Juliette Manor

In the surveyor’s words

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

• Actual harm, isolatedF684Jan 5, 2023

  Based on staff interview and record review, the facility did not ensure treatment and care were provided in accordance with professional standards of practice for 1 Resident (R) (R1) of 7 sampled residents. R1 was not monitored and treated for urinary symptoms which resulted in hospitalization for acute renal failure, a urinary tract infection (UTI) with pyelonephritis (inflammation of the kidneys) and obstructive uropathy (a blocked urinary tract). Findings include: R1 was admitted to the facility on [DATE] with diagnoses to include kidney disease (longstanding disease of the kidneys leading to renal failure), cerebral vascular accident (stroke), and atrial fibrillation (an irregular often rapid heart beat that commonly causes poor blood flow). […]

• Actual harm, isolatedF684Nov 30, 2022

  Based on interview and record review, the facility did not ensure surgical wound management was in accordance with professional standards of practice for 1 resident (R) (R38) of 1 sampled residents. R38's surgical wound was not consistently assessed and monitored or documented upon which resulted in multiple infections to the wound and [CONDITION(S)]. Findings include: Facility provided policy titled Skin Integrity date last revised 11/22/22, which stated: .The facility will ensure that a resident who enters the facility having areas of altered skin integrity receive necessary treatment to promote healing and receive services to prevent worsening and prevent infections associated with skin injuries . .Weekly Skin Check: 1. […]

• No harm, potential for more than minimal, widespreadF812Nov 24, 2021

  Based on observation and interview, the facility did not ensure food was stored and prepared in a safe and sanitary manner, which had the potential to affect 26 out of 28 residents (2 tube fed residents). 34 items located in the facility nourishment refrigerators on the units were not properly labeled or dated or were expired. 8 items located in the facility kitchen walk in cooler were not properly dated or were expired. Findings include: On [DATE] at 8:18 AM, the initial kitchen tour began with Dietary Manager (DM-C) who indicated the facility follows the State of Wisconsin Food Code. […]

• No harm, potential for more than minimal, patternF803Feb 5, 2025

  Based on staff interview and record review, the facility did not ensure therapeutic diets were followed for 5 residents (R235, R23, R184, R186, and R10) of 36 sampled residents. R235, R23 and R184 had orders for cardiac diets. R235, R23, and R184 did not receive their ordered diets for lunch on 2/4/25. R186 had an order for a renal diet. R186 did not receive R186's ordered diet for lunch on 2/4/25. R10 had an order for a cardiac/diabetic/renal diet. R10 did not receive R10's ordered diet for lunch on 2/4/25. […]

• No harm, potential for more than minimal, patternF887Feb 20, 2023

  Based on staff interview and record review, the facility did not ensure COVID-19 primary series vaccinations were available and offered to residents after bivalent vaccinations were introduced to the market in August of 2022 for 4 (R3, R6, R7, and R8) of 5 residents reviewed for COVID-19 vaccinations. The facility did not offer COVID-19 primary vaccinations to R3, R6, R7, and R8 since bivalent vaccinations became available in August of 2022; the primary series vaccination rate for residents fell from 71.8% per National Health Safety Network (NHSN) data for the week ending 2/5/23 to 58.33% at the time of the investigation. […]