The Manor at Seagoville

In the surveyor’s words

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

• Immediate jeopardy, patternF757Jul 14, 2025

  Based on interview and record review, the facility failed to ensure each resident's drug regimen did not have an excessive dose for 1 (Resident #1) of 4 residents reviewed for unnecessary medications. Based on interview and record review, the facility failed to ensure each resident's drug regimen did not have an excessive dose for 1 (Resident #1) of 4 residents reviewed for unnecessary medications. The facility failed to identify potential hazards and effects of medications and failed to have internal systems in place to prevent Resident #1 from receiving high doses of extended release Morphine and Oxycodone (opioid analgesics used to treat moderate to severe ongoing pain). […]

• Immediate jeopardy, isolatedF760Dec 7, 2023

  Based on observation, interview and record review the facility failed to ensure residents were free of significant medication errors for one of nine residents (Resident #1) reviewed for significant medication errors. The facility failed to ensure Resident #1 was free of significant medication errors when Heparin was administered incorrectly . The noncompliance was identified as PNC. The IJ began on 11/18/2023 and ended 11/18/2023. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of not receiving the therapeutic effect of their medications as ordered by the physician. Findings include: Record review of Resident #1's face sheet, dated 11/19/23, reflected an [AGE] year-old female who was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF812Jan 14, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen safety.1. The facility failed to ensure food in the facility's dry storage, refrigerator, and freezer areas were labeled and dated according to guidelines.2. The facility failed to ensure that expired items in the dry storage pantry, refrigerator and freezer areas were removed.These deficient practices could affect residents who received meals and/or snacks from the main kitchen and place them at risk for cross contamination and other air-borne illnesses.Findings included:Observation of the facility's kitchen dry pantry, refrigerator, and freezer areas on 01/12/2026 at… […]

• No harm, potential for more than minimal, patternF842Apr 30, 2025

  Based on interviews and record reviews the facility failed to in accordance with the accepted professional standards and practices, the facility must maintain medical records for each resident for one resident (Resident #1) of 6 residents reviewed for Medical Records. The facility failed to ensure RN A documented giving Resident #1 all of his Physician ordered medications and treatments during her assigned double shift on Sunday 04/27/25; subsequently there was no documentation for most of the care provided to Resident #1 on 04/27/25 between 6:00 am and 10:00 pm. This failure could affect residents by placing them at risk of experiencing a change in their medical condition which could cause a decline in their health and psycho-social well-being. […]

• No harm, potential for more than minimal, patternF677Oct 3, 2024

  49427 Based on observation, interview, and record review, the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 3 (Residents #34, #11, and #64) of 6 residents reviewed for quality of life. The facility failed to ensure: 1. Resident #34 had her fingernails cleaned and trimmed. 2. Resident #11 had her fingernails cleaned and trimmed. 3. Resident #64 had her fingernails cleaned and trimmed. These failures could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections, and a decreased quality of life. Findings included: 1. […]