Courville at Manchester

In the surveyor’s words

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

• Immediate jeopardy, isolatedF880May 6, 2026

  Based on interview and record review, the facility failed to ensure residents were free from exposure to bloodborne pathogen transmission when staff used a resident's insulin pen to administer insulin to another resident. (Resident identifier is #1.)Findings include:Interview on 5/1/26 at approximately 11:30 a.m. with Resident #1 revealed he/she received someone else's insulin a week or two ago and was admitted to the hospital. Review on 5/1/26 of Resident #1's medical record revealed a hospital Discharge summary, dated [DATE], that stated .Accidentally Received Lispro 19 units and Trulicity 1.5 mg. Further review of the hospital discharge summary revealed no lab results for bloodborne pathogens. […]

• Actual harm, isolatedF760May 6, 2026

  Based on interview and record review, the facility failed to ensure residents are free from significant medication errors which resulted in a resident requiring intervention and hospitalization for multiple nights for 1 of 3 medication errors reviewed. (Resident identifier is #1.)Findings include:Interview on 5/1/26 at approximately 11:30 a.m. with Resident #1 revealed he/she had received someone else's insulin a week or two ago and was admitted to the hospital.Review on 5/1/26 of Resident #1's medical record revealed a hospital history and physical, dated 4/20/26, that stated .CHIEF COMPLAINT: Accidental medication overdose, nausea and vomiting .- Aspirin 81 mg The patient was found to be hypoglycemic over here with blood sugars in the low 60s. […]

• No harm, potential for more than minimal, patternF812Feb 19, 2026

  Based on observation, interview, and policy review, it was determined that the facility failed to remove expired food, label thawed items, properly store thawing meats, and maintain clean cooking equipment and microwaves for 1 of 1 kitchen and 2 of 3 kitchenettes observed. Findings include:KitchenObservation on 2/17/26 at approximately 8:00 a.m. with Staff B (Food Service Director) of the kitchen's revealed the following expired food items and unlabeled thawed items in the small refrigerator:Thirteen quarts of half and half milk product with an expiration date of 2/10/26;Three thawed Mighty Shakes (nutritional supplement) without a thaw or use by date;Six half gallons of whole milk with an expiration date of 2/4/26; andOne half gallon of whole milk with an expiration date of 2/14/26. […]

• No harm, potential for more than minimal, patternF812Feb 15, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to ensure the dishwasher was reaching proper temperatures and chemical sanitization in the main kitchen, failed to ensure food was served in a sanitary environment on 1 of 3 units (First Floor Unit), and failed to ensure use of facial hair restraints when serving food from the kitchen to the main dining area on 1 of 3 units observed for meal service (First Floor Unit). Findings include: Main Kitchen - Dishwasher Logs Observation on 2/13/24 at approximately 8:10 a.m. […]

• No harm, potential for more than minimal, patternF761Jan 6, 2023

  Based on interview, observation, and record review, it was determined that the facility failed to ensure that medications were labeled with resident identifiers, open or use by dates, and failed to separate expired medications from unexpired medications for 2 out of 2 medication rooms observed and 3 out of 3 medication carts observed (Resident identifiers are #7, #8, #12). Findings include: Observation on 1/4/23 at approximately 8:52 a.m. of the second floor medication cart High Cart with Staff A (Licensed Practical Nurse) revealed: 24 tablets of Resident #12's Ibuprofen 400 milligrams (mg), expiration date 10/31/22 1 Bisacodyl suppository Interview on 1/4/23 at approximately 8:55 a.m. with Staff A confirmed the above findings. Observation on 1/4/23 at approximately 9:10 a.m. […]