Manchester Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF686Mar 25, 2026

  Based on review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Resident #1) reviewed for allegations of neglect, the facility failed to ensure appropriate monitoring and implementation of interventions to prevent skin breakdown for a dependent resident who was identified as having a high risk for developing pressure sores (wound), including failure to ensure offloading boots were properly managed and failure to assess the skin under the boots every shift, resulting in the development of an avoidable pressure wound to the left dorsal foot that was not identified timely and progressed to a full thickness wound requiring ongoing treatment. […]

• No harm, potential for more than minimal, patternF755Mar 16, 2026

  Based on observation, review of facility documentation and interviews, the facility failed to ensure the facility had a process for reconciliation of controlled medications. The findings include:Interview with the ADNS on 3/16/26 at 11:42 AM identified she was responsible for completing the bi-weekly (once every two weeks) controlled medication audits in the facility. Interview with the ADNS on 3/16/26 at 2:07 PM identified her process for the bi-weekly auditing consists of completing a controlled medication count at each of the medication carts with another nurse for verification. […]

• No harm, potential for more than minimal, patternF880Mar 16, 2026

  Based on observation, review of facility documentation, review of facility policy, and interviews during a review of the Infection Control Program, the facility failed to ensure that the laundry room had a cleaning schedule to protect linens from dust and soil, the facility failed to ensure infection surveillance data collection reports and analysis of infection trends within the facility were completed monthly, the facility failed to ensure the MDRO tracking sheet accurately reflects residents MDRO infection status, and the facility failed to ensure outbreaks were tracked and exposure investigations completed per facility policy. […]

• No harm, potential for more than minimal, patternF882Mar 16, 2026

  Based on facility documentation, review of facility policy, and interviews, the facility failed to have a consistent designated Infection Preventionist (IP) with the required specialized training in infection control, that was responsible for the facility's Infection Control Program in 2024, 2025 and 2026. The findings include:Interview with the ADNS and RN #4 on [DATE] at 1:09 PM identified RN #4 was hired as the full time Infection Preventionist nurse for the facility in [DATE] and she is currently completing the specialized Infection Preventionist training course for nursing homes to receive her certification. […]

• No harm, potential for more than minimal, patternF812Mar 24, 2022

  Based on observations during a review of the kitchen, facility policy and interviews, the facility failed to ensure sanitized solution was used to disinfect pots and pans and surfaces in the kitchen per manufacturer recommendation and failed to ensure dishwasher temperatures were taken prior to washing dishes. The findings included: 1. a. Tour of the kitchen with the Director of Dietary (DOD) on 3/21/22 at 9:55 AM identified Dietary Aide (DA #1) and (DA #2) cleaning the pots and pans in a 3 bay sink then placing the clean pots and pans onto a cart with wheels. The Director of Dietary indicated the kitchen uses quat chemical to clean the surfaces in the kitchen and for the 3-bay sink for pots and pans. […]