Country Manor Healthcare

In the surveyor’s words

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

• Actual harm, isolatedF689Nov 27, 2023

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1), who had three falls at the facility since admission and needed moderate assistance from staff (helper does less than half the effort; helper lifts, hold, or supports trunk or limbs and provides more than half the effort while walking between 10 to 50 feet) when walking, was free of accidents and injury. The facility failed to provide Resident 1 supervision and assistance in accordance with the assessment and plan of care. […]

• No harm, potential for more than minimal, widespreadF880Sep 14, 2021

  Based on observation, interview, and record review, the facility failed to implement infection control practices for coronavirus-19 infection (COVID-19, a highly contagious [CONDITION(S)] infection that can trigger respiratory tract infection) prevention by: 1. Failing to cohort (imposed grouping of people, potentially exposed to designated diseases) potentially exposed residents in the yellow zone (designated area for residents who have been in close contact with known cases of COVID-19). The facility had two known COVID-19 confirmed employees. 2. Failing to ensure employees are wearing personal protective equipment (PPEs - equipment worn to minimize exposure to hazards that cause serious workplace injuries and illnesses) properly. […]

• No harm, potential for more than minimal, patternF604Feb 12, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents were treated with respect and dignity including the right to be free from physical restraints (any manual method, physical or mechanical device, material or equipment that is attached or adjacent to the resident's body that he or she cannot easily remove that restricts freedom of movement or normal access to one's body) for three of three sampled residents (Resident 29, 9, and 77) reviewed for physical restraints by failing to: 1.Ensure Residents 29 and 9 did not have wedge pillows (firm, triangular-shaped foam cushion used to elevate parts of the body) tucked under the residents' fitted sheets on the right and left side of the body while in bed. […]

• No harm, potential for more than minimal, patternF658Feb 12, 2026

  Based on observation, interview, and record review, the facility's licensed nursing staff failed to provide care in accordance with professional standards of care to: 1. One of one sampled resident (Resident 4) reviewed for insulin (a hormone that removes excess sugar from the blood, can be produced by the body or given artificially via medication) use by failing to rotate (a method to ensure repeated injections are not administered in the same area) subcutaneous (sq, beneath the skin) insulin administration sites. […]

• No harm, potential for more than minimal, patternF760Feb 12, 2026

  Based on interview and record review, the facility failed to ensure residents were free of any significant medication errors (means the observed or identified preparation or administration of medications or biologicals which are not in accordance with the prescriber's order, manufacturer's specifications, and accepted professional standards) for one of one sampled resident (Resident 4) reviewed for insulin (a hormone that removes excess sugar from the blood, can be produced by the body or given artificially via medication) use by failing to rotate (a method to ensure repeated injections are not administered in the same area) subcutaneous (sq, beneath the skin) insulin administration sites. […]