Country Manor Healthcare and Rehab Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Jan 23, 2025

  Based on interview and document review, the facility failed to identify an outbreak of gastrointestinal (GI) illness, implement corrective action to reduce the spread of illness and infections in the facility and report the outbreak to the State Agency (SA). This had the potential to affect all 124 residents in the facility and facility staff. Findings include: The facility's infection/tracking and monitoring spreadsheet tracked unit name, resident name, room number, admitted , existing infection from previous month(s), infection type, body system of infection, surveillance definition met, symptom(s), onset date, and date symptoms resolved. […]

• No harm, potential for more than minimal, patternF880Aug 16, 2021

  Based on observation, interview, and document review, the facility failed to quarantine a resident (R213) who was readmitted and not vaccinated for COVID-19. The facility failed to follow the Centers for Disease Control (CDC) guidelines to prevent and/or minimize the transmission of COVID-19 related to the proper utilization of personal protective equipment (PPE) for 1 of 4 resident (R213) reviewed for transmission based precautions (TBP). In addition, the facility failed to ensure isolation gowns were not reused for 1 of 4 residents (R311) reviewed for infection control practices. Further, the facility failed to ensure a catheter drainage bag was kept off the floor to prevent contamination for 1 of 3 residents (R5) who utilized indwelling urinary catheters. […]

• No harm, potential for more than minimal, isolatedF684Jan 23, 2025

  Based on observation, interview and document review, the facility failed to monitor 1 of 2 residents (R97) reviewed for wound care. Findings include: R97's quarterly Minimum Data Set (MDS) dated [DATE], included R97 had moderate cognitive impairment. R97 had a diagnosis of dementia. R97's encounter summary dated 12/20/24 from Central MN Foot & Ankle included Staff at Country Manor are to clean the right great toe with warm water and gentle soap; gently pat dry, then apply a thin layer of triple antibiotic ointments followed by a band-aid until healed. R97's interdisciplinary notes dated 12/20/24, included right great toe bandage changed. Mild bleeding noted. Cleaned and applied abx ointments. […]

• No harm, potential for more than minimal, isolatedF561Nov 30, 2023

  Based on observation, interview, and record review the facility failed to ensure resident and family requested preferences were honored for 1 of 2 residents (R460) reviewed for choices. Findings include: R460 was admitted to the facility on [DATE], with diagnoses of fracture of unspecified thoracic vertebra, fracture of first lumbar vertebra, chronic respiratory failure, and pneumonia. A Minimum Data Set nursing note entry on 11/27/23, indicated R460 was cognitively intact. R460's care plan identified mouth sores, instructed oral hygiene three times a day, and to administer medications as ordered. The chart assessment Self-Administration of Respiratory Inhalants dated 11/24/23, concluded R460 was safe to administer inhalants after setup. […]

• No harm, potential for more than minimal, isolatedF790Nov 30, 2023

  Based on interview and observation the facility failed to ensure timely necessary dental services were received for 1 of 1 resident (R54) reviewed for dental care. Findings include: R54's quarterly Minimum Data Set (MDS) dated [DATE], indicated R54 was cognitively intact and had diagnoses of heart failure, diabetes and below knee amputation. R54's care plan identified R54 had poor dentation with missing and broken teeth. The care plan instructed staff to provide set-up and assistance with oral hygiene two times a day, assess condition of oral cavity, offer dental exam yearly and as needed, and assist with setting up appointment as needed. The Treatment Record for 11/30/23 did not include assessment of R54's teeth. The MDS Oral/Dental Section L. […]