Manly Specialty Care

In the surveyor’s words

From the most serious findings on record at Manly Specialty Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF660Jan 17, 2024

  Based on interview with staff, family and medical professionals, and record and policy review the facility failed to adequately plan for resident's discharge for 1 of 4 residents reviewed. Resident #1 was admitted to the facility after surgery to install a feeding tube. The facility failed to teach her how to use the feeding tube pump, and failed to ensure she had all the needed supplies and medications when she returned home. This failure resulted in the hospitalization of the resident related to dehydration, failure to thrive and urinary tract infection, therefore causing an Immediate Jeopardy to the health, safety and security of the residents. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of 1/1/24, on 1/10/24 at 9:57 AM. […]

• No harm, potential for more than minimal, widespreadF801Feb 27, 2025

  Based on facility records, review of the Facility Assessment, and staff interviews, the facility failed to have a clinically qualified nutrition professional who met the required qualifications of a Certified Dietary Manager or a full time Registered Dietician. The facility reported a census of 41 residents. Findings Include: On 2/24/25 at 10:20 AM, Staff A, [NAME] stated the facility didn't have a kitchen manager and haven't had one for approximately six months. She stated worked there for approximately three years. Staff A stated she assisted with some duties such as ordering supplies but she is not officially the kitchen manager. […]

• No harm, potential for more than minimal, patternF605Mar 5, 2026

  Based on clinical record review, policy review and staff interview, the facility failed to document non-pharmacological interventions prior to administering anti-anxiety medication for anxiety and/or restlessness for 1 of 1 resident sampled (Resident #39). The facility identified a census of 36. Findings include:Resident #39's Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 4, indicating a severe cognitive loss. The MDS listed diagnoses of non-Alzheimer's dementia, depression, and anxiety. Resident #39's Medication Administration Record (MAR) for February documented Haloperidol (an antipsychotic medication) 0.5 milligrams (mg). Administer every 8 hours as needed for agitation and irritability. […]

• No harm, potential for more than minimal, patternF609Mar 5, 2026

  Based on clinical record review, facility policy review, and staff interviews the facility failed to report allegations of abuse to the Iowa Department of Inspections, Appeals, and Licensing (DIAL) for 2 of 3 residents reviewed (Resident #5, Resident #39, and Resident #20). The investigation determined the facility failed to report when Resident #39 pushed Resident #5 in one incident and grabbed her in another incident. in addition, the facility failed to report when Resident #39 poked Resident #20 in the head. The facility reported a census of 36 residents. Findings include:Resident #39's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview of Mental Status (BIMS) score of 4, indicating severe cognitive impairment. […]

• No harm, potential for more than minimal, patternF610Mar 5, 2026

  Based on clinical record review, facility policy review, and staff interviews the facility failed to investigate and review interventions to ensure interviews are adequate to prevent further abuse for a known resident with a history of aggression for resident-to-resident abuse for 2 of 3 resident reviewed. (Residents #5, #20, and #39). Resident #39 grabbed Resident #5 and poked Resident #20 in the head. The facility reported a census of 36 residents. Findings include:1. Resident #39's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview of Mental Status (BIMS) score of 4, indicating severe cognitive impairment. Resident #39 experienced verbal behavioral symptoms directed towards others for 1 to 3 days in the lookback period. […]