Menno Haven Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Menno Haven Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Aug 13, 2025

  Based on review of facility policies and observations, as well as resident and staff interviews, it was determined that the facility failed to serve food items at appetizing temperatures.Findings include: The facility's current policy regarding food temperatures, dated January 8, 2025, indicated that a tray line point of service standard for cold food must be held at a temperature of 31-41 degrees Fahrenheit (F) and hot food between 155-170 degrees F. A delivery standard for cold food must be served at a temperature between 33-50 degrees F and hot food at 135-155 degrees F. Interview with Resident 38 on August 11, 2025, at 11:30 a.m. included that the resident stated, the food is always cold when I get it. Interview with Resident 35 on August 11, 2025, at 12:10 p.m. […]

• No harm, potential for more than minimal, patternF656Aug 7, 2024

  Based on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to develop a comprehensive care plan that included specific and individualized interventions to address the care needs for two of 16 residents reviewed (Residents 17, 29). Findings include: The facility's policy regarding comprehensive care plans, dated June 12, 2024, indicated that the interdisciplinary team, in conjunction with the guest and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each guest. […]

• No harm, potential for more than minimal, patternF812Aug 7, 2024

  Based on review of policies, observations, and staff interviews, it was determined that the facility failed to ensure that food was thawed as per facility policy and that food stored in the kitchen was labeled, dated and secured. Findings include: The facility's policies regarding thawing frozen foods and food storage, dated June 12, 2024, revealed that food should never be thawed at room temperature and any food that has been opened must be labeled, dated and secured in such a way that the food item is air tight. Observations in the kitchen on August 5, 2024, at 10:23 a.m. revealed that there was a total of 38 hot dogs thawing on the counter at room temperature. […]

• No harm, potential for more than minimal, patternF842Aug 7, 2024

  Based on review of clinical records, as well as staff interviews, it was determined that the facility failed to maintain clinical records that were complete and accurately documented for three of 16 residents reviewed (Residents 11, 26, 29). Findings Include: An admission Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 11, dated June 11, 2024, revealed that the resident was understood, could understand others, and had diagnoses that included a hip fracture. […]

• No harm, potential for more than minimal, patternF694Sep 7, 2023

  Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that long-term intravenous catheters were flushed according to physician's orders for one of 19 residents reviewed (Resident 42). Findings include: The facility's policy regarding flushing intravenous catheters (a thin tube inserted into a vein and used long-term for the administration of fluids and/or medications), dated July 12, 2023, indicated that central venous access catheters would be flushed after each infusion to clear infused medications. […]