Maryhill Manor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jun 25, 2024

  Based on staff interview and record review, the facility did not ensure the resident environment remained free from abuse for 2 residents (R) (R2 and R4) of 5 sampled residents. R2 reported to Activity Aide (AA)-D on 6/6/24 that R1 had touched R2's breast in the hallway that morning. Nursing Home Administrator (NHA)-A and Director of Nursing (DON)-B reviewed camera footage on 6/6/24, interviewed both residents, and determined the allegation did not occur. Monitoring interventions were not implemented for R1. On 6/7/24, Social Services Director (SSD)-C informed NHA-A and DON-B that SSD-C had seen R1 and R2 in the lounge after lunch on 6/6/24. NHA-A and DON-B again reviewed camera footage and determined R1 had touched R2 inappropriately on 6/6/24 at approximately 1:04 PM. […]

• No harm, potential for more than minimal, widespreadF812Mar 25, 2026

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect all 46 residents residing in the facility. The facility did not test the temperature of the sanitizing solution used in sanitizing buckets and the 3-compartment sink per manufacturer's recommendations. In addition, the facility did not monitor parts per million (PPM) of the sanitizing solution. The facility did not consistently label resident food with use-by dates and ensure timely disposal of expired items. […]

• No harm, potential for more than minimal, widespreadF812Nov 6, 2024

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. The practice had the potential to affect all 45 residents residing in the facility. Staff did not monitor and document food cooling temperatures. Staff did not serve food in a manner that protected residents from cross-contamination. Staff did not perform appropriate hand hygiene and safe food handling practices when serving food. Findings include: On 11/5/24 Dietary Manager (DM)-D indicated the facility followed the Wisconsin Food Code. […]

• No harm, potential for more than minimal, widespreadF803Sep 27, 2023

  Based on observation, staff interview, and record review, the facility did not ensure menu serving sizes for regular and pureed diets were followed for 42 of 42 residents residing in the facility. The facility did not follow menu serving sizes to ensure the nutritional needs of residents were met. Findings include: The facility's Food Preparation Guidelines policy, last revised on 8/1/23, included the following: .1. The cook, or designee, shall prepare menu items following the facility's written menus and standardized recipes . […]

• No harm, potential for more than minimal, widespreadF812Sep 27, 2023

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect 42 of 42 residents residing in the facility. The facility did not ensure time/temperature control foods were labeled with open or use-by dates. Residents' food in snack/nourishment refrigerators did not contain expiration dates to prevent the potential for foodborne illness. Staff did not wear hair restraints consistently throughout the kitchen. Findings include: On [DATE], Dietary Manager (DM)-D indicated the facility follows the Wisconsin Food Code as their standard of practice. 1. […]