New Hope Manor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF580Oct 14, 2024

  Based on observations, interviews, and record review, the facility failed to immediately inform the resident; consult with the resident's physician; and notify, consistent with his or her authority, the resident representative(s) when there is a significant change in the resident's physical, mental, or psychosocial status or a need to alter treatment significantly for one (Resident #1) of four residents reviewed for change in condition. The facility failed to notify the NP in a timely manner when Resident #1 voiced pain to her left knee, swelling, and heat to the touch was observed by LVN B. LVN B noted swelling and warm to touch on Resident #1's knee at approximately 4:00 PM. LVN B noted they contacted the NP when Resident #1's family was present at approximately 10:00 PM. […]

• Immediate jeopardy, isolatedF689Oct 14, 2024

  Based on observations, interviews, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of four residents reviewed for change in condition. LVN A did not ensure Resident #1, who had a history of a left hip fracture, had a footrest on her wheelchair before transferring her, resulting in a fractured left patella (kneecap). The noncompliance was identified as PNC IJ. The IJ began on 09/04/24 and ended on 09/21/24. The facility had corrected the noncompliance before the investigation began. This failure placed residents at risk of not receiving adequate assistance devices, accidents during transfers, harm, sustaining injuries, and hospitalization . […]

• Immediate jeopardy, isolatedF697Jan 25, 2024

  Based on observation, interview, and record review, the facility failed to ensure that pain management was provided to a resident who required such services, consistent with professional standards of practice for one (Resident #1) of four residents reviewed for pain, in that: The facility failed to provide effective pain management for Resident #1 while on hospice services and comfort measures in place. He was found by his Hospice Nurse on 12/24/23 writhing in pain, thrashing, grimacing, and mouthing help me. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 01/24/24 at 5:01 PM. […]

• No harm, potential for more than minimal, widespreadF812Dec 14, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation. The facility failed to ensure Dietary Aide B, Dietary Aide C, and Dietary Cook D properly sanitized her hands between tasks. These failures could place residents who were served from the kitchen at risk for health complications, foodborne illnesses, and decreased quality of life. Findings included: 1. Observation on 12/12/2023 beginning at 7:40 AM revealed Dietary Aide B was not wearing gloves. She touched her shirt, picked up her personal cell phone, and touched disinfectant wet cloth to wipe the food prep table. […]

• No harm, potential for more than minimal, patternF803Mar 18, 2026

  Based on observation, interview, and record review, the facility failed to follow the menu for 7 of 30 residents reviewed (Resident #11, Resident #12, Resident #26, Resident #29, Resident #54, Resident #66) for diet orders. The facility failed to ensure dietary staff served ground meat on 3/16/2026 for residents on a mechanical soft diet. This failure could place residents on mechanical soft diets at risk of choking and not receiving adequate nutrition.Findings included: Record review of Resident #11's face sheet dated 3/18/2026 reflected a [AGE] year-old female readmitted on [DATE]. Record review of Resident #11's MDS assessment dated [DATE] reflected a BIMS score of 3, which indicated severely impaired cognition. […]