Manor Court of Maryville

In the surveyor’s words

From the most serious findings on record at Manor Court of Maryville, in the surveyor’s own words.

• Actual harm, isolatedF600Jul 15, 2026

  Based on interview and record review, the Facility failed to ensure residents were free from abuse for 1 of 4 residents (R1) reviewed for abuse in the sample of 6. This failure resulted in R1 experiencing physical pain, fear and worry. Findings include:1-R1's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including hemiplegia, abnormalities of gait and mobility, and Parkinson's disease. R1's Minimum Data Set (MDS) dated [DATE] documented R1 was cognitively intact, used manual wheelchair, and was dependent for transfers. 2-R2's Face Sheet documents R2 was admitted to the facility on [DATE] with diagnoses including dementia. R2's MDS dated [DATE] documented R2 was moderately cognitively impaired, used manual wheelchair, and had verbal and physical behaviors. […]

• Actual harm, isolatedF684Sep 27, 2022

  Based on observation, interview and record review the facility failed to provide treatment in accordance with professional standards of care for a fall resulting in injury for 1 of 16 residents (R65) reviewed for quality of care in the sample of 42. This failure resulted in R65 falling and sustaining a fractured arm which was not treated for [MEDICAL RECORD OR PHYSICIAN ORDER] Findings include: R65's Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . On 9/23/2022 at 10:58 AM, R65's was residing on the dementia unit. R65 had a soft cast to her right arm. R65's Care Plan dated 8/15/2022 documents (R65) has dementia with behaviors. On 9/23/2022 at 10:59 AM, V38, Registered Nurse stated, (R65) is on the dementia unit and has poor safety awareness. […]

• Actual harm, isolatedF692Sep 27, 2022

  Based on observation, interview and record review the facility failed to monitor food intake, assess insidious weight loss and effectiveness of interventions, and implement progressive interventions based upon this assessment to prevent continued weight loss for 1 of 5 residents (R75) reviewed for nutrition and weight loss in the sample of 42. This failure resulted in R75's severe weight loss of 28.41% in 3 months. Findings include: R75's Undated Face Sheet, documented diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . R75's Care Plan, dated 8/31/2021, documents R75's current body weight was 109 pounds. R75's Care Plan documents R75's acceptable body weight is 114-146 pounds. The Goal documents Resident will achieve desired weight of 114-146 pounds. […]

• Actual harm, isolatedF689Jan 6, 2022

  Based on interview, and record review, the facility failed to provide safe transfers for 1 of 3 residents (R2) reviewed for injuries in the sample of 10. This failure resulted in R2 sustaining fractures to the left Proximal tibia and fibular to lower leg. Findings include: R2's Minimum Data Set (MDS) dated [DATE] documents that resident has severely impaired cognition. R2's MDS also documents that resident is total dependence of two plus for bed mobility, transfer, toilet use, and bathing. Resident is total dependence of one-person for locomotion on unit, locomotion off unit, dressing, eating, and personal hygiene. […]

• No harm, potential for more than minimal, widespreadF880Dec 13, 2023

  Based on observation, interview, and record review, the Facility failed to ensure staff appropriately use PPE (Personal Protective Equipment) to prevent the spread of infectious disease including COVID-19. This has the potential to affect all 93 residents living in the Facility. Findings include: 1. On 12/12/23 at 7:15 AM, there was a sign on the door of the Facility entrance documenting Positive Covid Cases and Masks Are Required In The Building. An additional copy of the sign was placed on the door leading into the residential part of the Facility. On 12/12/23 at 7:24 AM, V5, Registered Nurse (RN), was working at the medication cart on Bounce Back Lane without a mask. […]