Talihina Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 1, 2024

  Based on observation and interview, the facility failed to serve food in a sanitary manner. The administrator stated 23 residents received their meals from the kitchen. Findings: On 02/25/24 at 12:01 p.m., during the service for the noon meal, one staff member from the kitchen was observed taking out a tray of food while the other kitchen staff member was plating the next resident's meal. The staff delivering the trays was observed to take the meal out on a tray and then return to the kitchen with the same tray and putting it down for a new meal to be served on it. The staff member was not sanitizing the tray between each meal and was not observed to wash their hands when they entered the kitchen. […]

• No harm, potential for more than minimal, patternF607Jul 3, 2025

  Based on record review and interview, the facility failed to complete criminal history background checks for 8 (dietary manager, social services director/activities director, CMA #1, CNA #1, CNA #2, CNA #3, CNA #4, and CNA #5) of 10 sampled employees reviewed for criminal history background checks. The administrator identified 26 residents who resided in the facility and 39 facility employees. Findings: A facility policy titled Abuse - Reportable Events, revised 01/2018, read in part, Pre-employment screening will be completed on all employees, to include: * Criminal History Check * Background Check 1. […]

• No harm, potential for more than minimal, patternF880Jul 3, 2025

  Based on record review and interview, the facility failed to maintain a water management program to prevent the growth of Legionella and other opportunistic waterborne pathogens in the building water system. The DON reported 26 residents resided in the facility. Findings: An undated Reducing the Risk of Legionella in Facility Water Systems Policy, read in part, The facility will complete the following steps to implement a Water Management Program that considers the ASHRAE industry standard and the CDC toolkit .Establish a Water Management Program Team that will meet monthly and as needed to address any issues that arise that could pose a threats to water safety . […]

• No harm, potential for more than minimal, patternF578Mar 1, 2024

  Based on observation, record review, and interview, the facility failed to ensure residents' rights to formulate advanced directives in accordance with state law for four (#1, 4, 14, and #19) of 16 residents whose records were reviewed for advanced directives. The DON stated 16 residents residing in the facility had DNRs. Findings: 1. Res #14 had diagnoses which included cerebrovascular disease and dementia. A physician order, dated [DATE], documented the resident's code status was DNR. […]

• No harm, potential for more than minimal, patternF641Mar 1, 2024

  Based on observation, record review, and interview, the facility failed to ensure the accuracy of MDS assessments for three (#2, #3, and #5) of 12 residents whose assessments were reviewed. The Long-Term Care Facility Application for Medicare and Medicaid form documented 24 residents resided in the facility. Findings: 1. Res #2 had diagnoses which included conversion disorder with seizures or convulsions, congestive heart failure, flaccid hemiplegia affecting right dominant side, and diabetes mellitus. A physician order, dated 12/01/17, documented the facility was to administer clopidogrel (an antiplatelet medication) 75 mg daily for a diagnosis of chronic congestive heart failure. […]