Marley Neck Rehabilitation and Wellness Center

In the surveyor’s words

From the most serious findings on record at Marley Neck Rehabilitation and Wellness Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 30, 2025

  Based on observations, interviews and record reviews it was determined that the facility failed to store food in a manner that maintains professional standards of food service safety. This practice had the potential to affect all residents eating food prepared by the facility's kitchen. The findings include: During the initial tour of the main kitchen on 6/16/25 at 08:00 AM with the Certified Dietary Manager (CDM), the following items were found open, unlabeled, and undated. 1. Frozen Omelets were found in a clear plastic bag on a shelf in the freezer. The bag was open and not labeled or dated. 2. An opened container of Tajín seasoning was found on a shelf in the kitchen area. […]

• No harm, potential for more than minimal, patternF679May 27, 2022

  Based on observations and interviews with facility staff it was determined the facility failed to provide ongoing activities to residents. This deficient practice has the potential to affect all residents. This was found to be evident when multiple observations were made during the survey. The findings include: While conducting the facility's annual survey, multiple observations were made on the nursing unit as follows: On 5/18/22 at 12:14 PM an observation was made and there were no activities taking place. On 5/19/22 at 11:00 AM an observation was made and there were no activities taking place. On 5/24/22 at 1:00 PM an observation was made and there were no activities taking place. […]

• No harm, potential for more than minimal, isolatedF609Mar 18, 2026

  Based on review of an email and interviews it was determined that the facility staff failed to report an allegation of verbal abuse to the state agency. This deficient practice was evidenced in 1 (#4) of 2 allegations of abuse reviewed during the complaint survey.The findings include:On 03/11/26 at 4:01pm during an interview with Resident #4 the surveyor asked about the incident when the Geriatric Nursing Assistant's (GNA) were talking about them as if they were not present. The resident verbalized they sent an email to Administrator #1 and Director of Nursing (DON) #2 about the incident.On 03/12/26 at 11:14 am during an interview with Administrator #1 she verbalized Resident #4 emailed them about their concern, but she was out sick and DON #2 was at a hearing. […]

• No harm, potential for more than minimal, isolatedF610Mar 18, 2026

  Based on review of email and interviews it was determined that the facility staff failed to investigate an allegation of verbal abuse. This deficient practice was evidenced in 1 (#4) of 2 allegations of abuse reviewed during the complaint survey.The findings include:On 03/11/26 at 4:01pm during an interview with Resident #4 the surveyor asked about the incident when the Geriatric Nursing Assistant's (GNA) who were talking about them as if they were not present. The resident verbalized an email was sent to Administrator #1 and Director of Nursing (DON) #2 about the incident.On 03/12/26 at 11:14 am during an interview with Administrator #1 she verbalized Resident #4 emailed them about their concern, but she was out sick and DON #2 was at a hearing. […]

• No harm, potential for more than minimal, isolatedF658Mar 18, 2026

  Based on medical record review and interviews it was determined that the facility staff failed to document a resident's pain score after administering pain medication and failed to administer oxygen therapy and report to the provider a resident's oxygen saturation decreased to 86%-87%. This deficient practice was evidenced in 1 (#3) of 5 resident records reviewed during the complaint survey.The findings are:1. On 03/10/26 at 9:06 am a review of Resident #3 medication administration record (MAR) the resident was prescribed Methadone 10 mg PO (by mouth) BID (twice a day) for pain and Oxycodone 10 mg q (every) 8 hours PRN (as needed) for pain. On 02/06 @7:33 am Licensed Practical Nurse # documented they administered Oxycodone 10 mg PO to the resident. […]