Hancock Manor Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 13, 2025

  Based on facility policy review, observations, and interview, the facility failed to ensure food items were sealed properly, and failed to ensure expired foods were not available for resident use which had the potential to affect 29 of 30 residents. The findings include:Review of the facility's policy titled, Food Storage, dated 7/11/2024, revealed .All products should be inspected for safety .Use Use-By dates on all food .Review of the facility's policy titled, Food Receiving and Storage, dated 11/2017, revealed .Dry foods that are stored in bins will be .labeled and dated ( use by date) .All foods stored in the .freezer will be covered .labeled and dated ( use by date) .During an observation of the food preparation area on 8/11/2025 at 10:04 AM with the Certified Dietary Manager (CDM),… […]

• No harm, potential for more than minimal, isolatedF761Sep 10, 2026

  Based on observation and interview the facility failed to properly store medical supplies in 1 of 2 medication rooms observed for proper storage. The findings include: During an observation on [DATE] at 1:25 PM, in the main nurse's station medication storage room revealed approximately 80 of the 1 milliliter (ml) needleless syringes (a medical device designed to measure and deliver or withdraw liquids) with an expiration date of [DATE]. During an interview on [DATE] at 1:29 PM, the Director of Nursing (DON) confirmed the 1 mL syringes were expired and available for resident use.

• No harm, potential for more than minimal, isolatedF880Sep 10, 2026

  Based on facility policy review, Centers for Disease Control (CDC) Hand Hygiene documentation review, observation, and interview, the facility failed to maintain infection control practices while delivering meal trays to 4 residents (Resident #1, Resident #6, Resident #9, and Resident #24) of 35 residents reviewed on 2 units of 4 units observed for meal tray delivery and the facility failed to follow hand hygiene during wound care for 1 resident (Resident #24) of 2 residents reviewed.The findings include:Review of the facility policy titled, Handwashing/Hand Hygiene, revised 8/2019, revealed .This facility considers hand hygiene the primary means to prevent the spread of infections .All personal [personnel] shall follow the handwashing/hand hygiene procedures . […]

• No harm, potential for more than minimal, isolatedF657Aug 13, 2025

  Based on facility policy review, medical record review, observations, and interview, the facility failed to revise the comprehensive care plan for 1 resident (Resident #6) of 12 residents reviewed for care plans.The findings include:Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, revised 12/2016, revealed .A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident .Identifying problem areas and their causes, and developing interventions that are targeted and meaningful to the resident .Assessments of residents are ongoing and care plans are revised as information about the residents and the residents'… […]

• No harm, potential for more than minimal, isolatedF880Aug 13, 2025

  Based on facility policy review, medical record review, observation and interviews, the facility failed to ensure contracted staff followed Enhanced Barrier Precautions (EBPs - an infection control strategy using personal protective equipment (PPE) such as isolation gowns during high-contact care to reduce the risk of spreading multidrug-resistant organisms) for 1 resident (Resident #6) of 7 residents reviewed for EBPs.The findings include:Review of the facility's policy titled, Enhanced Barrier Precautions, dated 8/2022, revealed .Enhanced barrier precautions .are used as an infection prevention and control intervention .EBPs employ targeted gown and glove use during high contact resident care activities .Examples of high-contact activities requiring the use of gown and gloves for EBPs… […]