Celina Manor

In the surveyor’s words

From the most serious findings on record at Celina Manor, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761May 10, 2023

  Based on record review, observation, staff interview, and policy review, the facility failed to store prescribed medications appropriately and securely. This affected Resident #36 and had the potential to affect four residents (#29, #38, #58, and #266) who the facility identified to be confused and independently ambulatory. The facility census was 66. Findings include: 1. Medical record review for Resident #36 revealed an admission on 12/01/17. Diagnoses included schizophrenia, psoriasis, anxiety, and psychotic disorder with delusions. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #36 had intact cognition. Observation on 05/08/23 at 9:19 A.M. […]

• No harm, potential for more than minimal, isolatedF582Mar 30, 2026

  Based on medical record review, staff interview, and policy review, the facility failed to issue a resident the Notice of Medicare Non-Coverage (NOMNC) and Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) after the facility initiated a discharge from Medicare part A services. This affected one (#32) of three residents reviewed for beneficiary notices. The facility census was 72.Findings include:Review of the medical record for Resident #32 revealed an admission date of 05/29/25. Diagnoses included aftercare following surgery on the circulatory system, diabetes mellitus, and dementia. […]

• No harm, potential for more than minimal, isolatedF585Mar 30, 2026

  Based on record review, resident and staff interviews, and policy review, the facility failed to address a resident's concern regarding staff in a timely manner. This affected one (#31) of four residents reviewed for dignity and respect.Findings include:Review of the medical record for Resident #31 revealed an admission date of 07/09/21.Diagnoses included anoxic brain damage, diabetes mellitus type two, and depression.The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #31 had intact cognition.Interview on 03/24/26 at 12:08 P.M. with Resident #31 revealed he did have a concern a staff member had not treated him with dignity and respect. He shared Certified Nursing Assistant (CNA) #268 had told him he was too old to be wearing a diaper. […]

• No harm, potential for more than minimal, isolatedF628Mar 30, 2026

  Based on medical record review, staff interview, and policy review, the facility failed to complete a discharge recapitulation of stay or discharge summary upon resident discharge to another healthcare setting. This affected one (#75) of one resident reviewed for planned discharge. The facility census was 72. Findings include:Review of the medical record for Resident #75 revealed an admission date of 10/28/25. Diagnoses included pneumonia, pulmonary fibrosis, emphysema, and chronic obstructive pulmonary disease (COPD).The admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #75 was cognitively intact. Review of the Social Service Weekly Baseline and Discharge Planning tool dated 12/22/25 revealed Resident #75 would be transferring to an Assisted Living on 12/26/25. […]

• No harm, potential for more than minimal, isolatedF689Mar 30, 2026

  Based on record review, staff interviews, observations, and policy review, the facility failed to ensure a resident who was at risk for falls and had a history of falls had their fall care plan interventions in place. This affected one (#5) of two residents reviewed for falls. The facility census was 72.Findings include:Review of the medical record for Resident #5 revealed an admission date of 09/12/25. Diagnoses included chronic obstructive pulmonary disease (COPD), lymphedema, and anxiety. […]