Coastal Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF803Aug 14, 2024

  Based on observations, review of 4-week menu cycle, and interviews, the facility failed to follow the printed menu for 3 of 3 days of the survey, and not complying with regulation S483.60(c)(2) that menus be prepared in advance; and S483.60(c)(3) that menus must be followed. This has the potential to effect all 33 of the residents in the facility. Findings: On 8/12/24 at 8:56 a.m. a surveyor met with a resident who states it feels like we have the same meal every week, the variety is not a lot 0n 8/12/24 at 10:34 a.m. a surveyor met with a resident in his/her room. He/She also said the same things are served all the time and they never know what it's going to be because they don't get a menu. On 08/13/24 at 12:16 p.m. a surveyor met with a resident who stated The variety is lacking. […]

• No harm, potential for more than minimal, widespreadF882Nov 22, 2021

  Based on interviews, the facility failed to designate a qualified staff member to function as the Infection Preventionist, who is responsible for the facility's Infection Control Program. This has the potential to affect all residents in the facility. Finding: On 11/22/2021, at approximately 11:00a.m., in an interview with this surveyor, the Director of Nursing (DON) confirmed that the facility had been without an Infection Preventionist since October 15th of this year. The DON stated, She left the same day of our first positive resident. I have been meaning to go on-line and take the course, but with COVID there has not been any time.

• No harm, potential for more than minimal, patternF550Dec 4, 2025

  Based on observations and interviews, the facility failed to ensure the dignity of all residents by allowing an uncovered urine filled catheter bag to be seen by passersby for 3 of 3 residents with urinary catheters. (Residents #1, #8 and #9) Findigs: 1. On 12/1/25 at 9:15 a.m. during an initial observation, Resident #1 and #8 both had uncovered foley catheter bags containing urine and visible from the hallway. At 9:30 a.m., both the surveyor and the charge nurse observed the above. At this time, the above was confirmed with the Director of Nursing. 2. On 12/1/25 at 10:13 a.m., observation of Resident #9 lying in a low bed with a foley catheter bag resting on the floor. The catheter bag had dark yellow urine and visible from the hallway. […]

• No harm, potential for more than minimal, patternF584Dec 4, 2025

  Based on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment for 2 of 2 floors. (first and second floor) for 3 of 4 days of survey.Findings: 1. On 12/1/25 at 10:01 a.m., and on 12/3/25 at 9:15 a.m., observation of the shared bathroom for room [ROOM NUMBER] and 114 had a bed pan stored on the floor under the sink and the commode had a brown substance around the seam of the seat. On 12/3/25 at 9:21 a.m., both the Director of Nursing and the surveyor observed the bed pan on bathroom floor and the brown substance on the commode seam of the seat. 2. On 12/1/25 at 9:19 a.m. […]

• No harm, potential for more than minimal, patternF658Dec 4, 2025

  Based on observations, interviews, record review, and facility policy review, the facility failed to ensure medications were administered safely, accurately, and in accordance with provider orders and professional standards of practice for 1 of 3 medication administration observations reviewed. (Resident #14 & #33) On 12/2/25, at approximately 8:15 a.m., during a medication administration observation on the second floor, the surveyor observed the Infection Preventionist (IP) open the top drawer of the medication cart and remove a small plastic bag containing a syringe labeled Omeprazole for Resident #14. […]