Marian Manor Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 3, 2026

  1.Based on observation, record review, review of the facility investigation, review of facility policy, review of professional reference, and resident, resident representative, and staff interviews, the facility failed to provide appropriate supervision for 1 of 1 sampled resident (Resident #3) who experienced a choking episode. Failure of staff to remove snack items not on Resident #3's ordered diet from the resident's room and ensure all foods served follow the resident's mechanically altered diet order resulted in Resident #3 experiencing a choking episode and hospitalization and placed all residents on mechanically altered diets at risk for injury. […]

• Immediate jeopardy, isolatedF689Mar 13, 2025

  1. Based on observation, record review, review of facility policy, and staff interview, the facility failed to provide adequate supervision for 2 of 3 sampled residents (Resident #38 and #204) with orders for electric heating pad use. Failure to provide adequate supervision during heating pad use resulted in a burn for Resident #38 and placed Resident #204 and all other residents who use heating pads at risk for burns. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 02/07/24. […]

• No harm, potential for more than minimal, widespreadF851Mar 13, 2025

  Based on review of the Electronic Staffing Data Submission Payroll-Based Journal (PBJ) Long-Term Care Facility Policy Manual and staff interview the facility failed to submit direct care staffing information based on payroll data to the Electronic Staffing Data Submission PBJ for 1 of 4 reporting periods (Quarter #4). Failure to submit direct care staffing information may result in inaccurate representation of the level of staff in the facility which can impact the quality of care delivered. Findings include: The June 2022, version 2.6 Electronic Staffing Data Submission Payroll-Based Journal (PBJ), pages 1-3, stated, . Direct care staffing and census data will be collected quarterly, and is required to be timely and accurate . […]

• No harm, potential for more than minimal, patternF812Jan 25, 2024

  Based on observation, review of facility policy, and staff interview, the facility failed to prepare, store, and serve food in a sanitary manner in 1 of 1 kitchen. Failure to discard outdated food items and monitor the sanitizer concentration may result in unsafe food storage/preparation and foodborne illness. Findings include: OUTDATED FOOD ITEMS Review of the facility policy titled Food Safety Requirements occurred on 01/25/24. This policy, revised January 2024, stated, . Practices to maintain safe refrigerated storage include . Labeling, dating, and monitoring refrigerated food . so it is used by its use-by date, or . discarded . Observation of the kitchen on 01/22/24 at 11:00 a.m. and 01/24/24 at 11:18 a.m. […]

• No harm, potential for more than minimal, patternF921Jan 25, 2024

  Based on observation, review of the North Dakota Plumbing Code, and staff interview, the facility failed to provide an air gap for 1 of 1 two-compartment sink observed in the main kitchen. Failure to provide the required air gap for a two-compartment sink has the potential to allow contamination of the sink in the event of a sewer back up. Findings include: Review of the 2018 North Dakota Plumbing Code, Section 801.2 Air Gap or Air Break Required, stated, Indirect waste piping shall discharge into the building drainage system through an air gap or air break as set forth in this code. […]