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, patternF744May 10, 2022

  Based on interview and record review the facility failed to ensure behavior tracking was completed for 5 out of 5 residents reviewed. (Resident 16, Resident 18, Resident 25, Resident 37, and Resident 45) Findings include: 1. A record review for Resident 16, started on 5/5/22 at 1:18 PM, indicated diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident 16's MDS (Minimal Data Set) dated 2/15/22, section for mood indicated feeling down, depressed, or hopeless, poor appetite or overeating, and trouble concentrating. In section for behavior of MDS indicated no behaviors. […]

• No harm, potential for more than minimal, isolatedF684May 22, 2024

  Based on observation, interview, and record review the facility failed to ensure safe positioning, skin and wound care was provided for 2 of 4 residents reviewed (Resident 17 and Resident 34). Findings include: 1. In an interview on 5/21/24 at 2:25 PM, Resident 34 indicated they had an infected wound on their left foot. Resident 34 indicated the wound on their left foot was caused by wearing their shoes without wearing socks. Resident 34's record was reviewed on 5/21/24 at 2:40 PM. Diagnoses included diabetes, chronic kidney disease, congestive heart failure, and an unstageable pressure ulcer of the left heel. Resident 34's Quarterly Minimum Data Set (MDS) dated [DATE] indicated the resident's Brief Interview for Mental Status (BIMS) score was 15 (cognitively intact). […]

• No harm, potential for more than minimal, isolatedF686May 22, 2024

  Based on observation, interview and record review, the facility failed to ensure procedures were maintained per facility policy to prevent infection and to promote comfort during the healing of pressure injuries for 1 of 1 resident reviewed (Resident 34). Findings include: In an interview on 5/21/24 at 2:25 PM, Resident 34 indicated they had an infected wound on their left foot. Resident 34 indicated they had been taking antibiotics for the wound infection. Resident 34 indicated the wound on their left foot was caused by wearing new shoes without wearing socks. Resident 34's record was reviewed on 5/21/24 at 2:40 PM. […]

• No harm, potential for more than minimal, isolatedF880May 22, 2024

  Based on observation, interview and record review, the facility failed to ensure standard precautions for infection prevention were maintained during a dressing change for 1 of 1 resident reviewed (Resident 34). Findings include: In an interview on 5/21/24 at 2:25 PM, Resident 34 indicated they had a wound on their left foot. Resident 34 indicated the wound on their left foot was caused by wearing their shoes without socks. Resident 34 indicated they had started taking antibiotics due to an infection in the wound. Resident 34's record was reviewed on 5/21/24 at 2:40 PM. […]

• No harm, potential for more than minimal, isolatedF557May 19, 2023

  Based on observation, interview and record review, the facility failed to ensure personal possessions were labeled and stored for only individual use for 2 of 6 residents reviewed (Resident 8 and Resident 48). Findings include: During an observation of room [ROOM NUMBER] on 5/11/23 at 10:12 AM, Resident 8 and Resident 48 were residing in the room as roommates with a shared bathroom. In the bathroom, two bottles of [NAME] body wash, a bottle of Softsoap body wash and a bottle of [NAME] de Terre shampoo were observed sitting on the grab bar inside the shower. None of the items had names or markings identifying their owner. […]