Pickering Manor Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Oct 31, 2024

  Based on policy review, staff interview, and observation, it was determined that the facility failed to properly store food and maintain sanitary conditions in the main kitchen and in the rehabilitation unit kitchen. Findings include: Review of the facility's policy entitled, Refrigerated Storage Checkpoints, dated [DATE], revealed that foods were to be labeled, dated and used by the use-by date or discarded. An interview with the Director of Dining Services (DDS) on [DATE], at 10:15 a.m., revealed all opened food products were to have an opening date noted on them. […]

• No harm, potential for more than minimal, patternF689Sep 18, 2025

  Based on clinical record review and review of facility documentation it was determined that the facility failed to ensure that staff provided adequate supervision and assistance in order to prevent repeated falls for one of four sampled residents who were at risk for falls. (Resident 42)Findings includeClinical record review revealed that Resident 42 was admitted to the facility on [DATE], and had diagnoses that included supranuclear palsy, (neuro-degenerate disease involving a gradual deterioration of the brain), Parkinson's disease, cognitive communication deficit, anxiety, difficulty walking and unsteadiness on her feet. […]

• No harm, potential for more than minimal, patternF812Jan 6, 2022

  Based on observation, facility policy review, and staff interview, it was determined that the facility failed to store food under sanitary conditions on one of three nursing units (skilled unit). Findings include: Review of the facility policy entitled, Nursing Station Refrigerators, dated July 20, 2021, revealed that the unit refrigerators were to be maintained in a sanitary condition with a temperature range of 41 degrees Fahrenheit or lower. Observations of the West Wing unit refrigerator on January 4, 2022, revealed an internal temperature of 50 degrees Fahrenheit at 11:53 a.m., and 49 degrees Fahrenheit at 1:30 p.m. On January 5, 2022, at 10:15 a.m., the temperature was 49 degrees Fahrenheit. […]

• No harm, potential for more than minimal, isolatedF684Sep 18, 2025

  Based on clinical record review and staff interview, it was determined that the facility failed to implement physician's orders for one of 13 sampled residents. (Resident 1)Findings include: Clinical record review revealed that Resident 1 had diagnoses that included congestive heart failure, atrial fibrillation, and hypertension. A physician's order dated July 1, 2025, directed staff to weigh the resident daily and to notify the physician if there was a two to three pound (lb.) gain in 24 hours or a five pound gain in a week. A review of the care plan indicated that Resident 1 was at risk for fluid overload due to congestive heart failure. […]

• No harm, potential for more than minimal, isolatedF550Nov 8, 2023

  Based on clinical record review and observation, it was determined that the facility failed to provide assistance with dining in a manner that promoted and maintained dignity to one of 13 sampled residents. (Resident 10) Findings include: Clinical record review revealed that Resident 10 had diagnoses that included dementia. According to the Minimum Data Set assessment, dated October 31, 2023, the resident was cognitively impaired and required set up assistance from staff to eat. Review of Resident 10's current care plan revealed that staff was to provide necessary assistance at meals. Observations during breakfast on November 7, 2023, and lunch on November 6 and 7, 2023, revealed the resident was eating her meals with her fingers. […]