Marycrest Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 9, 2026

  Based on observation, interview and record review, the facility failed to ensure for 43 of 44 medically compromised and vulnerable residents who received food from the kitchen: Ensure food items were labelled with opened and use by dates.Ensure dented cans were separated from useable stock and placed in specified labeled area. These failures had the potential to result in harmful bacteria growth and cross contamination (a transfer of harmful bacteria from one place to another or one object to another) that could lead to foodborne illness (an illness caused by food contaminated with bacteria, viruses, and other toxins). […]

• No harm, potential for more than minimal, widespreadF812Mar 8, 2023

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage practices in the kitchen when: 1. A container of juice attached to the juice dispenser in the kitchen was not dated after being opened. 2. Several food items were not dated, labeled, and sealed after opening in, the walk-in refrigerator. A bag of thawed and open bacon was in an unsealed box with no open date or used by date. Boxes of meat beef, and chicken was stored above containers of juices (cranberry and orange) in the walk-in refrigerator. 3. […]

• No harm, potential for more than minimal, patternF803Jan 9, 2026

  Based on observation, interview and record review, the facility failed to ensure residents had an alternative system of notification of lunch menu substitutions when an overhead page was not heard by three of three sampled residents. (Resident 4, Resident 23 and Resident 24). This deficient practice had the potential for residents to not be notified and substitutions and preferences to not be honored. Findings: During a concurrent observation and interview on 1/6/2026 at 11:55 a.m. with [NAME] 1 (CK1) in the kitchen, the food prepared for lunch was observed. CK1 stated the lunch dessert cranberry crunch square was substituted with raspberry parfait and the lunch vegetable broccoli was substituted with sauteed spinach. […]

• No harm, potential for more than minimal, patternF804Jan 9, 2026

  Based on observation, interview and record review the facility failed to ensure therapeutic menu (meal plan that controls the intake of certain foods or nutrients) portion sizes were followed for 43 of 44 medically compromised and vulnerable residents who received food from the kitchen. This deficient practice had the potential to place residents at risk for not having nutritional needs met and potential weight gain. Findings: During an observation on 1/6/2026 at 11:55 a.m. in the kitchen, [NAME] (CK) 1 was observed scooping polenta onto resident's plates using one half cup scoop size. During a concurrent interview and record review on 1/6/2026 at 12:20 p.m. with [NAME] (CK) 1, the therapeutic menu spreadsheet dated 1/6/2026 was reviewed. […]

• No harm, potential for more than minimal, patternF812Feb 16, 2025

  Based on interview and record review, the facility failed to: 1. Maintain and notify the dietary supervisor of the temperature being out of range in one of the walk-in refrigerators during the month of February. This deficient practice had the potential for food spoilage and can cause foodborne pathogens in the residents. Findings: During a review of the Refrigerator Temperature Log, dated February 2025, it indicated the walk-in refrigerator located towards the back of the kitchen for February 2025 had the following temperatures recorded: 44 Fahrenheit ( F- measurement of temperature) on 2/6 at 5:00 a.m. 42 F on 2/8 at 5:30 a.m. 45 F on 2/10 at 5:30 a.m. 45 F on 2/11 at 5:40 a.m. During a concurrent interview and record review on 2/16/2025 at 9:30 a.m. […]