Maranatha Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Dec 8, 2022

  Based on interview and document review, the facility failed to ensure comprehensive assessments were completed and interventions implemented for 1 of 1 resident (R68) who was reviewed for elopement. This resulted in an immediate jeopardy (IJ) when R68 left the facility without supervision and without staff awareness for at least 30 minutes. The facility implemented immediate corrective action and was issued as past non-compliance. In addition, the facility failed to provide proper positioning before eating or supervision while showering for 2 of 3 residents (R70, R37) reviewed for accidents. The IJ began on 8/23/22, at 9:20 p.m. when R68 left the facility the facility without supervision and without staff awareness. […]

• Actual harm, isolatedF689Aug 24, 2026

  Based on observation, interview, and document review, the facility failed to ensure safety during transfer for 1 of 3 residents (R1) who used a standing mechanical lift (Liko [NAME] II Sit-to-stand lift). The failure resulted in actual harm when R1 fell from a standing mechanical lift causing a leg fracture and shoulder dislocation. The facility completed corrective measures by 8/14/26 and prior to the start of the survey so citation was issued at past non-compliance (PNC).Findings include:R1's face sheet dated 8/24/26, identified diagnoses of unspecified fracture of upper end of right tibia (large lower leg bone known as the shinbone), periprosthetic fracture around other internal prosthetic joint, unspecified dislocation of left shoulder joint, morbid obesity, aphasia (disorder which may… […]

• No harm, potential for more than minimal, widespreadF812Apr 3, 2025

  Based on observation, interview and document review, the facility failed to ensure food safety practices including proper food storage such as labeling and dating foods stored in the kitchen as well as monitoring the temperature of the dishwashers and refrigeration/freezer units and maintaining a sanitary work environment in the main kitchen and kitchenettes on the resident floors. This had the potential to affect ,d+[DATE] residents. Findings include: Food storage During the initial kitchen tour on [DATE], at 7:17 a.m., the following items were discovered in the walk-in refrigerator without proper label/date; 12 Quart clear plastic square storage container with a blue lid ,d+[DATE] full of unknown cream colored liquid, a small, metal pan of pork cutlets- covered with plastic wrap,… […]

• No harm, potential for more than minimal, widespreadF882Dec 8, 2022

  Based on interview and document review, the facility failed to ensure the acting infection preventionist (IP) had completed specialized training in infection prevention and control. This had the potential to affect all 89 residents residing in the facility. Findings include: On 12/5/22, at 1:06 p.m. during the entrance conference, the administrator stated the infection preventionist (IP) was IP-A and the back up was the director of nursing (DON). When interviewed on 12/8/22, at 1:32 p.m. the administrator, stated IP-A was the facility's designated infection preventionist. […]

• No harm, potential for more than minimal, widespreadF886Dec 8, 2022

  Based on interview and document review, the facility failed to test staff for COVID-19 according to Centers for Medicare and Medicaid (CMS) guidance for outbreak testing requirements for 1 of 3 staff (NA-B) reviewed for COVID-19 testing. This deficient practice had the potential to affect all 89 residents in the facility, all staff, and any visitors to the facility. Findings include: The CMS QSO-20-38-NH memo revised 9/23/22, directed, upon identification of a single new case of COVID-19 infection in any staff or residents, outbreak testing should begin immediately. Furthermore, the memo directed testing should follow the Centers for Disease Control (CDC) guidelines and be repeated every 3-7 days until no new cases are identified for 14 days. […]