Manning Gardens Care Center, Inc

In the surveyor’s words

From the most serious findings on record at Manning Gardens Care Center, Inc, in the surveyor’s own words.

• Actual harm, isolatedF600Feb 6, 2025

  Based on observation, interview, and record review, the facility failed to protect one of four residents (Resident 1) right to be free from physical abuse by Certified Nursing Assistant (CNA) 1 when a pitcher (a large container with a handle and a lip, used for holding and pouring liquids) filled with hot water by CNA 1 spilled onto Resident 1's left thigh on 2/3/25. This failure resulted in a Resident 1 experiencing second-degree burns (an injury that affects the outer layer of skin and part of the underlying layer of skin) to the left thigh and severe pain that required the administration of hydrocodone (a medication used to treat moderate to severe pain). Findings: During a concurrent observation and interview on 2/6/25 at 2:16 p.m. […]

• Actual harm, isolatedF689Feb 6, 2025

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained free of accident hazards for one of four residents (Resident 1), when a pitcher (a large container with a handle and a lip, used for holding and pouring liquids) filled with hot water by Certified Nursing Assistant (CNA) 1 spilled onto Resident 1's left thigh on 2/3/25. The facility's hot water temperatures were measured in sinks and showers with a digital thermometer (a device that measures temperature using a sensor an electronic display) on 2/6/25. A dining room sink was found to have a hot water temperature of 140 degrees Fahrenheit (F; unit of measurement). […]

• Actual harm, isolatedF656Nov 8, 2024

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plans (CP - a detailed approach to care customized to an individual resident's needs) for two of 12 residents (Resident 1 and Resident 3) when: 1. Resident 1's care plan was not developed to reflect an assessment and interventions for the use of bed rails. This failure put Resident 1 at risk of harm due to improper use of bed rails. 2. Resident 3's care plan was not developed and implemented to reflect assessments and interventions to address Resident 3's edema (medical term for swelling) to the right and left lower legs, or the use of a brace for Resident 3's right leg. […]

• No harm, potential for more than minimal, widespreadF880Nov 8, 2024

  Based on observation, interview and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases (Illnesses caused by viruses or bacteria that people spread to one another through contact with contaminated surfaces, bodily fluids, blood products, insect bites, or through the air) and infections for 53 of 54 residents when: 1. […]

• No harm, potential for more than minimal, widespreadF812Oct 20, 2023

  Based on observation, interview, and record review, the facility failed to ensure safe, sanitary food preparation and storage practices were followed in the kitchen when: 1. The toaster had a brown substance stuck on the front knobs and a yellow substance on the edge of the toaster opening and the plate warmer had a greasy brown substance and dirt along the bottom edge and there was a clean plate on top of brown flakes of food. 2. There was a plastic bag containing American cheese slices with brown debris on them and placed inside the refrigerator. 3. Two out of two dry food bins in the dry food storage area had a brown substance inside the bottom of the bin. 4. […]