Lynwood Manor Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Feb 1, 2021

  Based on observation, interview and record review, the facility failed to develop and maintain an infection prevention and control program to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections including Covid-19 for all 56 facility residents as evidenced by: Delays in identification of Covid-19 positive residents and placing them immediately into isolation; and Laundry room - lack of Personal Protective Equipment and hand hygiene methods in the soiled linen room, generating potentially infectious aerosols into the clean linen room while sorting soiled linens, and cross contamination of machines and clean linens during loading/unloading washing machines; and Housekeeping practices irregularities;… […]

• Immediate jeopardy, isolatedF689Jul 12, 2024

  This citation has two Deficient Practice Statements (DPS), A and B: DPS A: This citation pertains to intake MI00144424. Based on observation, interview and record review, the facility failed to ensure hot liquid was served at a safe and appropriate temperature for one (Resident #28) of three reviewed for accident hazards, resulting in Immediate Jeopardy when R28 received coffee of an unknown temperature, which spilled, causing R28 to sustain a second-degree thermal burn (damage to outer and second layer of skin, causing blisters, pain and discoloration) on his left outer thigh and increased pain. […]

• Immediate jeopardy, isolatedF600Mar 18, 2021

  This citation pertains to MI 033, MI 494, MI 583, MI 647 and MI 648. Based on observation, interview and record review, the facility failed to prevent abuse for seven (Resident #1, #2, #6, #7, #8, #10 and #12) of 10 reviewed for abuse, resulting in resident to resident abuse and Immediately Jeopardy when the facility failed to implement appropriate interventions to prevent Resident #1 from being sexually abused by Resident #2 on 1/31/21 and by Resident #8 on 3/14/21. This deficient practice resulted in the likelihood for further resident sexual abuse, thereby putting all 59 facility residents at risk for abuse. […]

• No harm, potential for more than minimal, widespreadF812Aug 7, 2026

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment affecting 70 residents who consume food products, resulting in the increased likelihood for cross-contamination, bacterial harborage, and decreased interior food service equipment illumination.Findings include: On 08/05/2026 at 10:00 AM, an initial tour of the food service was conducted with Dietary [NAME] G. The following items were noted:On 08/05/2026 at 10:03 AM, the hand sink faucet goose neck was observed leaking water, adjacent to the collar nut. Dietary [NAME] G was asked how long it had been leaking, Dietary [NAME] G stated: A few days. Dietary [NAME] G also stated: We use handwritten maintenance request forms for concerns. […]

• No harm, potential for more than minimal, widespreadF812Jun 4, 2025

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment effecting 71 residents, resulting in the increased likelihood for cross-contamination and bacterial harborage. Findings include: On 06/02/25 at 09:40 A.M., An initial tour of the food service was conducted with Dietary Director (DD) G. The following items were noted: The Scottsman ice machine entrance door (misaligned) and front panel cover plate were observed broken. (DD) G stated: I will contact maintenance for repairs. The 2022 FDA Model Food Code section 4-501.11 states: (A) EQUIPMENT shall be maintained in a state of repair and condition that meets the requirements specified under Parts 4-1 and 4-2. […]