Fox Run Manor

In the surveyor’s words

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

• Actual harm, isolatedF686Jul 27, 2026

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on closed medical record review, interviews, review of hospital records and review of the facility policy, the facility failed to adequately and accurately assess Resident #64's skin and further failed to identify a pressure ulcer (localized injury of the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) until it had reached an advanced stage. Additionally, the facility failed to timely identify and implement interventions to prevent the deterioration of the pressure ulcer. […]

• Actual harm, isolatedF690Jul 27, 2026

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on closed medical record review, hospital record review, interviews, review of the Emergency Medical Services (EMS) run report and review of the facility's skills competency checklist, the facility failed to ensure an indwelling urinary catheter was medically necessary and further failed to ensure proper catheter insertion. This resulted in Actual Harm to Resident #64 when on 07/15/26 the facility obtained a physician order to place an indwelling urinary catheter to promote wound healing and Registered Nurse (RN) #200 incorrectly inserted the indwelling urinary catheter. […]

• Actual harm, isolatedF692Oct 17, 2023

  Based on medical record review, review of resident fluid intakes, review of physician orders, staff interview, review of physician communication sheets, review of a hospital history and physical, review of hospital consultation notes, and review of facility policy, the facility failed to ensure a resident's hydration status was maintained to decrease the risk of dehydration. This resulted in actual harm when Resident #58 had a decrease in oral fluid intake for three days and was subsequently hospitalized with acute kidney injury, severe dehydration, and severe sepsis. This affected one (#58) of three residents reviewed for hydration status. The facility census was 71. Findings include: Review of Resident #58's medical record revealed an admitted [DATE] and a readmitted [DATE]. […]

• Actual harm, isolatedF689Feb 3, 2022

  Based on medical record review, resident interview and staff interviews and review of the product recommendation, the facility failed to ensure a resident was free from accident hazards when one resident (#42) requested that State tested Nurse Aide (STNA) #220 heat a resident's personal gel pad for use. This resulted in Actual Harm when Resident #42 sustained a second degree burn after placing the heated gel pad onto the left shoulder. This affected one (#42) of three residents reviewed for skin conditions. The facility census was 73. Findings included: Review of Resident #42's medical record revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, widespreadF725Apr 10, 2024

  Based on observations, resident and staff interviews, and review of the facility assessment, the facility failed to ensure there was sufficient staff to timely meet the resident's needs. This affected 13 residents (#1, #12, #15, #21, #31, #38, #56, #62, #65, #70, #72, #73, and #82) and had the potential to affect all 77 residents residing in the facility. Findings include: 1. Review of the resident council meeting minutes dated 01/25/24, 02/29/24, and 03/28/24, revealed concerns every month regarding nurses and state tested nursing aides (STNAs) turning off call lights, telling residents they will be back and do not come back, and with call lights not being answered timely. Interviews on 04/01/24 from 8:00 A.M. to 5:15 P.M. […]