Mt Macrina Manor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 12, 2026

  Based on facility policy review, clinical record review, facility submitted documents, and staff interviews, it was determined that the facility failed to provide adequate supervision to prevent elopement (resident exits to an unsupervised and unauthorized location without staff's knowledge) for one resident (Resident R1). This failure created an immediate jeopardy situation for 13 of 122 residents assessed by the facility to be at risk for elopement (Resident R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, and R13). The immediate jeopardy was cited as past noncompliance. […]

• Actual harm, isolatedF600Nov 14, 2022

  Based on review of facility policy and clinical records, observations, and staff interviews, it was determined that the facility neglected to provide the appropriate staff assistance of one person physical assist for eating, which resulted in physical harm in the form of second degree burns of left thigh and left hip for one of three residents (Resident R1) and failed to ensure resident was free from mental abuse resulting in resident feeling emotionally distressed for one of three (Resident R2). […]

• Actual harm, isolatedF689Nov 14, 2022

  Based on review of facility policy and clinical records, observations, and staff interviews, it was determined that the facility failed to make certain each resident receives adequate supervision and assistance to prevent accidents for one of three residents. (Resident R1). Findings include: Review of facility policy Abuse - Prevention, Identification, Investigating and Reporting of Abuse, Neglect, Mistreatment or Exploitation of a Resident or Misappropriation of Resident Property dated 1/5/22, indicated that Neglect is defined as a failure of a facility, it's employees or service providers, to provide goods and services to a resident that are necessary to avoid physical harm, mental anguish, or mental illness. […]

• Actual harm, isolatedF689Jul 22, 2021

  Based on a review of facility policies, clinical records and facility specific documents, and staff interviews, it was determined that the facility failed to provide adequate supervision, implement effective fall interventions and utilize the ordered two person physical assistance to promote resident safety, resulting in a preventable accident and actual harm when the resident fell from the bed during care for one of four residents (Resident R87). Findings include: The Resident Assessment Instrument (RAI) User's Manual, which gives instructions for completing the Minimum Data Set (MDS-periodic assessment of care needs) assessments, dated October 2018, indicated that Section G: Functional Status, Question G0110 A indicates Bed Mobility is how the resident moves to and from lying position,… […]

• No harm, potential for more than minimal, widespreadF880Jan 29, 2026

  Based on a review of facility policy, observation, and staff interview, it was determined that the facility failed to ensure an environment free from the potential spread of infection for seven of seven residents (Resident R1, R2, R3, R4, R5, R6, and R7) and two of three employees (Employee E1 and E2).Findings include: Review of the Pennsylvania Department of Health Respiratory Virus Outbreak Toolkit dated 11/24/25, indicated:-Respiratory Virus Outbreaks: All respiratory virus outbreaks are reportable to PA DOH [NAME] (Pennsylvania Department of Health Bureau of Epidemiology) within 24 hours. -LTCF (long-term care facility) Outbreak Definitions: (1) confirmed case of respiratory virus and (1) acute respiratory illness symptomatic resident -or- (2) confirmed cases of respiratory virus. […]