Haven Manor Health Care Center, LLC

In the surveyor’s words

From the most serious findings on record at Haven Manor Health Care Center, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF570Aug 19, 2021

  Based on record review and staff interviews during the Recertification survey, the facility did not ensure that a surety bond or similar protection with the amount equal to at least the current total amount of resident's funds was purchased. Specifically, the surety bond held by the facility did not cover the total amount of resident personal funds deposited with the facility. This was evident for 165 of 172 residents who maintained personal funds accounts at the facility and was evident during the Personal Funds Facility Task. […]

• No harm, potential for more than minimal, patternF584Jan 23, 2026

  Based on observation, record review, and interview, the facility failed to maintain the residents' right to a safe, clean, and comfortable environment. This was evident on the 6th Floor. Specifically, observation on the 6th Floor include but is not limited to stained ceiling tiles in some of residents' rooms, radiators were rusted and the base had cracks, window blinds had stains, bedside tables were dirty. The findings are:The facility's policy and procedure titled Maintenance Services with a reviewed date 01/2026 documented the Environmental Services Department is responsible for managing the maintenance function in the most cost-effective manner possible while maximizing the useful life of equipment, rooms, and properties while striving to provide the best service to our… […]

• No harm, potential for more than minimal, patternF727Nov 15, 2023

  Based on observation, interview, and record review conducted during the Recertification survey from 11/8/2023 to 11/15/2023, the facility did not ensure the Director of Nursing (DNS) served as a charge nurse only when the facility has an average daily occupancy of 60 or fewer residents. This was evident for 1 (Unit 5) of 5 Units. Specifically, the DNS was observed working as a charge nurse and administered medication to residents. The findings are: The facility policy titled Competent Nursing Staff dated 1/1/2023 documented the facility will have sufficient nursing staff to provide nursing services. The facility census at the time of survey entrance on 11/8/2023 at 9:00 AM was 219 out of 240 available beds. […]

• No harm, potential for more than minimal, patternF690Aug 19, 2021

  Based on observation, record review and interview conducted during the Recertification Survey, the facility did not ensure that resident received appropriate care and services for catheter care. Specifically, two residents with suprapubic indwelling catheters did not have their catheters changed as ordered. This was evident for 2 of 3 reviewed for Urinary Catheters or Urinary Tract Infections ([CONDITION(S)]) out of a sample of 36 residents, (Resident #73 and Resident #94) The findings are: The facility's Policy and Procedure on Care of Resident with Indwelling Catheter revision date 1/2021 documented that indwelling catheters should only be inserted when necessary for the following residents resident has acute urinary retention or bladder outlet obstruction. […]

• No harm, potential for more than minimal, patternF880Aug 19, 2021

  Based on observation, record reviews, and interviews conducted during the recertification survey, the facility did not ensure that infection control practices and procedures were maintained to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections. Specifically, 1). a Housekeeping Aide (HA) did not perform hand hygiene after handling bed linen in resident rooms and before handling clean linen and after removing gloves, and 2). a Licensed Practical Nurse was observed during medication observations using the same tissue to instill eye drops to both eyes of a resident. […]