The Merriman

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Nov 26, 2025

  Based on medical record review, hospital record review, facility policy review and interview, the facility failed to develop and implement a comprehensive and individualized skin management program to prevent incidents of neglect for Resident #20 and Resident #46. This resulted in Immediate Jeopardy and Actual Harm beginning on 10/21/25 after the facility failed to ensure Resident #46, a severely cognitively impaired resident who was dependent on staff for care, received timely and proper treat to prevent a significant deterioration to a wound to the resident's left lateral foot, resulting in the resident being transferred to the emergency department (ED) where he was admitted and treated with intravenous (IV) medications for severe sepsis. […]

• Actual harm, isolatedF684Jul 22, 2026

  Based on observation, interviews, record review, and policy review, the facility failed to ensure residents received timely incontinence care. This resulted in Actual Harm on 07/13/26 when Resident #6 was incontinent of urine and bowel and required staff dependence for toileting and hygiene services, went approximately 12 hours without receiving incontinence care and developed two wounds on her buttocks. This affected one resident (Resident #6) of three reviewed for incontinence. The facility census was 48.Findings Include:Review of the medical record for Resident #6 revealed an admission date 02/21/26. Diagnoses included malignant neoplasm of the unspecified part of right bronchus or lung, hypertensive heart disease with heart failure, and chronic pain and was receiving hospice services. […]

• Actual harm, isolatedF689Jan 9, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed record review, interview, and policy review, the facility failed to provide necessary intervention, including a bed of appropriate size for Resident #56 to prevent a fall with injury during personal care. Actual harm occurred on 12/16/24 when Resident #56, who was dependent on staff for incontinence care and personal hygiene sustained a fall out of bed while staff were providing incontinence care, resulting in a distal fracture to the end of her right femur and a closed distal fracture to the end of her left femur. The facility identified the resident needed a king bariatric bed rather than a queen (bed) as the root cause of the fall. […]

• Actual harm, isolatedF697Apr 24, 2023

  Based on record review and interview the facility failed to ensure Resident #28 received pain medication as ordered by the physician in a timely manner. This affected one out of seven residents reviewed for medication administration. The facility census was 45. Actual harm occurred when Resident #28, a newly admitted resident with significant injury resulting from a MVA, did not receive ordered narcotic pain medication for approximately 17.5 hours resulting in a lack of effective pain relief, nausea and severe pain for an extended period of time. […]

• Actual harm, isolatedF686Feb 15, 2023

  Based on observation, interview, record review, and review of facility policy on wound care, the facility failed to obtain diagnostic testing as ordered to identify and treat a possible infection of Resident #31's Stage IV (full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer) pressure ulcer of the sacrum. Actual harm occurred on 02/06/23 when Resident #31 was sent to the emergency room and admitted to the hospital for an infection of the sacral wound. This affected one (Resident #31) of two residents reviewed for pressure ulcers. […]