Sears Manor Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584May 21, 2025

  Based on observations, interviews, and record review, the facility failed to 1. ensure resident rooms, dining rooms, and hallways were clean and in good repair and 2. ensure a homelike environment was maintained by repairing three indentions measuring 16 inches x 3 inches in the wall behind the resident's bed for one resident (Resident (R) 9) out of a total sample of 25 residents. This failure had a potential to create the lack of a homelike environment for 19 out of 52 resident rooms and facility common areas. Findings include: 1. […]

• No harm, potential for more than minimal, patternF657May 21, 2025

  4. Review of R38's admission Record, located under the Profile tab of the EMR revealed he was admitted to the facility on [DATE] and had diagnoses including hemiplegia and hemiparesis affecting left non-dominant side, anemia, left hand contracture, and history of stroke. Review of R38's quarterly MDS, with an ARD of 03/12/25 and located under the MDS tab of the EMR, revealed he scored 11 out of 15 on the BIMS, indicating moderately impaired cognition. R38 had impaired range of motion in the upper and lower extremities on one side. He was independent with bed mobility, required touching/supervision with lying to sitting, and required partial/moderate assistance with bed to chair transfers. […]

• No harm, potential for more than minimal, patternF880May 21, 2025

  Based on interview and policy review, the facility failed to 1. to develop an effective infection surveillance program in order to conduct appropriate prevention or control activities and 2. ensure staff used appropriate personal protective equipment (PPE) for one of five residents (Resident (R) 59) reviewed for enhanced barrier precautions in a sample of 25. These failures had the potential to cause an avoidable spread of infection throughout the facility. Findings include: 1. During an interview on 05/20/25 at 1:57 PM, the Infection Preventionist (IP) stated her surveillance included reporting on the number of antibiotics used and the number of facility-acquired infections. […]

• No harm, potential for more than minimal, patternF881May 21, 2025

  3. Review of R48's undated admission Record located in the electronic medical record (EMR) under the Profile tab revealed R48 was admitted to the facility on [DATE] with diagnoses which included Urinary Tract Infection (UTI). Review of R48's Physician's Orders, dated 03/06/25, provided by the facility, revealed Cipro (broad spectrum antibiotic) 250 milligrams (MG) twice a day for seven days. Review of R48's Health Status Note, dated 03/04/25, located in the EMR under the Prog Notes tab, revealed R48 returned to nursing facility at 3:12 AM on stretcher via transport services. Resident is alert and oriented x 1 [times one] with confusion . Resident will start Cefuroxime [broad spectrum antibiotic] 500 mg [milligrams] BID [twice a day] x [for] 10 days for treatment of UTI. […]

• No harm, potential for more than minimal, isolatedF550May 21, 2025

  Based on observation, record review, interview, and facility policy review, the facility failed to ensure residents were treated with dignity for one of 25 sampled residents (Resident (R) 34). This failure had the potential to cause residents to feel intimidated when staff feed them while standing up next to them. Findings include: Review of the facility's policy titled Assistance with Meals, dated 02/04/01, provided by the facility, revealed Policy Statement Residents shall receive assistance with meals in a manner that meets the individual needs of each resident. Policy Interpretation and Implementation Dining Room Residents: a- All residents will be encouraged to eat in the dining room. b. […]