Heather Manor Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Heather Manor Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 4, 2024

  Based on observation, investigation, and record review, the facility failed to ensure that hand sanitation was performed while preparing food, that kitchen equipment was clean and properly maintained, that food was in useable condition, that food was stored at least 6 off the floor, and that dirty dishes were properly placed in the dishwasher. The findings are as follows: 1. On 04/03/2024 at 12:08 PM, Dietary Aide #1 placed her hands under her apron, retrieved her glasses, and without washing her hands continued to set food up for serving. 2. On 04/03/2024 at 12:30 PM, the seal on the Ice Machine on the right, between the vent and ice container, was held in place by tape. 3. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2023

  Based on observation and interview, the facility failed to ensure food items stored in the refrigerator were covered, sealed, and dated to prevent the potential food borne illnesses, expired food items were promptly removed/discarded by the expiration or use by dates. The facility failed to ensure beverages were dated when opened to prevent the potential for food borne illness, dietary staff washed their hands before handling clean equipment or food items; and cold food was maintained at or above 41 degrees Fahrenheit on the counter while awaiting service to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, widespreadF812Nov 18, 2021

  Based on observation, record review and interview, the facility failed to ensure refrigerated and frozen foods were stored in tightly sealed bags or containers; expired food items were promptly removed from stock / discarded; residents who required pureed and mechanical soft foods were provided with freshly prepared food; and dietary staff washed their hands before handling clean equipment or food to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 87 residents who received meals from the kitchen (total census: 89), as documented on a list provided by the Dietary Supervisor on [DATE]. The findings are: 1. On [DATE] at 10:57 AM, the following observations were made in the refrigerator: a. […]

• No harm, potential for more than minimal, patternF623Feb 6, 2025

  Based on interviews, record review, and facility document review, it was determined the facility failed to ensure written notification provided to the resident and/or the resident's representative of transfer/discharge to the hospital included all the required information for 3 (Resident #69, Resident #76, and Resident #49) out of 3 sampled residents reviewed for hospitalization s. The findings include: The quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 11/20/2024, revealed Resident #69 had a Brief Interview for Mental Status (BIMS) of 15 (indicating the resident was cognitively intact), and diagnoses that included end-stage renal disease (Kidney Failure), seizure disorder, and diabetes (abnormal blood sugar). […]

• No harm, potential for more than minimal, patternF880Feb 6, 2025

  Based on observation, record review, interview and policy review the facility failed to ensure staff used infection control measures while providing care to 1 (Resident #70) of 1 sampled resident observed for incontinence care, and staff donned the proper Personal Protective Equipment (PPE) prior to providing high contact care to 2 (Resident #11, #64) of 2 sampled residents on Enhanced Barrier Precautions (EBP), and proper hand hygiene was followed during wound care for 1 resident (Resident #53) of 3 sampled residents reviewed for pressure ulcer care. The findings include: 1. […]