Emporia Presbyterian Manor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 29, 2023

  The facility reported a census of 41 residents, with one resident reviewed for elopement. The facility failed to ensure staff provided appropriate supervision for cognitively impaired Resident (R1), who resided in a locked memory care unit, when staff accompanied the resident to the Chapel in the Independent Living Facility area for podiatry services, then left the resident with the contract service staff. On 08/24/23 at 10:10 AM, R1 exited the chapel, ambulated with his walker approximately 100 feet to the unlocked facility exit door, and exited the facility door. R1 then turned right, walked around the front of the building, approximately 400 feet, and sat on the bench under the canopy outside of the entrance door to the facility. […]

• Immediate jeopardy, isolatedF684Nov 22, 2022

  The facility had a census of 36 residents. The sample included 13 residents. Based on observation, record review, and interview the facility failed to identify and assess risk factors for ileus (obstruction of the intestines, caused by immobility of the bowel) and bowel obstruction (a blockage of the flow of bowel stream) and failed to provide the necessary care and services to respond to symptoms related to an ileus for Resident (R) 37, who admitted to the facility with a diagnosis of ileus on [DATE]. R37's care plan lacked direction to staff regarding bowel management. On [DATE] R37 reported abdominal pain, nausea, and vomiting. She had a liquid stool on that day. […]

• No harm, potential for more than minimal, widespreadF812Mar 4, 2026

  The facility reported a census of 51 residents with one kitchen. Based on observation, interview, and record review, the facility failed to provide sanitary conditions for food storage and preparation to prevent the spread of food borne illness to the residents of the facility. This placed the residents at risk for food-borne illness.Findings included:- Initial tour of the kitchen on 03/02/2026 at 07:29 AM with Dietary Manager BB, revealed the following areas of concern:An uncovered plastic tub containing metal spoons sitting on counter in dining area at entrance to kitchen.Five blocks of butter in a metal container uncovered on the counter.The refrigerator contained bowls of spaghetti, milk, cottage cheese, and yogurt on a tray covered with plastic wrap r with no open or use by date.The… […]

• No harm, potential for more than minimal, widespreadF868Apr 15, 2024

  The facility had a census of 48 residents. The sample included 13 residents. Based on record review and interview, the facility failed to ensure the required members, including the infection preventionist, attended the Quality Assessment and Assurance (QAA) Committee meetings at least quarterly. This placed the residents who resided in the facility at risk for decreased quality of care. Findings included: - On 04/12/23, 07/19/23, 10/18/23, 01/24/24, the facility's Quarterly Quality Assurance Performance Improvement (QAPI) Meeting Attendance Sheets lacked evidence the designated infection preventionist attended the meetings. […]

• No harm, potential for more than minimal, widespreadF574Nov 22, 2022

  The facility had a census of 36 residents. The sample included 13 residents. Based on observation, record review and interview, the facility lacked posting of the Ombudsman and State Hotline contact numbers which placed the residents at risk of unmet care concerns and impaired ability to contact to the state agencies. Findings included: - On 11/21/22 at 03:15 PM Social Service Designee (SSD) X reported the Ombudsman and state reporting information was posted on C Hall, which was under construction and not accessible to residents. On 11/21/22 at 03:21 PM Administrative Staff A verified the Ombudsman and state reporting information was not posted in a visable location due to construction since September 2022. […]