Care Manor Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Care Manor Nursing and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 29, 2025

  Number of residents sampled: Number of residents cited: Based on document review, interviews and policy review the facility failed to prevent abuse for one (Resident#12) of five residents reviewed for abuse. The findings include: Resident #62 A review of Resident #62’s “Quarterly Minimum Data Set” (MDS) with Assessment Reference Date (ARD) of 07/05/2025, indicated that Resident #62 had a Brief Interview of Mental Status (BIMS) with a score of two, which indicated the resident had severe cognitive impairment. A review of Resident #62’s “Care Plan” revealed that Resident #62 has decreased physical mobility related to muscle wasting and weakness. […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2023

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment; food items stored in the refrigerator /freezer were covered, sealed and dated; expired food items were promptly removed/discarded by the expiration or use by dates; foods were dated when received or opened to assure first in first out usage and hot foods on the steam table were maintained at or above 135 degrees Fahrenheit while awaiting service, to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 44 residents who received meals from the kitchen (total census: 45), as documented on a list provided by the Dietary Supervisor on [DATE] and the findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Nov 10, 2021

  Based on observation and interview, the facility failed to ensure refrigerators, worktables, and an ice scoop were maintained in clean condition to minimize the potential for foodborne illness for residents who received meals from 1 of 1 kitchen. This failed practice had the potential to affect 50 residents who received meals from the kitchen and ice from the nutrition room's ice machine, based on a list provided by the Dietary Manager on 11/09/2021. The findings are: 1. On 11/07/21 at 10:27 AM, during initial rounds of the kitchen the following observations were made: a. Next to the ice machine, was a three-door silver refrigerator with orange serving trays on the floor. […]

• No harm, potential for more than minimal, patternF641Aug 29, 2025

  Number of residents sampled: Number of residents cited: Based on record review and interview it was determined the facility failed to ensure the Minimum Data Set (MDS) assessment was accurately completed for five (Resident #7, Resident #4, Resident #69, Resident # 34, and Resident #58) of 10 residents reviewed for MDS accuracy. The findings include: Resident #7 Review of Resident #7's Medical Records on 08/26/2025 at 9:16 AM indicated there was no Preadmission Screening and Resident Review (PASRR) information available in the electronic medical record. […]

• No harm, potential for more than minimal, patternF657May 16, 2024

  Based on observation, interview, and record review, the facility failed to ensure that the comprehensive care plan was revised or updated for 1 (Resident #47) sampled resident. The findings are: Review of an Order Summary revealed Resident #47 had a diagnosis of malignant neoplasm of brain. On a significant change Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/27/2024 Resident #47 received a score of 3 (0-7 indicates severely cognitive impaired) on the Brief Interview for Mental Status. The MDS documented the resident requires substantial/maximum assistance with personal hygiene. On 05/14/2024 at 12:56 PM, a review of the residents electronic medical record revealed a physician's order for admission to Elite Hospice on 03/27/24. […]