Manhattanview CTR for Rehabilitation and Healthcar

In the surveyor’s words

From the most serious findings on record at Manhattanview CTR for Rehabilitation and Healthcar, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF756May 17, 2024

  Based on interviews, record review, and a review of pertinent facility documents, it was determined that the facility failed to a.) provide oversight by a licensed Consultant Pharmacist (CP) in March 2024 for four (4) of five (5) residents, (Residents #17, #49, #75, and #80) and the entire month of April 2024, for five (5) of five (5) residents, (Residents #17, #22, #49, #75, and #80), b.) identify the irregularity with regard to physician's order for antipyschotic medication for one (1) of five (5) residents, (Resident #22) reviewed for unnecessary medications in accordance to facility's practice and policy. This deficient practice was evidenced by the following: 1. On 5/07/24 at 11:16 AM, the surveyor observed Resident #22 in the dayroom. […]

• No harm, potential for more than minimal, widespreadF812May 17, 2024

  REPEAT DEFICIENCY Based on observation, interview, and review of documentation provided by the facility, it was determined that the facility failed to a) maintain proper kitchen sanitation practices and clean equipment, b) properly store foods in a safe manner to prevent the development of food borne illness, and c) maintain three (3) of three (3) nursing unit pantry used for residents in a sanitary manner. This deficient practice was evidenced by the following: On 5/07/24 at 10:16 AM, the surveyor toured the kitchen in the presence of the Food Service Director (FSD), the FSD Trainer (FSDT) and the Regional FSD (RFSD), and observed the following: ~In the walk-in freezer, several boxes of opened food items that were opened, unlabeled and exposed to freezer with freezer burn and frost on… […]

• No harm, potential for more than minimal, patternF742May 17, 2024

  Reference F-756 Based on observation, interview, record review, and review of other pertinent facility documentation it was determined that the facility failed to ensure a resident with history of post-traumatic stress disorder (PTSD) received appropriate treatment and services to attain the highest practicable mental and psychosocial well-being. This deficient practice was identified for one (1) of five (5) residents (Resident #80) reviewed for unnecessary medications and was evidenced by the following: Reference: 13:44G-3.3 PRACTICE AS A CSW; SCOPE c) A CSW shall not engage in clinical social work services. […]

• No harm, potential for more than minimal, patternF755May 17, 2024

  Based on interviews, record review, and review of pertinent facility documentation, it was determined that the facility failed to a.) to consistently maintain accurate reconciliation, accountability of dispensed, and administered controlled dangerous substance (narcotic medication) for Resident #16, b.) ensure expired narcotic medications were detected, removed, and disposed from active inventory which was stored within the electronic back-up machine (EBM). The deficient practice was identified for one (1) of one (1) of the EBM observed during medication storage inspection. […]

• No harm, potential for more than minimal, patternF880Oct 8, 2021

  Based on observation, interview, record review, and review of pertinent facility documentation, it was identified that the facility failed to: a.) appropriately don (put on) Personal Protective Equipment (PPE) prior to entry of a resident's room who was on Transmission Based Precautions (TBP); b.) apply Alcohol-Based Hand Rub (ABHR) prior to entry of a residents room who was on TBP; and, c.) don an N95 mask to a COVID-19 positive (+) resident prior to the resident being transported throughout the facility to the COVID-19+ unit. This deficient practice was observed on 1 of 3 units and for one (1) of five (5) residents reviewed; (Resident #4) for infection control practices during a focused Federal Infection Control survey. The deficient practice was evidenced by the following: 1. […]