Colonial Manor of Amana

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 19, 2022

  Based on observation, record review, family and staff interviews, the facility failed to safely transfer 1 of 4 residents reviewed for supervision, which resulted in an injury that included facial bone fractures around the left eye, right index finger and left 4th rib fractures of the resident (Resident #1). The facility reported a census of 36 residents. Findings Include: The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 with diagnoses of diabetes, dementia, and depression. The resident required total assistance for transfers with 2 person assistance and total assistance for toilet use and personal hygiene with 1 person to assist. […]

• No harm, potential for more than minimal, widespreadF812Jul 22, 2026

  Based on observation, interviews, facility documentation, and policy review the facility failed to store, prepare, and distribute food under sanitary conditions during 3 of 3 observations. The facility failed to ensure expired foods were discarded, maintain clean work spaces, and manage pest control. The facility reported a census of 43 residents.Findings include:On 7/20/26 at 8:59 AM an observation of the kitchen showed the following:1 reduced calorie cream cheese icing and 1 reduced calorie butter vanilla icing expired 5/5/26.6 containers of bread crumbs expired 6/2/26.Onion skins and white food debris lay on the floor of the walk-in cooler, under the pie filling storage shelf, and on the floor of the dry storage area. […]

• No harm, potential for more than minimal, widespreadF908Jul 22, 2026

  Based on observation, staff interview, facility record review, and manufacturer instructions, the facility failed to properly maintain the commercial laundry equipment and ensure staff performed the required maintenance to prevent lint accumulation and fire hazards for 1 of 2 laundry dryers (Dryer 1) used for all the resident's laundry in the facility. The facility reported a census of 43 residents.Findings include:On 7/21/26 at 10:45 AM Staff A, Laundry Supervisor, showed dark grey insulation material mixed with lint on the side of Dryer 1 in the laundry room. Staff A removed a basketball-sized pile of lint and insulation material from Dryer 1 and stated Dryer 1 had 12 years of use and represented the worst unit. […]

• No harm, potential for more than minimal, patternF921Jan 14, 2021

  Based on observations, interviews and record review the facility failed to maintain cleanliness in 1 out of 1 Kitchens reviewed in the facility. The facility reported census of 31 residents. Findings included: 1. During an observation of the kitchen 01/13/21 at 12:02 p.m., a cobweb on the underside of the right front hood over the stove. 2. During an observation on 01/13/21 12:08 p.m., the top of stove hood on all 3 sides noted 100% covered with fuzz and residue, the top left corner held dark brown cob webs approximately 5 by 5 inches. A dead fly hung from the front left side of the stove hood. 3. During an observation on 01/13/21 at 12:20 p.m., a dead moth hung from the gas line pipe where it met the ceiling tile. 4. […]

• No harm, potential for more than minimal, isolatedF558Jul 22, 2026

  Based on clinical record review, observation, resident interview, staff interview, and facility policy review, the facility failed to keep call lights within reach for 2 of 3 residents reviewed for accommodation of needs (Residents #27, #20, and #7). The facility reported a census of 43 residents.Findings include:1. Resident #27's Minimum Data Set (MDS) quarterly review assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 8, indicating moderately impaired cognition. Resident #27 required limited physical assistance of 1 person for toileting, dressing, and personal hygiene. Resident #27's Care Plan revised 7/9/26 identified a self-care deficit. […]