Eastwood Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Jul 24, 2026

  Based on interview, facility document review, and facility policy review, the facility failed to ensure there was a registered nurse (RN) on duty for eight consecutive hours each day. This deficient practice had the potential to affect all 34 residents who currently resided in the facility.Findings included: An undated facility policy titled, Policy Regarding Facility Staffing revealed, It shall be the policy of this facility to employ sufficient, adequately trained staff, to be on duty 24 hours a day, to meet the needs of the residents residing in the facility, as determined by the Administrator and/or Director of Nursing. A facility document titled, Time & Attendance - Detail Report. […]

• No harm, potential for more than minimal, widespreadF803Jul 24, 2026

  Based on observation, interview, facility document review, and facility policy review, the facility failed to ensure followed the menu and provide a one-half cup portion of mashed potatoes during the lunch meal on 07/20/2026. This deficient practice had the potential to affect all residents who received food from the kitchen.Findings included:An undated facility policy titled, Food Preparation, indicated, Policy: Portion-control methods will be used to assure the correct quantities are served to residents to meet the nutritional specifications as determined by the menu.An undated facility document titled Conversions/Measurements posted in the kitchen, indicated a #16 scoop would yield a one quarter cup, equivalent to two ounces.The facility's weekly menu revealed that on 07/20/2026, the… […]

• No harm, potential for more than minimal, widespreadF812Jul 24, 2026

  Based on observation, interview, and facility policy review, the facility failed to ensure food items were stored with a date and label and expired food items were discarded. These deficient practices had the potential to affect all residents who received food from the kitchen.Findings included: An undated facility policy titled, Sanitation and Infection Control, with a subject of Refrigerated Storage indicated, 7. All refrigerated foods should be covered properly, labeled and dated. and 10. The opened, unused portions of packaged foods should be dated to assure that they will be used first. An undated facility polity titled, Sanitation and Infection Control, with a subject of Usage and Storage of Leftovers indicated, 2. […]

• No harm, potential for more than minimal, patternF730Jul 24, 2026

  Based on interview and facility document review, the facility failed to complete a performance review of every certified nurse aide (CNA) at least once every 12 months for 2 (CNA #7 and CNA #25) of 3 CNAs' personnel files reviewed.Findings included: CNA #7's personnel file revealed the CNA's hire date of 08/16/2022 and there was no evidence found to indicate an annual performance (skills) review had been completed. CNA #25's personnel file revealed the CNA's hire date of 05/08/2023 and there was no evidence found to indicate an annual performance (skills) review had been completed. During an interview on 07/24/2026 at 12:00 PM, the Assistant Director of Nursing (ADON) stated she had been the ADON since 2023. […]

• No harm, potential for more than minimal, patternF880Jul 24, 2026

  Based on interview, facility document review, and facility policy review, the facility failed to implement their infection prevention and control program to include conducting an outbreak investigation when multiple residents were diagnosed with respiratory syncytial virus (RSV) and failed to perform respirator fit testing according to their policy. These deficient practices affected 8 (Residents #1, #3, #11, #14, #22, #28, #40, and #41) of 13 sampled residents reviewed for infection control.Findings included: A facility policy titled, Respiratory Protection Program, dated 04/28/2021, indicated, d. […]