Marian Home

In the surveyor’s words

From the most serious findings on record at Marian Home, in the surveyor’s own words.

• Actual harm, isolatedF689May 16, 2024

  Based on record review and staff interview, the facility failed to assure each resident received adequate assistance to prevent a fall with injury for 1 of 3 residents reviewed (Resident #31). The facility reported a census of 76 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #31 scored 3 on the Brief Interview for Mental Status (BIMS) indicating severe cognitive impairment. The resident had functional limitation in range of motion (ROM) of 1 side, upper extremity. The resident required supervision or touching assistance with transfer and ambulation. The resident's diagnoses included rheumatoid arthritis (RA). […]

• No harm, potential for more than minimal, patternF881Jan 24, 2022

  Based on interviews and record review, the facility failed have a system in place to track antibiotic use as part of their antibiotic stewardship program. The facility failed to provide documentation of ongoing tracking and trending of antibiotic use. The facility reported a census of 72 residents. Findings include: On 1/24/21 at 10:04 p.m., the Infection Control task for the facility's recertification survey was conducted with the Nursing Home Administrator (NHA) and Staff B, Unit Manager. They reported they have an infection control module that is filled out with resident symptoms or complaints. Staff B stated she checks the antibiotic use daily but did not run or do a monthly report of antibiotic use. The NHA and Staff B stated they would provide more information. […]

• No harm, potential for more than minimal, isolatedF580Jun 18, 2026

  Based on clinical record review, staff interviews, and facility policy, the facility failed to notify the physician of a condition change for 1 of 1 residents reviewed (Resident #66). Resident #66 had complaints of shortness of breath with low oxygen saturation of 79% on 3 liters (L) of oxygen and a new productive cough with crackles in bilateral lower lungs. The facility reported a census of 72 residents.Findings include:Resident #66's Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 15, indicating no cognitive impairment. The MDS also documented diagnoses of Alzheimer's disease, respiratory failure, a seizure disorder, malnutrition, anxiety, and depression. […]

• No harm, potential for more than minimal, isolatedF693Jun 18, 2026

  Based on observations, clinical chart review and staff interview the facility failed to check placement for gastrostomy tube for 1 of 1 residents (Resident #66). The facility reported a census of 72 residents. Findings include: Resident #66's Minimum Data Set (MDS) (standardized clinical assessment tool) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 15, indicating no cognitive impairment. The MDS also documented diagnoses of Alzheimer's disease, respiratory failure (inability of lungs to exchange gases), a seizure disorder, malnutrition, anxiety, and depression. The MDS further documented Resident #66 received nutrition through a gastrostomy feeding tube (tube through abdomen for feeding). […]

• No harm, potential for more than minimal, isolatedF644Jan 24, 2022

  Based on clinical record review and staff interview the facility failed to complete a follow-up Preadmission Screening and Resident Review for one out of one residents reviewed in the current sample who had a change in mental health diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] #2). The facility reported a census of 72 residents. Findings include: 1. The quarterly Minimum Data Set (MDS) dated [DATE] identified Resident #2 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The MDS assessed the resident with a BIMS (Brief Interview Mental Status) score of 15 indicating no cognitive impairment. The assessment documented Resident #2 entered the facility on 3/13/15. […]