Marinuka Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Nov 1, 2023

  Based on interview and record review, the facility did not designate a person to serve as the director of food and nutrition services who had completed the minimum qualification requirements for the position. This practice could potentially affect all 33 residents residing in the facility. The facility does not have a director of food and nutrition services with the minimum requirements or a full time registered dietitian on site. Findings include: On 10/30/23 at 9:30 AM, Surveyor performed the initial walkthrough of the kitchen with Dietary Supervisor (DS) M. Surveyor asked DS M what qualifications they held that allowed them to assume the role of Dietary Supervisor. […]

• No harm, potential for more than minimal, widespreadF812Nov 1, 2023

  Based on observation, interview and record review, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. This has the potential to affect all 33 of 33 residents residing in the facility. Dietary Supervisor (DS) M and Dietary Aide (DA) N did not use a hair restraint over their beards while preparing, serving, and operating in the kitchen. Findings include: The facility policy, entitled Infection Control - Dress Code 2.4, not dated, states in part: A. All staff must have their hair restrained in a hairnet Men should be clean shaven or they will be required to wear a beard net. On 10/30/23 at 9:30 AM, Surveyor performed the initial walkthrough of the kitchen with DS M. […]

• No harm, potential for more than minimal, widespreadF814Nov 1, 2023

  Based on observation, interview, and policy review, the facility failed to dispose of garbage and refuse properly. This has the potential to affect all 33 of 33 residents residing in the facility. The facility did not ensure the garbage dumpster lids were closed; this was observed multiple times during the survey. This is evidenced by: The facility policy, entitled Pest Control, not dated, states: Ongoing measures are taken to prevent, contain, and eradicate household pests such as roaches, ants, mosquitoes, flies, mice and rats All state and local regulations are followed. On 10/30/23 at 9:30 AM, Surveyor performed the initial walkthrough of the kitchen with Dietary Supervisor (DS) M. […]

• No harm, potential for more than minimal, widespreadF880Nov 1, 2023

  Based on observation, interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The facility did not a have a clear water management process or plan in effect to prevent transmission of Legionella infection. This has potential to effect 33 of 33 residents reviewed. Observations were made of laundry and nursing staff not performing hand hygiene with delivery of linens to residents. […]

• No harm, potential for more than minimal, widespreadF727Sep 28, 2022

  The facility did not ensure they designated a Registered Nurse (RN) to serve as the Director of Nursing (DON) on a full-time basis. This had the potential to affect all 32 residents. The DON was named as the Nursing Home Administrator (NHA) on 7/23/22, leaving the DON position open since 7/23/22. This is evidenced by: On 09/26/22 at 9:26 AM, Surveyor conducted an entrance conference with DON B. When asked if there was an NHA, DON B told Surveyor that she was the acting NHA and had been working in that capacity. Surveyor asked her how long she has been the acting NHA. DON B indicated it has been since June. Surveyor asked DON B when she was informed of the change. DON B indicated she had an email and she would look for it. […]