Marshall Manor Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Marshall Manor Nursing & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF607Aug 1, 2022

  Based on interview, observation, and record review the facility failed to ensure residents were free from abuse for 1 of 7 residents reviewed for abuse. (Resident #6) The facility failed to immediately remove Resident #6 from the situation when her private sitter was physically and verbally abusing her. This failure could place residents at risk for physical abuse, mental abuse, and emotional abuse, and harm. This was determined to be past non compliance due to the facility having implemented actions that corrected the non compliance prior to the beginning of the survey. Findings included: Record review of Resident #6's face sheet indicated she was a [AGE] year old female who admitted on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF584Jul 29, 2026

  Based on observation, interviews, and record review, the facility failed to provide a safe, clean, sanitary, comfortable, and homelike environment for 3 of 22 resident rooms. (Residents # 56, #95, #103) 1. The facility failed to provide Resident #56 with intact window coverings with no broken/damaged areas. 2. The facility failed to provide Resident #95 with a safe toilet that had an appropriate lid on the tank of the toilet. 3. The facility failed to maintain a leaking air vent affecting Resident #103. These failures could place residents at risk of an unsafe, unsanitary, uncomfortable environment, embarrassment due to rooms not appearing homelike, and a decrease in quality of life and self-worth. Findings included: 1. […]

• No harm, potential for more than minimal, patternF688May 7, 2025

  Based on observations, interviews, and record review, the facility failed to provide residents with limited range of motion appropriate treatment and services to increase range of motion and to prevent further decrease in range of motion for 2 of 5 residents reviewed for range of motion. (Resident #38 and Resident #65) 1. The facility failed to provide restorative therapy for limited range of motion for Resident #38 as recommended by occupation therapy on 04/22/25. 2. The facility failed to ensure Resident #65 wore a left upper extremity splint (is a medical device that stabilizes a part of your body and holds it in place) per the facility's range of motion/contracture (is a permanent shortening or stiffening of a muscle, tendon, or joint, leading to a loss of mobility and range of… […]

• No harm, potential for more than minimal, patternF880May 7, 2025

  Based on observations, interviews, and record review, the facility failed to 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 for 2 of 19 residents (Resident # 81 and Resident #89) and 1 of 1 Laundry room reviewed for infection control practices. 1.The facility failed to ensure CNA O changed her gloves or sanitized her hands after performing incontinent care and applying a clean brief for Resident #81. […]

• No harm, potential for more than minimal, patternF656Apr 10, 2024

  ased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan to meet each resident's medical, nursing, mental and psychosocial needs for 3 of 19 residents reviewed for care plans. (Resident# 13, Resident #47, Resident #73) 1. The facility failed to develop a care plan for Resident #13 and Resident #47's use of a transfer bar. 2. The facility failed to implement Resident #73's care plan intervention to wear a seizure safety helmet while out of bed on 04/09/24. These failures could place residents at risk of not having individual needs met and cause residents not to receive needed services. Findings included: 1. […]