Montclair Manor Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 4, 2025

  Based on observation, interview, and record review, the facility failed to ensure safe, sanitary food preparation, and storage practices in the kitchen when: 1. The ice machine had yellow grime (dirt clinging to or rubbed into a surface) in the ice chute (a passage, often filled with ice). This had the potential for contribution of microorganism (tiny living things like bacteria, fungi and algae that are too small to be seen with the naked eye) growth. 2. The floor under the reach-in refrigerator had a black grime and trash. This had the potential of pathogenic (something that can make you sick like germs or viruses) microorganisms to accumulate and attract pests. 3. Inside the refrigerator, the chicken was thawing (to unfreeze) over another set of meat. […]

• No harm, potential for more than minimal, widespreadF925Apr 4, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective pest (insect or animal such as rodents that can spread disease) control program when in the kitchen, a closet, used to store paper goods (paper cups, paper plates, napkins, etc.), had missing drywall. The hole caused by the missing drywall was covered by a metal mesh wire (a net like material that has holes) cover. This failure had the potential of making an entry for pests and causing food contamination for 54 medically compromised residents who receive food from the kitchen. Findings: During an observation on April 1, 2025, at 8:03 AM, in the kitchen's storage area, a closet, used to store paper goods, had a hole in the wall. […]

• No harm, potential for more than minimal, widespreadF812Oct 7, 2022

  Based on observation, interview, and record review, the facility failed to maintain professional standards for food service safety when two sinks in the kitchen did not have an air gap (separation of the drainpipe on a sink to prevent backflow of contaminated water during negative pressure). This failure had the potential to expose 48 highly vulnerable residents who received food from the kitchen to food-borne illness (food poisoning). Findings: During a concurrent observation and interview, with the Dietary Services Supervisor (DSS), in the kitchen, on October 4, 2022, at 8:15 AM, two sinks, one food preparation sink and one dishwashing sink, did not have an air gap. […]

• No harm, potential for more than minimal, widespreadF814Oct 7, 2022

  Based on observation, interview, and record review, the facility failed to ensure one of three outside dumpster lids were completely closed. This failure had the potential to attract vermin (pest or animals that spread diseases) in a facility that cares for 49 medically compromised residents. Findings: During a concurrent observation and interview, on October 4, 2022, at 11:12 AM, with the Maintenance Supervisor (MS), the outside garbage storage area was inspected. There were three outside dumpsters. One of the outside dumpster's lid was not closed completely. It was observed to be propped open with a long metal bar. There were plastic forks, straws, sugar packets, creamer, and milk containers on the ground. […]

• No harm, potential for more than minimal, patternF692Apr 4, 2025

  Based on observation, interview, and record review, the facility failed to ensure physician ordered therapeutic diets (special meal plans, made for people with health problems) were provided to three of 11 residents (Residents 34, 48, and 41) reviewed for dining observation when: 1. Residents 34 and 48 did not receive their physician ordered cardiac diet (low sodium, low fat diet). 2. Resident 41 did not receive the prescribed therapeutic diet for lunch on April 1, 2025. These failures had the potential to cause nutritional decline and unmet care needs for Residents 41, 34 and 48. Finding: 1. […]