Manchester Center for Rehabilitation and Healing L

In the surveyor’s words

From the most serious findings on record at Manchester Center for Rehabilitation and Healing L, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 7, 2022

  FACILITY Kitchen [DATE] 11:10 AM Steam table set up in dining room, vertical barrier hung between food station and the rest of dining room, as ceiling was being worked on. [DATE] 09:58 AM Observation of plating station showed dining area back to normal, with no repairs being done and barrier gone. [DATE] 8:30 AM Observation of kitchen workers showed appropriate hand sanitation and hair nets in place. During an interview on [DATE] at 8:42 AM, [NAME] O'Keefe, Dietary Manager the facility has a full-time qualified with ServSafe Certification that expires [DATE], with [AGE] years experience in healthcare foodservice. Menu was reviewed and the mechanical consistency of the meal is followed per orders from Speech therapy, RD and physician. Alternatives are offered for any meal. […]

• No harm, potential for more than minimal, widespreadF812Oct 25, 2022

  Based on review of facility policy, review of facility documentation, observation and interview, the facility failed to ensure dish machine water temperatures and sanitation levels were consistently and accurately checked and documented with each use potentially affecting 109 of 109 residents. The findings included: Review of a facility policy Sanitation Cleaning Dishes/Dish Machine created 2013 showed .all flatware, serving dishes and cookware will be washed, rinsed, and sanitized after each use. […]

• No harm, potential for more than minimal, isolatedF604Jun 3, 2026

  Based on facility policy review, medical record review, observations, and interviews, the facility failed to perform an assessment for the use of a seatbelt for 2 residents (Resident #34 and #67) of 3 residents reviewed for physical restraints.The findings include: Review of the facility's policy dated 4/2017 titled Use of Restraints, revealed .individuals shall be reviewed regularly (at least quarterly) . Review of the medical record revealed Resident #34 was admitted to the facility on [DATE] with diagnoses including Chronic Obstructive Pulmonary Disease, Morbid Obesity, and Type II Diabetes. […]

• No harm, potential for more than minimal, isolatedF656Jun 3, 2026

  Based on facility policy review, medical record review, observations, and interviews, the facility failed to implement the care plan for the use of a lap belt for 2 residents (Resident #34 and #67) and for falls for 1 resident (Resident #107) of 15 residents reviewed for care plans. The findings include: Review of the facility's policy dated 4/2017 titled Use of Restraints, revealed .care plans for residents in restraints . Review of the medical record revealed Resident #34 was admitted to the facility on [DATE] with diagnoses including Chronic Obstructive Pulmonary Disease, Morbid Obesity, and Type II Diabetes. Review of an admission MDS assessment dated [DATE], revealed Resident #34 scored a 15 on the BIMS assessment which indicated the resident was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF657Jun 3, 2026

  Based on medical record review, observations, and interviews, the facility failed to revise the care plan for 1 resident (Resident #107) of 15 residents reviewed for care plans.The findings include:Review of the medical record revealed Resident #107 was admitted to the facility on [DATE] with diagnoses including Vascular Dementia, Age-Related Physical Disability, and Repeated Falls (added on 3/13/2026).Review of an admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #107 scored a 1 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was severely cognitively impaired. […]