Majora Lane CTR for Rehab & NSG Care Inc

In the surveyor’s words

From the most serious findings on record at Majora Lane CTR for Rehab & NSG Care Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on record review, observation and interview, the facility failed to monitor and record dishwasher temperatures and Quatinary sanitizer solution levels. This had the potential to affect 61 residents receiving meals from the facility. The facility further failed to ensure appropriate drying times after cleaning equipment prior to preparing pureed meals for two residents. The facility census was 62.Findings Include: 1. Review on 01/05/25 during the initial kitchen tour between 8:55 A.M. and 9:20 A.M. of the facilities monthly dishwasher temperature check log revealed for the month of January 2026 three slots each day (breakfast, lunch, and dinner) to record temperature checks of the high temperature dishwasher. […]

• No harm, potential for more than minimal, widespreadF812Sep 26, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure appropriate food storage in the kitchen's dry storge area. Additionally, the facility failed to ensure the Robo-coupe (food processor) was clean and dry prior to pureeing Resident #21 and #23 meals and ensure a contained spoon was not placed into the mixture. This affected two residents (#21 and #23) and had the potential to affect 56 of 56 residents who received meals from the kitchen. The facility identified two residents (#1 and #30) who received nothing by mouth (NPO) and had NPO diet orders The facility census was 58. Findings include: 1. Observation on [DATE] at 8:10 A.M. of the facility's dry food storage in the kitchen revealed six loafs of expired wheat bread. […]

• No harm, potential for more than minimal, patternF679Jan 8, 2026

  Based on observations, record review, interview, and policy review, the facility failed to ensure the secured unit provided meaningful activities to meet Resident #9's needs. The facility also failed to ensure Resident #11 received preferred activities. This affected two residents (Resident #9 and #11) of three residents reviewed for activities but had potential to affect all 14 residents (#9, #10, #18, #20, #28, #31, #36, #37, #38, #40, #45, #49, #58, and #61) who resided on the secured unit. The facility census was 62. Findings include: 1. […]

• No harm, potential for more than minimal, patternF584Jul 29, 2025

  Based on observation, interview, record review, and review of the facility policy, the facility failed to ensure the residents' environment in the secured unit was clean and homelike. This had the potential to affect all 17 residents (#6, #9, #11, #19, #22, #24, #26, #27, #28, #33, #35, #38, #41, #44, #46, #51, and #57) residing in the secured unit. The facility census was 62. Findings include: 1.Record review for Resident #35 revealed an admission date of 06/20/23. Diagnosis included vascular dementia unspecified severity, muscle weakness, age related physical mobility, lack of coordination, and need for assistance with personal care. Review of the Minimum Data Set (MDS) annual assessment dated [DATE] for Resident #35 revealed Resident #35 was moderately cognitively impaired. […]

• No harm, potential for more than minimal, patternF880Jan 5, 2021

  Based on observation, record review and interview the facility failed to maintain acceptable infection control practices related to the use of PPE and failed to ensure biohazard trash was properly disposed to prevent the spread of COVID-19. This had the potential to affect 11 residents (#1, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14) who resided on the 100 hall who had not tested positive for COVID-19. The facility census was 64. Findings include: 1. On 01/04/21 at 12:00 P.M. observation during tour of the 100 hallway revealed Resident #2, #4 and #16, who were positive for COVID-19 resided in rooms on the unit. The facility indicated the rooms the residents' resided in were considered red rooms per facility policy (positive Covid-19 cases). […]