Maranatha Village, Inc

In the surveyor’s words

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

• Actual harm, isolatedF600Jan 6, 2023

  Based on interview and record review, the facility failed to protect the resident's right to be free from verbal abuse from another resident when one resident (Resident #1) was yelled by repeatedly another resident (Resident #2), his/her roommate, making the resident (Resident #1) obviously anxious and upset. The facility census was 102. Record review of the facility policy titled, Abuse and Neglect Policy and Procedures, revised on 11/28/23, showed the following: -This policy and procedure is implemented to provide a system to prevent and detect abuse, neglect, exploitation, and mistreatment and to provide a system of reporting suspected cases of abuse and neglect and to assure thorough investigation and appropriate follow-up action in alleged incidents of abuse, neglect, exploitation,… […]

• No harm, potential for more than minimal, widespreadF812Apr 19, 2024

  Based on observation, interview, and record review, the facility failed to protect food from possible contamination at all times in accordance with professional standards of practice when staff failed to wear hairnets in the kitchen, failed to store the ice scoop outside of the ice container, and failed to complete proper handwashing during meal service/prep. The facility census was 85. 1. Observations on 04/16/24, from 9:15 A.M. to 10:20 A.M., showed the following: -In the serving kitchen, Certified Nurse Aide (CNA) 1 was inside the kitchen, scooping ice into a cooler without wearing a hairnet. At the time of the observation, food preparation was in process. The Dietary Manager (DM) told CNA 1 that he/she needed to have a hairnet on anytime he/she entered the kitchen. […]

• No harm, potential for more than minimal, widespreadF880Apr 19, 2024

  Based on observation, interview, and record review, the facility failed to maintain their infection prevention program to reduce the likelihood of a legionella (the bacterium which causes legionnaires' disease (a severe form of pneumonia) which can grow in areas with stagnant water) in the water when the facility failed to follow their water management program by not completing the preventative steps outlined and when the facility failed to ensure staff were educated regarding the water management program. The facility census was 85. 1. […]

• No harm, potential for more than minimal, patternF625Apr 19, 2024

  Based on interview and record review, the facility failed to provide the resident and/or responsible party (RP) information regarding a Bed Hold for three residents (Resident #30, #50, and #67) of a sample of three residents reviewed for hospitalization s of 33 sampled residents. The facility census was 85. Review of the facility's policy titled, Bed Hold Policy, undated, showed the following: -The resident and/or responsible party will be held responsible for 75% of the daily room rate should they wish to reserve their room while in the hospital; -The nursing home has an obligation to inform the resident or the responsible person that is paying them to hold a bed is voluntary; -When a resident is transferred to a hospital, the nursing home is required both by federal statute and by… […]

• No harm, potential for more than minimal, patternF657Apr 19, 2024

  Based on observations, interviews, and record review, the facility failed to maintain and update comprehensive care plan to ensure their accuracy when staff failed to care plan the use of usage for four residents (Resident #9, #30, #45, and #54) and failed to care plan anticoagulant (medicines that help prevent blood clots) usage for one resident (Resident #75). The facility census was 85. Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, revised March 2022, showed the following: -A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident; -The comprehensive, person-centered care plan includes measurable… […]