Ferncrest Manor Living Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF607Jul 25, 2023

  Based on record review, observations, and interviews, the facility failed to implement their abuse policies and procedures to prevent resident abuse, neglect, exploitation and misappropriation of property by failing to: 1. Ensure staff who had convictions that barred employment were not allowed to work in the facility for 1 (S32Laundry) staff; 2. Ensure staff who had charges that barred employment with no final disposition were not allowed to work in the facility for 2 (S13CNA and S14Housekeeper) staff; 3 Ensure staff who worked in the facility had a completed criminal background check prior to hiring for 7 (S6CNA, S15Dietary Cook, S29CNA, S31CNA, S33Housekeeper, S34Housekeeper, and S35Housekeeper) staff and, 4. […]

• Immediate jeopardy, widespreadF835Jul 25, 2023

  Based on interview and record review, the facility failed to be administered in a manner that enabled its resources to be used effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being by failing to: 1. Ensure a system was in place for staff to identify residents as unsafe smokers,supervise residents who displayed unsafe smoking habits, and ensure smoking material and/or cigarettes were not in resident possession (Resident #24, and Resident #80, Resident #83. Resident #85); and, 2. Ensure all residents were free from resident to resident sexual and physical abuse; and 3. Develop and implement policies and procedures for screening employees to prevent resident abuse, neglect, exploitation, and misappropriation of property. […]

• Immediate jeopardy, patternF600Jul 25, 2023

  46683 47487 47500 Based on observations, interviews, and record reviews; the facility failed to protect residents' right to be free from abuse for 3 (Resident #8, Resident #27, and Resident #104) of 7 (Resident #8, Resident #21, Resident #27, Resident #82, Resident #83, Resident #100, and Resident #104) residents investigated for abuse. The facility failed to protect: 1. Resident #27 from sexual and psychosocial abuse by Resident #100; 2. Resident #104 from sexual abuse by Resident #100; and 3. Resident #8 from physical abuse by Resident #21. This deficient practice resulted in an Immediate Jeopardy situation on 06/01/2023 at 12:50 p.m. […]

• Immediate jeopardy, patternF689Jul 25, 2023

  Based on record review, observations, and interviews, the facility failed to: 1. Ensure staff identified and supervised residents (Resident #24, Resident #80, Resident #83, and Resident #85), who displayed unsafe smoking habits, as unsafe smokers; and, 2. Ensure residents, who displayed unsafe smoking habits, did not have access to smoking materials and/or cigarettes was not in their possession for 4 (Resident #24, Resident #80, Resident #83, and Resident #85) of 4 (Resident #24, Resident #80, Resident #83, and Resident #85) smokers reviewed for safe smoking. The facility documented 16 residents who were smokers. The deficient practice resulted in an Immediate Jeopardy situation for Resident #80 on 07/17/2023 at 10:10 a.m. […]

• Immediate jeopardy, isolatedF678Jan 12, 2024

  Based on record reviews and interviews, the facility failed to ensure direct care staff provided basic life support, including Cardiopulmonary Resuscitation(CPR) per the facility's policy and procedure, to a resident requiring emergency care according to the resident's advance directive and physician's order for 1 (Resident #1) of 5 (Residents #1, #2, #3, #4, and #5) sampled residents. On [DATE], at approximately 11:48 p.m., an Immediate Jeopardy occurred for Resident #1 when the resident, who was a full code, did not receive CPR upon being found pulseless, breathless, and unresponsive. Review of Resident #1's Power of Attorney's (POA) video camera footage of Resident #1's room on [DATE] from 11:48 p.m. through [DATE] at 12:03 a.m. […]