Hathaway Manor Extended Care

In the surveyor’s words

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

• Immediate jeopardy, isolatedF561Nov 23, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), whose elected code status and had a Physician's Order for a Do Not Resuscitate (DNR, medical order written by a physician, it instructs healthcare providers not to do cardiopulmonary resuscitation if a patients breathing stops or if patients heart stops beating) the Facility failed to ensure nursing staff honored his/her right to self-determination related to his/her choice of Advanced Directives. […]

• Immediate jeopardy, isolatedF656Nov 23, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), whose Comprehensive Person Centered Plan of Care indicated he/she was a Do Not Resuscitate (DNR, medical order written by a physician, it instructs healthcare providers not to do cardiopulmonary resuscitation if a patients breathing stops or if the patients heart stops beating), the Facility failed to ensure the staff implemented and followed interventions identified in his/her plan of care related to his/her Advanced Directives. […]

• Immediate jeopardy, isolatedF658Nov 23, 2022

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), whose Advanced Directives and Physician's Orders indicated he/she was a Do Not Resuscitate (DNR, medical order written by a physician, it instructs healthcare providers not to do cardiopulmonary resuscitation if a patients breathing stops or if patients heart stops beating), the Facility failed to ensure nursing staff provided care and services that met professional standards of practice, when nursing initiated life saving measure before determining the residents code status. […]

• Actual harm, isolatedF658Dec 28, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was a Diabetic, had experienced an acute episode of hypoglycemia (low blood sugar) and required administration of glucose gel for treatment, the Facility failed to ensure Resident #1 was provided nursing care and treatment in accordance with professional standards of practice, when on 11/29/23, after Nurse #1 administered the glucose gel, she failed to recheck Resident #1's blood glucose level, left him/her unattended in his/her bed and later found Resident #1 (who was unable to transfer or ambulate without the physical assistance from staff) lying on the bathroom floor. Resident #1 was later diagnosed with hypoglycemia, acute right pubic bone fractures and was admitted to the Hospital. […]

• Actual harm, isolatedF689Dec 28, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was severely cognitively impaired, required physical assistance from staff for transfers and mobility, and who had been administered medication by nursing to treat an acute episode of hypoglycemia (low blood sugar), the Facility failed to ensure he/she was provided adequate supervision by nursing in an effort to maintain his/her safety to prevent an incident/accident resulting in an injury. […]