Miller's Merry Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF880Dec 20, 2024

  Based on observation, interview, and record review, the facility failed to implement infection control practices for 1 of 2 residents reviewed for urinary catheters. The urinary catheter bag was on the floor.(Resident 54) Findings include: On 12/17/24 at 11:02 a.m., Resident 54 was observed to be sitting in her wheelchair with a urinary catheter drainage bag in a privacy bag placed under the wheelchair. The privacy bag was dragging the floor as the staff was pushing her in the wheelchair. On 12/17/24 11:13 a.m., Resident 54 was observed to be sitting in her wheelchair with a urinary catheter drainage bag in a privacy bag placed under the wheelchair. […]

• No harm, potential for more than minimal, isolatedF584Feb 23, 2024

  Based on observation, interview, and record review, the facility failed to ensure a resident's wheelchair was clean for 1 of 1 residents reviewed for feeding tubes. (Resident 19) Findings include: During a family interview on 2/20/24 at 11:39 a.m., Resident 19's wife indicated when she comes to visit, Resident 19 was always covered in sticky tube feeding solution. She indicated it's all over his clothes, his wheelchair, and on the bedroom floor. She wished the facility would be more careful to make sure the tube feeding did not get all over the place. During an observation at that time, a light-brown substance on various spots on the seat and the wheels of his wheelchair was observed. On 2/20/24 at 11:50 a.m., Resident 19's clinical record was reviewed. […]

• No harm, potential for more than minimal, isolatedF641Feb 23, 2024

  Based on record review and interview, the facility failed to ensure information regarding the administration of insulin was correctly entered in the Minimum Data Set assessment for 1 of 4 residents reviewed for unnecessary medications. (Resident 12) Finding includes: On 2/23/24 at 11:25 p.m., Resident 12's clinical record was reviewed. The diagnoses included, but were not limited to, chronic atrial fibrillation and diabetes. The Quarterly Minimum Data Set assessment (MDS), dated [DATE], indicated the resident had received 7 insulin injections within the past 7 days. A physician's order with a start date of 4/20/23 indicated the resident had been prescribed a 100 unit Humalog (insulin) solution injection on a sliding scale. […]

• No harm, potential for more than minimal, isolatedF760Aug 2, 2023

  Based on interview and record review, the facility failed to ensure residents were free from significant medication errors for 1 of 3 residents reviewed. (Resident B) Finding includes: On 8/2/23 at 11:00 a.m., the clinical record for Resident B was reviewed. The diagnoses included, but were not limited to, cerebral vascular accident (CVA) and hypertension. A review of the admission home health orders, dated 6/29/23, included, but were not limited to: - Chlorthalidone (a diuretic medication) 25 mg (milligrams), give one half tablet daily, dated 6/29/23. […]

• No harm, potential for more than minimal, isolatedF755Feb 15, 2023

  Based on interview and record review, the facility failed to ensure an accurate record of dispensing for a narcotic pain medication. The nurse failed to have a second nurse verify a narcotic pain medication was disposed before preparing and administering a second dose of the medication. (Resident B, LPN 1) Finding includes: During an interview on 2/15/23 at 9:50 a.m., the Administrator indicated an investigation was completed when LPN 1 (Licensed Practical Nurse) dropped an oxycodone (narcotic pain medication) 5 mg (milligram) tablet on the floor. She prepared another dose for Resident B without having a second nurse verify the first pill was wasted. The clinical record for Resident B was reviewed on 2/15/23 at 10:04 a.m. […]