physician ordered liquid consistency. This posed the likelihood of serious harm to the health and well-being of Resident #24. This resulted in an Immediate Jeopardy (IJ). This deficient practice occurred for 1 of 9 resident (Resident #24) reviewed for physician ordered pudding thick liquid consistency and was evidenced by the following: On 04/12/24 at 8:40 AM, the surveyor observed a Certified Nurse Aide (CNA) adding two thickener packets to Resident #24's coffee, instead of the required four, and then provided the coffee to the resident. […]

• Actual harm, isolatedF600Jun 1, 2023

  C#: NJ164217 Based on interviews, medical record (MR) review, and review of other pertinent facility documentation on [DATE], [DATE], and [DATE], it was determined that the facility failed to provide services necessary to prevent physical harm when a Resident (Resident #2) with a known history and diagnosis of Major Depressive Disorder and Anxiety, had changes in behavior, which included an increase in anger and anxiousness and had expressed concerns about changes in sleep and appetite. The facility also failed to follow its policy titled Abuse and Neglect - Clinical Protocol. […]

• Actual harm, isolatedF657Jun 1, 2023

  C#: NJ164217 Based on interviews, medical record review, and review of other pertinent facility documents on 5/25/2023, 5/31/2023, and 6/1/23, it was determined that the facility failed to reevaluate the effectiveness of the Care Plan and revise its interventions to prevent physical harm for a resident (Resident #2) with a known history of Major Depressive Disorder and Anxiety who had changes in behavior and committed suicide. The facility also failed to follow its policy, Care Planning - Interdisciplinary Team. […]

• No harm, potential for more than minimal, patternF698Apr 26, 2024

  Based on observation, interview, record review, and review of pertinent documentation, it was determined that the facility failed to complete and maintain an ongoing communication record between the facility and the dialysis center for 1 of 2 residents (Resident #19) reviewed for dialysis. The deficient practice was evidenced by the following: A review of the facility policy Hemodialysis Communication undated, included but was not limited to: to have effective communication . between facility and dialysis center . Steps . […]