Homeplace Manor Healthcare Center

In the surveyor’s words

From the most serious findings on record at Homeplace Manor Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Mar 18, 2022

  Based on observation, interview and record review, the facility failed to ensure residents received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 4 resident (Resident #1) reviewed for pressure ulcers. The facility failed to develop a plan of care based on comprehensive assessment to prevent a medical device (stabilizing boot) from causing unnecessary pressure to Resident #1's right lower leg and right lower lateral leg, which caused wound #1 and wound #2, which acquired a Stage IV (a deep wound that reaches the muscles, ligaments, or even bone) pressure injury and one newly identified area on the right lower leg to form Stage III (a full thickness of skin is… […]

• No harm, potential for more than minimal, widespreadF727Dec 18, 2025

  Based on interviews and record reviews, the facility failed to utilize the services of a RN for 8 consecutive hours 7 days a week and designate a RN as a DON on a full-time basis for 1 of 1 facility reviewed for nursing services.The facility failed to ensure an RN worked for 8 consecutive hours for 28 of 79 days reviewed in October and November 2025 until December 18th 2025.The facility failed to designate an RN as a DON on a full-time basis for 2 of 3 months reviewed in October and November 2025 until December 18th 2025.These failures placed all residents at risk for their clinical needs not being met.Findings includedDuring an interview on 12/16/2026 at 10:16 a.m., the AIT stated the facility did not have a DON or RN coverage for eight consecutive hours a day seven days a week.Record… […]

• No harm, potential for more than minimal, widespreadF812Dec 18, 2025

  Based on observations, interviews, and record reviews, the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. 1. The facility failed to ensure freezer and refrigerator temperatures were tracked daily2. The facility failed to ensure foods were labeled properly. 3. The facility failed to ensure food temperatures were taken before serving. These failures could place residents that eat out of the kitchen at risk for food borne illnesses. The findings included: During an observation on 12/16/2025 at 9:37 AM of the refrigerator revealed: 1. […]

• No harm, potential for more than minimal, widespreadF803Sep 4, 2024

  Based on observation, interview, and record review the facility failed to provide each resident with a nourishing, palatable, well-balanced diet that met his or her daily nutritional and special dietary needs, taking into consideration the preferences of each resident for 1 of 1 lunch meal reviewed. This facility failed to follow the menu when preparing lunch meal on 09/02/2024. This failure could place residents at risk for a decline in health status due to inadequate or inappropriate nutritional intake. The findings include: Record review of Resident #5's Face Sheet revealed an [AGE] year-old female who was admitted on [DATE] with Diagnoses that included: Nausea and Vomiting, Dietary Calcium Deficiency, Hypokalemia (low potassium), Vitamin D deficiency, Generalized Anxiety order. […]

• No harm, potential for more than minimal, widespreadF812Sep 4, 2024

  Based on observation, interviews, and record reviews, the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety of 1of 1 kitchens reviewed. The facility failed to ensure items stored in 1 of 1 freezer were properly stored and labeled. The facility failed to ensure current temperature logs of 1 of 1 freezer and 2 of 2 refrigerators were maintained daily. The facility failed to ensure dietary staff (1 of 2) wore hair nets when preparing, serving meals. These failures could place resident that eat out of the kitchen at risk for food borne illnesses. […]