Truman Lake Manor Inc

In the surveyor’s words

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

• Actual harm, isolatedF600Jan 7, 2026

  Based on observation, interview and record review, the facility failed to protect residents on the memory care unit from sexual and physical abuse. Resident #1 exhibited repeated behaviors against others, including touching breasts, forceful kissing, unwanted hugs, slapping of the leg. The attempts at unwanted contact impacted four residents (Resident #2, #3, #4, and #5) who exhibited signs of being upset with the contact. The facility did not notify Resident #1's physician of the behaviors or implement new interventions on the care plan to protect residents. The facility census was 67. […]

• No harm, potential for more than minimal, widespreadF841Nov 6, 2024

  Based on interview and record review, the facility failed to employee a medical director who was actively involved in the implementation of care policies and assisted with coordination of medical care when the facility had not entered into a contract with the medical director and ensured he/she was aware of his/her medical director responsibilities and when when the facility failed to ensure the medical director participated and was involved in completing/updated the facility assessment and attended the Quality Assessment and Assurance (QAA) Committee meeting. […]

• No harm, potential for more than minimal, widespreadF812Mar 21, 2024

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards of practice and protect all food from possible contamination when the facility staff failed to seal and date stored food in refrigerator and freezer; failed to discard dented cans when staff stored dented cans on the shelves along with cans of food staff used to prepare resident food; failed to follow proper hand hygiene while serving food; failed to wash dishes properly between the preparation of separate food items; and failed to keep ice machine free of white substances. The facility's census was 62. 1. […]

• No harm, potential for more than minimal, widespreadF882Jan 27, 2022

  Based on interview and record review, the facility failed to designate one or more individuals with specialized training in infection prevention and control (IPC) as the infection preventionist (IP) for the facility's infection prevention control program. The census was 50. Record review showed the facility did not provide a policy related to the position of infection preventionist. 1. During an interview 1/27/2022, at 3:26 P.M., the Director of Nursing (DON) said the former DON was the IP for the facility. She was the interim DON and filled the role of the facility's IP staff member. The facility was in the process of hiring a new DON and planned to have that staff complete the training. […]

• No harm, potential for more than minimal, patternF658May 22, 2026

  Based on interview, and record review, the facility failed to ensure all residents received care and treatment in accordance with professional standards of practice when facility nursing staff failed to initiate neurological assessments (evaluation of the functioning of the nervous system, identifying any abnormalities or neurological deficits) for one resident (Resident #45) after an unwitnessed fall and failed to complete neurological assessments for two residents (Residents #56 and #61) after each resident sustained a fall with potential for head injury. […]