Stella Manor Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF761Oct 12, 2023

  Based on observation, interview and policy review, the facility failed to store controlled medications securely in 3 of 3 medication rooms. The findings are: On 10/11/2023 at 8:42 AM, the Surveyor toured the North/Northeast Medication Room with Registered Nurse (RN) #1. Inside the refrigerator, on a shelf was a red plastic tub containing what RN #1 identified as (1) unopened 30 milliliter (mL) bottle labeled as Lorazepam, (2) unopened 1 mL vials labeled as Lorazepam, and (4) unopened single-use syringes labeled as Lorazepam. The medications were not stored in a separately locked, permanently affixed compartment. […]

• No harm, potential for more than minimal, widespreadF812Oct 12, 2023

  Based on observation and interview, the facility failed to ensure the ice scoop holder was maintained in clean and sanitary condition, expired dairy products and food items were promptly removed / discarded on or before the expiration or used by date to prevent the growth of bacteria; and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The findings are: On [DATE] at 9:33 AM, there were 4 cartons of half and half on a shelf in the walk-in refrigerator with an expiration date of [DATE]. On [DATE] at 9:40 AM, five 5-lb boxes of carrot cake mix were on a rack in the storage room with an expiration date of [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Jul 14, 2022

  Based on observation, record review and interview, the facility failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen: expired dairy products and food items were promptly removed / discarded on or before the expiration or use by Date to prevent the growth of bacteria; dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential for cross contamination: and failed to ensure 1 of 2 ice machines was maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, widespreadF812May 7, 2021

  Based on observation and interview, the facility failed to ensure food items stored in the dry storage areas were sealed; failed to ensure dietary staff washed their hands before handling clean equipment or food items failed to ensure expired food items were promptly removed/ discarded on or before the expiration or use by dates and failed to ensure dented cans were removed/discarded to prevent potential for bacteria growth and/or food borne illnesses for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 65 residents who meals from the kitchen. (Total Census 67), according to the list provided by the Dietary Supervisor on [DATE] at 2:10 p.m. The findings are: 1. […]

• No harm, potential for more than minimal, patternF812Jun 11, 2026

  Based on observation, interview, and facility policy review, it was determined that the facility failed to ensure food was stored and prepared in sanitary conditions for one of one kitchen. The findings include: During an observation and concurrent interview with Dietary Aide (DA) #1 on 06/08/2026 at 12:15 PM, the following were observed: -Gray particles in the air under the fan and dark gray matter on the ceiling above the fan. Debris becoming dislodged from the ceiling was seen settling in the vicinity of food preparation areas. -A partially used, opened box of frozen meat patties (approximately 30) were noted to be stored without a received, or an opened date. […]