Heritage Manor Jewish HM for

In the surveyor’s words

From the most serious findings on record at Heritage Manor Jewish HM for, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Nov 21, 2024

  Based on record review, observation and interview, the facility failed to ensure food was served at palatable temperatures. This had the potential to affect all 68 of 68 residents that resided in the facility who received meals from the kitchen. Findings include: Observation of tray line on 11/19/24 from 11:44 A.M. to 12:25 P.M. revealed food was above 165 degrees Fahrenheit ( F) . A test tray was requested as the last resident's food was plated. The food cart left the kitchen at 12:25 P.M. and arrived to at the central unit at 12:29 P.M. When the last tray on the cart was delivered on 11/19/24 at 12:37 P.M., the test tray was removed from the cart where food temperatures were taken. […]

• No harm, potential for more than minimal, patternF570Nov 21, 2024

  Based on review of resident funds accounts, review of surety bond, interview and review of facility policy, the facility failed to provide a surety bond large enough to cover the total amount of money in all resident personal funds accounts. This affected 20 residents (Resident #1, #2, #4, #5, #8, #9, #18, #21, #24, #25, #26, #27, #31, #36, #43, #47, #53, #55, #65, #99) of 20 residents with personal funds accounts. Findings include: A review of resident fund account for the facility dated as of 10/31/24 revealed a total amount of $35,221.26 dollars. Resident #1, #2, #4, #5, #8, #9, #18, #21, #24, #25, #26, #27, #31, #36, #43, #47, #53, #55, #65, #99 had personal funds accounts with the facility. […]

• No harm, potential for more than minimal, isolatedF656Nov 21, 2024

  Based on record review and interview, the facility failed to ensure care plans were in place for high risk medications. This affected one resident (#31) out of five residents reviewed for unnecessary medications. Facility census was 68. Findings include: Review of Resident #31's medical record revealed an admitted [DATE] and diagnoses including type two diabetes, epilepsy, COVID-19, depression, sepsis, hypertension, other pulmonary embolism without acute cor pulmonale and hyperlipidemia. Review of a quarterly minimum data set (MDS) 3.0 assessment dated [DATE] revealed Resident #31 had severe cognitive impairment and received antipsychotic, antidepressant, anticoagulant, antibiotic, hypoglycemic and anticonvulsant medications. […]

• No harm, potential for more than minimal, isolatedF684Nov 21, 2024

  Based on observation, interviews, medical records review, and review of facility policy the facility failed to provide appropriate incontinence care resulting in shearing and a new open skin alteration to Resident #36. This affected one resident (Resident #36) of two residents who were reviewed for activities of daily living. The facility census was 68. Findings include: Review of the medical record for Resident #36 revealed an admitted [DATE] with diagnoses including unspecified dementia, chronic obstructive pulmonary disease (COPD), chronic respiratory failure with hypoxia, paroxysmal atrial fibrillation, ulcerative colitis, hypertension, peripheral vascular disease, and anemia. […]

• No harm, potential for more than minimal, isolatedF756Nov 21, 2024

  Based on medical record review, interviews, and review of facility policy the facility, the facility failed to ensure pharmacist recommendations were acted upon timely. This affected one resident (Resident #3) of five residents who were reviewed for unnecessary medications. The facility census was 68. Findings include: Review of the medical record for Resident #3 revealed an admitted [DATE] with diagnoses including unspecified dementia with agitation, type two diabetes mellitus, anorexia, atrial fibrillation, anxiety, major depressive disorder, unspecified symptoms involving cognitive functions and awareness, stage three chronic kidney disease, oropharyngeal phase dysphagia, and adult failure to thrive. […]