Topside Manor Inc

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600May 9, 2023

  The facility identified a census of 43 residents. Three residents were reviewed for abuse, neglect, and exploitation. Based on record review and interview, the facility failed to prevent the neglect of Resident (R)1, who had a history of aspiration pneumonia, choking, and swallowing difficulties, when staff did not follow up on a speech therapy evaluation and treatment request for the resident, after a choking episode. On 02/23/23, R1 choked on cottage cheese, and transferred to the emergency room (ER). […]

• Actual harm, isolatedF689Jun 3, 2024

  The facility identified a census of 40 residents with three residents reviewed for falls. Based on record review, observation, and interview, the facility failed to ensure Resident (R) 1 remained free from accidents when staff failed to safely operate a mechanical lift resulting in a fall with injury. On 05/22/24 at approximately 05:00 PM, Certified Nurse Aide (CNA) M prepared R1 for a mechanical lift transfer (by use of a ceiling lift) from her bed to her wheelchair. CNA M failed to ensure the lift sling harness loops were attached to the mechanical lift correctly. During the transfer, R1 fell out of the lift sling to the floor and required emergency transfer and evaluation. […]

• Actual harm, isolatedF689Apr 1, 2024

  The facility identified a census of 43 residents with three residents reviewed for falls and accidents. Based on record review and interview, the facility failed to ensure Resident (R) 1's safety during a transfer when Certified Nurse Aide (CNA) M used the ceiling-mounted full body lift to transfer R1 from her bed to her wheelchair. During the transfer, R1 slid out of the lift sling onto the floor. As a result, R1 sustained a left femoral (thigh bone) fracture and a left fibular (one of the two bones in the lower leg) fracture. […]

• Actual harm, isolatedF689Nov 28, 2023

  The facility identified a census of 44 residents with three residents reviewed for falls. Based on record review, observation, and interview, the facility failed to identify fall risk and initiate fall interventions for Resident (R) 1 on 11/08/23 when he admitted to the facility with a diagnosis of frequent falls. On 11/09/23 at 10:10 PM staff found R1 in his room on the floor. R1 complained of severe pain in his back and was transported to the local hospital where he was diagnosed with fourth and fifth rib fractures on his right side. […]

• Actual harm, isolatedF686Aug 31, 2023

  The facility had a census of 41 residents. The sample included 13, with two reviewed for pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on observation, record review, and interview, the facility failed to implement preventative interventions for Resident (R)23 who had a current pressure area on her buttocks and had a decline in health. As a result, R23 developed an unstageable (pressure injury where tissue loss and actual depth of the ulcer is completely obscured) pressure ulcer on her left heel. […]