Eastview Manor Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Apr 18, 2025

  Based on interview and record review, the facility failed to protect three residents (Resident #29, #30, and #33) from physical abuse when Resident #1 strangled and punched Resident #30 in the face to the extent hospitalization was required; strangled and punched Resident #33 in the face resulting in medical evaluation at the local hospital; and took Resident #29's walker away and shoved the resident in the face, causing a fall that required the resident to have an x-ray for a large abrasion sustained to his/her left knee. The facility census was 81. The Administrator was notified on 04/18/2024 at 5:05 PM of the past noncompliance Immediate Jeopardy (IJ) which began on 03/21/2025. […]

• Immediate jeopardy, isolatedF686Oct 31, 2024

  Based on interview and record review, the facility failed to follow the facility's policies to notify the physician and obtain physician orders when pressure ulcers were found, continue to conduct and document assessments of the wounds, and notify the physician of accurate descriptions and deterioration of the wounds for one resident (Residents #1) who developed a large unstageable pressure ulcer. Additionally, the facility failed to notify the physician and obtain orders for an open area over the bony prominence of one resident's (Resident #2) coccyx and conduct and document assessments of the resident's wound per policy. The facility census was 84. The Administrator was notified on 10/25/24 at 5:54 P.M. of an Immediate Jeopardy (IJ) which began on 10/02/24. […]

• Immediate jeopardy, isolatedF689Oct 31, 2024

  Based on interview and record review, the facility failed to provide supervision to prevent an accident for one resident (Resident #1), when on [DATE] staff transferred the resident into a transport wheelchair (a wheelchair designed for short-term use) and left the resident unsupervised. Approximately ten minutes later, the resident was found face down on the floor in a pool of blood with his/her bottom sitting on his/her feet and forehead against the floor. The resident was sent to the hospital, sustained bleeding in his/her brain and was placed on end of life care on [DATE]. The resident passed away while at the hospital on [DATE]. […]

• Immediate jeopardy, isolatedF600Sep 19, 2024

  Based on observation, interview and record review, the facility failed to protect two residents (Resident #3 and Resident #5) that reside on the secure unit from abuse by Resident #1. Residents #3 and #5 were hit in the head by Resident #1. Resident #2 said residents feel they have to walk on eggshells on the unit, because they do not know when Resident #1, will become upset and lash out verbally or physically. Resident #2 stated he/she feels staff are unable to protect others from Resident #1. Resident #3 said he/she does not feel safe in the facility due to Resident #1's verbal and physical abuse to him/her and the other residents. Resident #4 said he/she does not feel safe because the other residents on the secure unit have too many behaviors and do whatever they want on the unit. […]

• Immediate jeopardy, isolatedF741Sep 19, 2024

  Based on observation, interview, and record review, the facility failed to provide appropriate education and ensure staff were competent to provide care and protection to residents with mental and behavioral health diagnoses, when Resident #1, who resided on the secured special care unit, had multiple physical altercations with other residents, causing physical injury and emotional distress to other residents. Additionally, Resident #6 engaged in self-harming behaviors, causing lacerations to his/her forearms and upper legs. Staff were unaware of non-pharmacological interventions, individual care plan interventions, and were unable to provide appropriate protection, as no education was provided to them prior to assignment on the special care unit for behavioral health. […]