Clay Center Presbyterian Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 8, 2026

  Based on observation, interview, and record review, the facility failed to serve food in a sanitary manner for the 29 residents who received food from the facility kitchen. Findings included:- On 07/06/2026 at 12:25 PM, observation revealed Certified Nurse Aide (CNA) M brought her ponytail to the front of her body and stroked it up and down with both hands approximately three times, then flung the ponytail to the back of her head and did not wash hands or use hand gel. Continued observation revealed CNA M delivered a resident plate of food to the table, then returned to the kitchenette and obtained another plate of food and delivered that plate to another resident. […]

• No harm, potential for more than minimal, widespreadF851Aug 14, 2024

  The facility had a census of 29 residents. Based on observation, interview, and record review, the facility failed to submit complete and submit accurate staffing information through Payroll Based Journaling (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing. Findings included: - The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal year (FY) Quarter 3 2023 (April 1 - June 30) indicated the facility did not have licensed nurse coverage 24 hours a day, seven days a week on six dates. A review of the facility licensed nurse timeclock data for the dates listed on the PBJ revealed a licensed nurse was on duty for 24 hours a day seven days a week. […]

• No harm, potential for more than minimal, widespreadF801Sep 2, 2021

  The facility had a census of 21 residents. The sample included 12 residents. Based on observation, record review, and interview the facility failed to employ a full time certified dietary manager for the 21 residents who resided in the facility and received meals from the facility kitchen. Findings included: - On 09/01/21 at 10:10 AM, observation revealed Dietary Staff (DS) CC overseeing the preparation of the noon meal. On 08/30/21 at 08:45 AM, DS CC verified she was uncertified and was enrolled in the Nutrition and Food Service Professional training program. On 09/02/21 at 11:20 AM, Administrative Nurse D verified DS CC had no dietary manager certification and she was enrolled in the program. Upon request the facility failed to provide a policy regarding certified dietary manager. […]

• No harm, potential for more than minimal, widespreadF812Sep 2, 2021

  The facility had a census of 21 residents. The sample included 12 residents. Based on observation, record review, and interview the facility staff failed to distribute and serve food in accordance with professional standards for food service safety for the 21 residents who received meals from the facility kitchenette and kitchen. Findings included: - On 08/30/21 at 08:45 AM, observation of the kitchen revealed two uncovered desert cups with soft serve vanilla ice cream, without a label or date. […]

• No harm, potential for more than minimal, patternF812Mar 7, 2023

  The facility had a census of 29 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to store, prepare, and serve food in a sanitary condition for 28 residents who resided in the facility and received meals from the facility kitchen, which placed the resident at risk for food borne illness. Finding included: -On 03/02/23 at 12:00 PM, observation revealed foods prepared in the kitchen located in the basement of the facility, loaded into a heat preserving cart and taken to the elevator up to the long- term care unit of the facility. The hot food items then transferred to the steam table in the kitchenette. Dietary Staff (DS) CC then observed checking the food temperatures with an electronic thermometer. […]