Manor Court of Peru

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 9, 2026

  Based on interview and record review, the facility failed to supervise a cognitively impaired resident resulting in R1 opening her bedroom window, removing the screen, climbing through the window, walking approximately 350 yards to the roadway where a bystander saw her, picked her up, and notified the police on [DATE]. This applies to 1 of 4 residents (R1) reviewed for safety and supervision in the sample of 5.The Immediate Jeopardy began on [DATE] when R1 eloped from the facility through the window. V1 (Administrator) and V2 (Director of Nursing) were notified of the Immediate Jeopardy on [DATE] at 4:25PM. […]

• No harm, potential for more than minimal, widespreadF812Sep 30, 2022

  Based on observation, interview, and record review, the facility failed to ensure stored food was labeled and dated. This failure has the potential to affect all 89 residents at the facility. Findings include: The facility's Food Storage and Labeling Procedure Policy (Revised 9/2022), documents The label should include: 1. Product name: Even if you can see the product/leftover through the plastic wrap or lid, you must label the container or re-sealable bag with the product name; 2. Date: Document the date that the product is placed in the refrigerator; 4. […]

• No harm, potential for more than minimal, isolatedF580Aug 28, 2025

  Based on interview and record the review, the facility failed to notify the resident physician and the resident representative of an accident for one of three residents (R64), reviewed for notification of change in a sample of 33.FINDINGS INCLUDE:The facility policy dated 12/02, Change in a Resident's Condition, directs staff to, Promptly notify the resident, and /or resident's representative, and his or her attending physician of changes in the resident's condition and /or status. a) The resident is involved in any accident or incident that results in an injury including injuries of an unknown source.1. R64's progress notes dated 7/20/25 at 10:21 a.m., V5 documents Entered R64's room this a.m. […]

• No harm, potential for more than minimal, isolatedF692Aug 28, 2025

  Based on observation, interview and record review, the facility failed to offer a therapeutic diet for one of three residents (R107) reviewed for nutrition in a sample of 33FINDINGS INCLUDE: The facility policy dated 04/22 Supplementation directs staff To provide residents additional calories and/or protein to the Regular Diet in the form of supplements in order to improve caloric intake, promote weight gain or weight maintenance or improve wound healing. a) follow resident's prescribed diet. 1. R107's physicians order dated 1/25/24 documents High Calorie/High Protein Supplement with every meal. 2. R107's dietary ticket documents regular diet with regular texture, and thin liquids. Notes: Offer super cereal. Offer finger foods when available. 3. […]

• No harm, potential for more than minimal, isolatedF558Oct 31, 2024

  Based on observation, interview, and record review the facility failed to ensure a call light was within reach for two of 32 residents (R8 and R20) reviewed for call lights in a sample of 46. Findings include: The facility's Call Light policy, revised 01/04, documents to be sure call light is within reach before leaving the room. 1. On 10/28/24 at 11:30am, R20's call light was on the floor at the head of the bed. R20 was on the other side of the bed attempting to stand up. R20 stated that she wanted to go to bed but did not know where her call light was. 2. On 10/28/24 at 11:35am, R8 was in a reclining chair by the door to the room. R8's call light was hooked to the sheets, under the blanket, on the opposite side of her bed. R8 was unable to find her call light. […]