Memorial Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Mar 24, 2022

  Based on observations, interviews, and record review, the facility failed to maintain food safety requirements with storage, preparation, and distribution in accordance with professional standards for food service safety which included: failure to maintain sanitary conditions and failure to maintain adequate holding temperatures. The findings included: 1. During the initial tour of the kitchen conducted on 03/21/22 at 8:45 AM, accompanied by the Executive Chef and Operations Manager, the following were noted: a. A lanyard with about 10 keys was stored on top of the food preparation table. The Executive Chef acknowledged that the keys should not have been stored on top of the food preparation table. b. […]

• No harm, potential for more than minimal, patternF812Apr 1, 2021

  Based on observations and interviews, the facility failed to maintain a safe, clean, comfortable, and homelike environment in 2 out of 2 supplement storage rooms and the facility failed to maintain food safety requirements with storage, preparation, and distribution in accordance with professional standards for food service safety which included: failure to maintain sanitary conditions in the kitchen and failure to maintain sanitary conditions in 2 out of 2 nourishment rooms. The findings included: During the initial tour of the kitchen conducted on 03/29/21 at 8:52 AM, accompanied by the Food Service Director (FSD) and the Executive Chef, the following were noted: 1. Staff N, Cook, was observed walking through the kitchen without a hairnet. […]

• No harm, potential for more than minimal, isolatedF684Apr 23, 2026

  Based on record review and interview, the facility failed to respond to a change in a resident's condition in a timely manner for 1 of 3 sampled residents reviewed for hospitalizations (Resident #1), as evidenced by failing to assess a resident with symptoms of a Gastrointestinal (GI) Bleed, and notification to the physician for over 6.5 hours later. The findings included:| A review of the facility's policy titled Change In A Resident's Condition Or Status, dated October 1990 and last revised in January of 2026, documented it is the policy of the facility to consult with the resident immediately and notify the attending physician of the following: an accident/fall or any injury; a significant change in the resident's physical, mental or psychosocial status; a need to alter treatment… […]

• No harm, potential for more than minimal, isolatedF695Apr 23, 2026

  Based on observation, interview, and record review, the facility failed to follow physician's orders for 2 of 2 sampled residents reviewed for ventilators (Resident #9 and Resident #149); failure to follow physician orders for oxygen therapy for 2 of 2 sampled residents reviewed for oxygen (Resident #154 and Resident #52); and failure to monitor a resident during nebulizer therapy for 1 of 1 sampled resident reviewed for nebulizer therapy (Resident #52). The findings included: A record review of the facility's policy titled, Oxygen Administration PH 180-426, with an effective date of 04/2026, documented under procedure that: Oxygen is administered under orders of a physician. […]

• No harm, potential for more than minimal, isolatedF880Apr 23, 2026

  Based on observation and interview, the facility failed to failure to ensure the infection control program was implemented by providing equipment for proper hand hygiene in the soiled linen area of the laundry room. The findings included:A review of a facility policy titled, Laundry PH 180-886, with an effective date of 04/2026, revealed the following: The facility launders linens and clothing in accordance with current Center for Disease Control and Prevention (CDC) guidelines to prevent transmission of pathogens.Memorial Manor's laundry area will provide hand washing facilities and products as well as personal protective equipment (PPE). A review of the facility's policy titled, Handling Soiled Linen, implemented on 07/01/23, documented to wash hands after contact with soiled linen (8). […]