Community Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 21, 2024

  Based on observation and interview, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These practices had the potential to affect all residents who are served food from the kitchen. The facility census was 96. Review of the facility policy, Refrigerators and Freezers, revised November 2022, showed: - Refrigerators and/or freezers are maintained in good working condition. Refrigerators keep foods at or below 41 F and freezers keep frozen foods frozen solid; - Monthly tracking sheets for all refrigerators and freezers are posted to record temperatures; - Monthly tracking sheets include time, refrigerator temperature, temperature of PHF/TCS food, initials, and action taken. […]

• No harm, potential for more than minimal, widespreadF814Feb 23, 2023

  Based on observation, interview, and record review, the facility failed to maintain a cover on the trash containers within the kitchen and failed to ensure the dumpster was maintained to keep pests out and/or to keep the garbage contained in the dumpsters. This had the potential to affect all residents. The facility census was 95. 1. Observation of the kitchen on 2/19/23 at 11:40 A.M. showed the following: - One uncovered 32 gallon trash receptacle partially full of refuse near the dishwashing station; - One uncovered 32 gallon trash receptacle partially full of refuse near the food slicer; - One uncovered 32 gallon trash receptacle filled with cardboard refuse near the back kitchen exit. 2. Observation of the kitchen on 2/19/23 at 12:00 P.M. […]

• No harm, potential for more than minimal, isolatedF602Jun 4, 2026

  Based on interview and record review, the facility failed to prevent the misappropriation of two gift cards from one resident (Resident #1) out of a sample of five residents when a staff member took possession of the resident's $200 Amazon gift card and $300 Visa gift card. The facility census was 98.The administration was notified on 06/04/26 of the Past Non-Compliance which occurred between 05/29/26 through 06/01/26. On 06/01/26, upon notification, the facility administration started an investigation, notified the police department and the Department of Health and Senior Services of the misappropriation. […]

• No harm, potential for more than minimal, isolatedF567Mar 12, 2026

  Based on record review and interview, the facility failed to ensure resident funds were placed in an account separate from the facility operating account. The facility did not provide residents with refunds of their personal funds for the operating account in a timely manner for six residents (Residents #1, #2, #3, #4, #5 and #6). The facility census was 66.1. Record review of the facility-maintained Accounts Receivable (A/R) Aging Report, dated [DATE], showed the following residents with personal funds held in the facility operating account: Resident Amount Held in Operating Account#1 $241.00#2 $4,140.00#3 $18.00#4 $6,902.43#5 $4,420.00#6 $1,205.00Total $16,926.43 Record review of the facility-maintained paperwork showed Residents #1, #2, #3, #4 and #5 expired and Resident #6 discharged… […]

• No harm, potential for more than minimal, isolatedF582Jun 6, 2025

  Based on interview and record review, the facility failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) and Notice of Medicare Non-Coverage (NOMNC) to two residents (Resident #25 and #77) out of three sampled residents who were discharged from Medicare Part A services with benefit days remaining. The facility's census was 97. The facility did not provide a policy for SNF ABN or NOMNC forms. 1. Review of Resident #25's medical record showed: - The resident discharged from Medicare Part A services on 02/28/25; - The resident remained in the facility; - The facility failed to issue a NOMNC to the resident. 2. […]