Omni Manor Nursing Home

In the surveyor’s words

From the most serious findings on record at Omni Manor Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF880Aug 23, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, review of Centers for Disease Control and Prevention (CDC) guidelines, observations, interviews, facility census review, and record review, the facility failed to conduct appropriate infection control practices by failing to ensure residents positive for COVID-19 did not cohort with residents who were negative for COVID- 19. This resulted in Immediate Jeopardy on 08/08/22 when the facility failed to implement effective practices to prevent the spread of COVID-19 when two residents positive for COVID-19 were discovered to have roommates who did not have COVID-19. […]

• Actual harm, isolatedF689Dec 8, 2022

  Based on observation, record review and interview the facility failed to ensure Resident #100 was provided adequate assistance and proper assistive devices to prevent a fall out of bed with injury. Actual Harm occurred on 12/03/22 when Resident #100, who was cognitively impaired, at risk for falls and assessed to require two staff for bed mobility sustained a fall out of bed while being provided incontinence care by one staff member (State tested Nursing Assistant (STNA) #510). At the time of the incident, STNA #510 also failed to ensure the resident's half side rail was properly locked/in place to aide in bed mobility. The resident landed on the floor and was assessed to have a laceration to her left eye brow requiring transport to the emergency room . […]

• Actual harm, isolatedF690Apr 28, 2022

  Based on observation, interview, record review, and review of facility policy, the facility failed to timely complete a voiding trial, thoroughly monitor urinary output, assess abdominal discomfort or fullness, and properly treat Resident #82's urinary retention. Due to the delay in urinary retention treatment, actual harm occurred on 04/12/22 when Resident #82's abdomen was hard and distended, she grabbed her perineal area, winced and grimaced when her perineal area was touched, had 700 cc urine output when catheterized, the catheter was attached to a drainage bag and fifteen minutes later an additional 800 cc of urine drained into the bag. On 04/13/22 at 9:56 A.M. […]

• No harm, potential for more than minimal, widespreadF812Aug 1, 2024

  Based on observation, interview and policy review the facility failed to ensure the kitchen area was maintained in a clean and sanitary manner and that all food was labeled, dated and stored properly. This had the potential to affect 119 residents receiving food from the kitchen. There were two residents identified as receiving nothing by mouth (#29 and #37). The facility census was 121. Findings include: During the initial kitchen tour conducted on 07/29/24 at 9:15 A.M. the following was observed and verified with Dietary Supervisor #168. 1. Drawer one of the right three drawer utensil cabinet for clean utensils storage had visible dirt and grease in it. 2. Drawer three of the left three drawer cabinet contained an open container of chicken stock. […]

• No harm, potential for more than minimal, widespreadF814Aug 1, 2024

  Based on observation and staff interview, the facility failed to ensure its refuse area was maintained in a clean and sanitary condition. This had the potential to affect all residents. The facility census was 121. Findings include: Observation of the outside kitchen area with Dietary Supervisor (DS) #168 on 07/29/24 at 9:15 A.M. revealed numerous items of debris including Styrofoam cups, plastic wear and other numerous refuse items around the door where garbage was taken out of the kitchen. A grey cart with wheels had bagged garbage in it that was uncovered. There were grey lids for the cart located in the area. The large dumpster for garbage was overflowing with bagged garbage. The lid for the large dumpster was unable to be closed. […]