Touchpoints at Manchester

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF755Aug 13, 2025

  Based on observations, review of facility documentation, review of facility policy and procedures, and interviews, the facility failed to ensure that an accurate accounting of all controlled medications were maintained and reconciled periodically, to ensure the accurate disposition of the controlled medications. The findings include: A review of the narcotic reconciliation process on 8/11/25 at 12:35 PM with the DNS identified that the narcotic audits are completed twice per month and include counting the narcotic medications on each medication cart, reviewing the signatures on the shift-to-shift count sheet to ensure that the count is being conducted and signed for and inspecting the packs of medications (blister) to ensure they have not been tampered with, and she reviews narcotic… […]

• No harm, potential for more than minimal, patternF812Aug 13, 2025

  Based on observations, review of facility policy/procedures and interviews, the facility failed to ensure refrigerated food items were dated, labeled, discarded within set time frames and failed to ensure staff did not store personal food items in the commercial reach in refrigerator designated for resident food storage. The findings include:Observation during the brief initial kitchen tour on 8/6/25 at 10:30 AM with the Dietary Manager identified six carafes of orange juice, six carafes of apple juice, two pitchers of white cranberry juice, and two pitchers of fruit punch with no preparation date. […]

• No harm, potential for more than minimal, patternF550Jul 25, 2023

  Based on review of facility smoking policy and Leave of Absence (LOA) policy and staff interviews, the facility failed to ensure that facility policies honored the resident's rights. The findings included: 1. On 7/21/2023 at 1:00 PM an interview and policy review with the Administrator, the [NAME] President of Operations, Registered Nurse (RN #6), and the Director of Nursing Services (DNS) identified the smoking policy and smoking agreement signed by the resident/responsible party indicated in part a potential removal of smoking privileges from a resident who was not complied with the facility smoking rules. […]

• No harm, potential for more than minimal, patternF578Jul 25, 2023

  Based on clinical record reviews, review of policy and staff interviews and facility policy for 3 of 9 sampled Residents (Residents #38 # 69 and # 92) reviewed for Advanced Directives, the facility failed to ensure the resident advanced directive was placed in the electronic medical record timely and in the clinical record and for Resident ( 109), the facility failed to ensure the resident's advanced directive was addressed timely. The findings include: 1. Resident # 38's diagnoses included Chronic Obstructive Pulmonary Disease (COPD), hypernatremia, anemia, thrombosis, cytopenia, osteoarthritis acute cystitis, acute metabolic encephalopathy, Urinary Tract Infection (UTI), seizures and Transient Ischemic Attack (TIA) schizoaffective disorder and diabetes mellitus. […]

• No harm, potential for more than minimal, patternF656Jul 25, 2023

  Based on clinical record review, facility documentation, and policy review and interviews for 1 of 1 sampled resident (Resident #33) reviewed for specialized treatment, the facility failed to ensure the resident's care plan for weight monitoring was followed. The finding include: Resident # 33's diagnoses included: Acute and Chronic Respiratory Failure, diabetes mellitus, depression, Heart Failure, Congestive Heart Failure (CHF), COPD, End Stage Renal Failure, and Kidney Transplant with Rejection. […]