Menard Manor

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 15, 2024

  Based on interview and record review the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for one (Resident #1) of three residents reviewed for accidents, hazards, and supervision. CNA A, CNA B, and CNA C failed to follow the plan of care which required a 2 person assist to transfer Resident #1 with the Hoyer Lift on 11/26/23. Resident #1 was transferred to a local hospital and an x-ray confirmed a proximal tibia and fibula fracture (break, in the shinbone just below the knee). The failure resulted in actual harm to Resident #1 on 11/28/2023. It 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 investigation. […]

• No harm, potential for more than minimal, widespreadF761Dec 11, 2025

  Based on observation, interview and record review the facility failed to assure drugs and biologicals were stored properly in 1 of 1 medication room reviewed for expired medications and drug storage. The medication room contained 1 opened vial of insulin that was not dated when it was opened. The medication refrigerator contained 1 opened multi-use vial of Tuberculin PPD that had expired[PH1] . (Tuberculin is a sterile liquid containing the growth products of or specific substances extracted from the tubercle bacillus and used in intradermal skin tests for the diagnosis of tuberculosis). This deficient practice could place residents and staff at risk for not getting an accurate screening for Tuberculosis and at risk of not receiving the therapeutic dose of medication. […]

• No harm, potential for more than minimal, widespreadF812Dec 11, 2025

  Based on observation, interview and record review, the facility failed to prepare, distribute and serve food under sanitary conditions in 1 of 1 kitchen reviewed for kitchen sanitation. The ceiling fan located above the stove, dishwasher and prep table had lint and dust build up. The Maintenance Supervisor was not wearing a beard restraint when he entered the kitchen on several occasions and while food was present and open to air. [NAME] B coughed while preparing food without covering her mouth, failed to wash her hands correctly, put her bare hands into cooked food, and did not properly sanitize the thermometer while taking temperatures of food. These failures could place the residents that consumed food prepared in the kitchen at risk of food-borne illness. […]

• No harm, potential for more than minimal, patternF880Dec 11, 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 infection for two of four (Residents #1 and #26) residents reviewed for infection control, in that: The facility failed to ensure CNA E and CNA F donned PPE while performing personal care for Resident #26. The facility failed to provide PPE for residents in need of EBP for Resident #1 This failure could place residents at risk for spread of infectious diseases. […]

• No harm, potential for more than minimal, patternF656Sep 12, 2024

  Based on observation, interviews and record review, the facility failed to develop and implement a comprehensive, person-centered care plan for each resident that included measurable objectives and time frames to meet, attain, and/or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 2 of 8 residents (Resident #1 and Resident #2) reviewed for care plans. 1. The facility failed to have a care plan in place to accurately address Resident #1 diagnosis of diabetes. 2. […]