Seton Manor Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Seton Manor Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observation, facility policy review, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dry storage area of the kitchen, and in nursing unit nourishment rooms and refrigerators. (Long Term Care, Rehabilitation, and Memory Care) Findings include: Review of the facility policy entitled, Foods Brought by Family/Visitors, dated December 17, 2025, revealed that food left for the resident to consume later would be labeled in a manner that was clearly distinguishable from facility-prepared food, and nursing staff were to label items with the resident's name, item and the use by date. It was then to have been discarded after five days. […]

• No harm, potential for more than minimal, widespreadF812Dec 11, 2021

  Based on observation it was determined that the facility failed to store food under sanitary conditions in the kitchen. Findings include: Observation during a tour of the kitchen on December 11, 2021, at 10:40 a.m , revealed that there was a hole in the wall by the dish machine, with debris from the wall on the floor beneath it. The vent on the ice cream freezer was covered in dust and dirt. In the sink next to the ice cream freezer there was garbage in the drain. The hand washing sink across from the pot sink was observed with water inside it that was not draining. In the walk-in refrigerator there was a container of chicken noodle soup dated November 25, an opened, undated container of mayonnaise, ravioli dated December 3, and whipped topping dated November 29. […]

• No harm, potential for more than minimal, patternF684Feb 12, 2026

  Based on facility policy review, clinical record review, observations, and staff interview, it was determined that the facility failed to follow physician's orders for four of 24 sampled residents. (Residents 4, 7, 15, 38)Findings include: Clinical record review revealed that Resident 4 had diagnoses that included a history of a stroke, aphasia (impaired speech production and language comprehension), and dysphagia (difficulty swallowing). The Minimum Data Set assessment, dated January 21, 2026, indicated that the resident had an enteral feeding tube (a tube inserted into the abdomen to use for nutrients, medications, and fluids directly to a person's gastrointestinal system). […]

• No harm, potential for more than minimal, patternF550Apr 26, 2024

  Based on observation, clinical record review, and staff interview, it was determined that the facility failed to ensure that a dignified environment, care, and services were provided to promote quality of life on three of three nursing units and in the dining room for four residents in one of three dining rooms. (Resident 1, 9, 64, 95) Findings include: Observation on the Cloister nursing unit on April 23 and 24, 2024, revealed a white board in the dining room displaying the date of April 20, 2024, and activities listed for that day. […]

• No harm, potential for more than minimal, patternF558Apr 26, 2024

  Based on clinical record review, observation, review of facility documentation, and staff and resident interview, it was determined that the facility failed to accommodate resident needs in a timely manner by responding to the call bell system for one of three nursing units. (Long Term Care unit) Findings include: Clinical record review revealed that Resident 76 had diagnoses that included paraplegia (paralysis), dysphagia (difficulty swallowing), anxiety, and depression. According to the Minimum Data Set assessment, dated May 16, 2024, the resident had no cognitive impairment. […]