Lexington Manor Senior Care, LLC

In the surveyor’s words

From the most serious findings on record at Lexington Manor Senior Care, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF656Oct 17, 2024

  Based on observation, staff interview, record review, and facility policy review, the facility failed to implement a smoking care plan for one (1) of 17 care plans reviewed. Resident #44 Findings include: A review of a facility policy titled, Comprehensive Care Plans, reviewed 10/23 revealed, Policy: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident An observation on 10/16/24 at 10:00 AM, revealed Resident #44 smoking with the supervision of Housekeeper #1. […]

• No harm, potential for more than minimal, patternF689Oct 17, 2024

  Based on observation, staff interview, record review, and facility policy review, the facility failed to promote an environment as free of accident hazards as possible, when the facility failed to provide a resident a smoking protection assistive device to prevent accidents for one (1) of three (3) residents reviewed for accidents and hazards.(Resident #44) Findings include: A review of the facility policy titled, Smoking/Tobacco Use Policy, last review 2024 revealed, Procedure: 5.) Smoking aprons will be provided for residents who are evaluated to need them by the smoking safety assessment. […]

• No harm, potential for more than minimal, patternF677Aug 10, 2023

  Based on observation, staff interview, record review and facility policy review the facility failed to provide nail care for a resident dependent on staff for Activities of Daily Living (ADL's) as evidenced by brown substance under the resident's nails for one (1) of five (5) residents reviewed for ADL's. Resident # 48 Findings include: A review of the policy titled, Care of Fingernails for the Certified Nursing Assistant, dated 5/2019, revealed Policy: It is the purpose of this procedure to provide appropriate care according to current standards of practice. Care of fingernails will be provided by the Certified Nursing Assistant . […]

• No harm, potential for more than minimal, patternF812Dec 2, 2021

  Based on observation, staff interviews, and facility policy review, the facility failed to prevent the potential of a food borne illness as evidenced by food open and used after the expiration date and food stored with an open lid and past the use by date on one (1) of three (3) kitchen tours. Findings include: The facility policy titled, Storage of Refrigerated Food with a revised date of ,d+[DATE] revealed POLICY: The facility ensures the quality and safety and sanitation of refrigerated foods through accepted storage practices. PROCEDURE: . 4. Food taken out of original containers is put in a clean sanitized container with a tight-fitting lid. No food is left uncovered. 5. All opened foods are labeled with common name of food, date stored and use-by date. […]

• No harm, potential for more than minimal, isolatedF641Oct 17, 2024

  Based on staff interview and record review, the facility failed to accurately complete an Annual Minimum Data Set (MDS) for a resident that had a serious mental illness for one (1) of 17 MDS reviews. Resident #2 Findings Include: The facility provided a statement on letterhead dated 10/16/24, It is the practice of this facility, Proper Name, to document data for the MDS 3.0 according to the instructions per the RAI (Resident Assessment Instrument) Manual. Record review of Resident #2's Preadmission Screening and Resident Review (PASRR) Summary of Findings Report dated 3/23/23 revealed under, Mental Health: . The individual meets criteria for having a diagnosis of mental illness as defined by PASRR with the primary diagnosis of Schizophrenia. […]