Manhattanville Health Care Center

In the surveyor’s words

From the most serious findings on record at Manhattanville Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF657Mar 16, 2023

  Based on record review and interview conducted during the Recertification survey from 3/9/23 and 3/16/23, the facility did not ensure that resident's comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments. Specifically, the Comprehensive Care Plans (CCPs) for residents with significant weight loss were not updated and revised. This was evident for 3 of 6 residents reviewed for Nutrition out of 38 sampled residents. (Residents #18, #17, and #22,). The finding is: The facility Policy for Comprehensive Care Planning dated 11/1997, last revised 01/2023 documented that A Comprehensive Care Plan for each resident shall be developed through an interdisciplinary team approach. […]

• No harm, potential for more than minimal, isolatedF693Jun 11, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 06/04/2025 to 06/11/2025, the facility failed to ensure that a resident who is administered enteral tube feedings, received the appropriate treatment and services to prevent complications. This was evident in 1 (Resident #151) of 2 residents reviewed for Tube Feeding and 1 of 8 residents reviewed during the Medication Administration Task. Specifically, during observation on 06/09/2025 at 9:50 AM, Resident #151's enteral tube feeding formula that was being administered was not labeled with the resident's name, the date and start time of the administration, or the flow rate. […]

• No harm, potential for more than minimal, isolatedF760Jun 11, 2025

  Based on observation, record review, and interview during the Recertification Survey conducted from 06/04/2025 to 06/11/2025, the facility failed to ensure that residents are free of any significant medication errors. This was evident in 1 (Resident #151) of of 8 residents reviewed during the Medication Administration Task. Specifically, Resident #151 was not administered 5 milliliters of Ferrous Sulfate 300 milligram/5 milliliters as ordered by the Physician. The findings are: The facility policy titled Medication Administration which was last reviewed on 04/2025 documented that medications are administered by the licensed nurse in accordance with the physicians order. […]

• No harm, potential for more than minimal, isolatedF761Jun 11, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 06/05/2025 to 06/11/2025, the facility failed to store all drugs and biologicals in locked compartments and under proper temperature controls. This was evident in 1 (Unit 3) of 5 medication storage areas observed. Specifically, 1.) Calcitonin spray was kept in the medication cabinet and was not refrigerated, 2.) The medication refrigerator was not locked, and 3.) An opened vial of haloperidol had no date of when it was first opened. The findings are: The facility's policy titled Medication Storage which was last reviewed in 2025 documented medications requiring refrigeration will be stored in a separate locked refrigerator. […]

• No harm, potential for more than minimal, isolatedF812Jun 11, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 06/04/2025 to 06/11/2025, the facility failed to ensure food were stored in accordance with professional standards for food service safety. This was evident in 1 (Unit 3) of 3 units observed. Specifically, expired frozen food were stored in Unit 3 pantry refrigerator. The findings are: The facility policy and procedure titled Storing of Food Brought in by Families with a reviewed date of 06/2025 documented if a family member brings in food for a resident, the food must be labeled with the resident's name and date it was put in the fridge to ensure it is not stored for too long. All food that is stored in the fridge and not consumed within 72 hours will be disposed of. […]