Laverna Manor Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Laverna Manor Health & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Mar 16, 2026

  Based on interview and record review, the facility failed to provide Cardiopulmonary Resuscitation (CPR) for one of 15 sampled residents, (Resident #63), who was a full code. On [DATE] the resident's visiting family member alerted staff to the resident's room stating the resident had a seizure and was gasping for air. Licensed Practical Nurse (LPN) B arrived and found the resident was not breathing and had no pulse or lung sounds present, and then observed the resident with agonal breathing (abnormal, slow, gasping breaths that happen when death is close, or the heart has stopped). LPN B asked the resident's family member if he/she wanted him/her to begin CPR and informed the family member the resident was gasping, because he/she was trying to get oxygen to his/her brain. […]

• Immediate jeopardy, isolatedF600Aug 11, 2025

  Based on interview and record review, the facility failed to protect one cognitively impaired resident's (Resident #1) right to be free from abuse when staff found Resident #2 in Resident #1's bed with his hand on Resident #1's genital area. This deficient practice affected one of three residents sampled. The facility census was 78. The administrator was notified on 8/6/25 at 2:04 P.M. of an Immediate Jeopardy (IJ) which began on 7/31/25. The IJ was removed on 8/6/25 as confirmed by surveyor on-site verification.Review of the facility provided Policy Abuse Prevention Program, dated 2001 and revised 2011, showed:-Residents have the right to be free of abuse, neglect, misappropriation, and exploitation. […]

• Immediate jeopardy, isolatedF689Jul 25, 2024

  Based on observation, interview, and record review, the facility failed to provide adequate supervision of one cognitively impaired resident (Resident #1) with a known elopement risk and history. On 7/18/24, the resident became combative when staff attempted to redirect the resident back inside the facility from an outside activity, made multiple attempts to leave the facility unassisted, reached the facility parking lot in one attempt, and threw objects out the dining room window. On 7/20/24, the resident eloped out of a dining room window (six feet from the bottom of the windowsill to the grass below) around 4:00 P.M. and was brought back into the facility. The resident was placed on one-on-one at that time until the dining room windows could be secured. […]

• Immediate jeopardy, isolatedF600Feb 10, 2023

  Based on observation, interview, and record review, the facility failed to keep one resident (Resident #1) free from abuse when a staff member used his/her cell phone to answer a video call through Snapchat with multiple other people who he/she did not know. During the call, the staff member flipped the camera from himself/herself to the resident who stood naked in the shower room. One of the people on the call recorded this. The resident did not give consent to the video and the resident's family said the resident would be embarrassed and angry if he/she knew someone had taken a video of him/her in the shower and then proceeded to post it to a social media platform and feared that if the resident were to be notified of the video, it would be harmful to his/her mental health and the… […]

• Actual harm, isolatedF689Dec 12, 2025

  Based on interview, and record review, facility staff failed to properly transfer one resident (Resident #1), in a safe manner, when the staff failed to ensure the resident's sling was securely connected to the mechanical lift (a mechanical device used to safely lift and transfer people with limited mobility, like the elderly or disabled, from one surface (bed, chair, toilet) to another, using a sling for full-body support, preventing caregiver strain and patient falls) when transferring the resident, and the resident fell from the lift to the floor causing pain to the resident's shoulders and left hip. The facility census was 55. […]