Maries Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 14, 2025

  Based on observation and interview, the facility staff failed to maintain the kitchen ceiling in good repair to prevent contamination of food items. This failure has the potential to affect all residents. The facility census was 65.1. Observation on 08/12/25 at 11:40 A.M. showed the kitchen with the following: -Ceiling was covered with a white textured, plaster like material;-A 33-inch crack in the ceiling above the end of the steam table with the ceiling sagging on one side of the crack;-A 22-inch crack in the ceiling and areas of white flaking ceiling material above the ware storage rack near the service window;-A 16-inch crack between the prep counter and bakery;-A 3-inch area of white flaking ceiling material above the steam table;-A 4-inch area of white flaking ceiling material above… […]

• No harm, potential for more than minimal, widespreadF880Aug 14, 2025

  Based on observation, interview, and record review, facility staff failed to appropriately sanitize a multi-use glucometer (a device for monitoring blood sugars) between use for two (Resident #3, and #51) out of five sampled residents. Staff failed to perform appropriate hand hygiene and glove changes in a manner to prevent or reduce the spread of bacteria and other infection causing organisms during blood glucose checks for three (Resident #28, #45, and #51) out of five sampled residents. Staff failed to utilize personal protective equipment (PPE) for two (Resident #7 and #47) out of two sampled residents on enhanced barrier precautions (EBP) during wound care and/or catheter care The facility census was 65.1. […]

• No harm, potential for more than minimal, widespreadF881Aug 14, 2025

  Based on interview and record review, facility staff failed to implement an Antibiotic Stewardship Program with antibiotic use protocols and a system to monitor and track antibiotic use within the facility. The facility census was 65. 1. Review of the facility's policy titled, Antibiotic Stewardship Program , dated 4/10/25, showed: -The Director of Nursing (DON) will be responsible to audit the clinical assessment documentation at the time of the antibiotic prescription. This will include all relevant documents such as the Stop and Watch, Situation, Background, Assessment, Recommendation (SBAR), physician communication, and follow-up with diagnostic testing;-The DON will be responsible for auditing of the completeness of antibiotic prescribing documentation to include dose, route, start… […]

• No harm, potential for more than minimal, widespreadF658May 23, 2024

  Based on observation, interview, and record review, facility staff failed to follow professional standards when staff prepared 40 medication cups with medications prior to the timed medication pass and performed resident blood sugar tests with expired test strips for four residents (Resident #14, #58, #61, and #62) out of four sampled residents. The facility census was 64. 1. Review of the facility's policy titled, Medication Administration Guidelines, dated ,d+[DATE], showed facility staff are directed as follows: -The complete act of administration entails removing an individual dose from a previously dispensed, properly labels container, verifying it with the physician's orders, giving the individual dose to the proper resident, and promptly recording the information; -Medications may… […]

• No harm, potential for more than minimal, widespreadF761May 23, 2024

  Based on observation, interview, and record review, facility staff failed to store and label medications in a safe and effective manner when staff failed to date the opened multi-dose medication bottles, insulin vials, and medications were left unattended on top of one medication cart. The facility census was 64. 1. Review of the facility's Storage of Medication policy, undated, shows facility staff were directed as follows: -All medications for residents must be stored at or near the nurse's station in a locked medicine room or one or more locked mobile medication carts; -All mobile medication carts must be under visual control of the staff at all times when not stored safely and securely; -No discontinued, outdated, or deteriorated drugs or biologicals may be retained for use. […]