Warrensburg Manor Care Center

In the surveyor’s words

From the most serious findings on record at Warrensburg Manor Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Sep 19, 2024

  Based on interview and record review, the facility failed to ensure the services of a Registered Nurse (RN) were utilized eight hours per day, seven days per week and failed to ensure a Director of Nursing (DON) or interim DON was onsite full -time 8 hours a day for a minimum of 40 hours a per week. The facility census was 43 residents. Review of the facility Policy for Nursing Services-RN revised 1/1/24 showed: -It is the intent of the facility to comply with RN staffing requirements. -The facility will utilize the services of a RN for at least 8 consecutive hours per day, seven days a week. […]

• No harm, potential for more than minimal, widespreadF761Feb 10, 2023

  Based on interview and record review, the facility failed to ensure there was a safe medication storage system in place regarding the facility's Cubex system (a smart cabinet that secures different types of medications that can be dispensed when accessed) by not monitoring and reconciling the medications in the Cubex. This deficient practice had the potential to affect all residents who received medications from the Cubex system. The facility census was 53 residents. A policy for the Cubex was requested and was not received at the time of exit. […]

• No harm, potential for more than minimal, widespreadF812Feb 10, 2023

  Based on observation and interview, the facility failed to ensure the ceiling fan in the dry good storage room and the wall mounted fan in the main kitchen were maintained free of a heavy buildup of dust; to ensure the light fixtures were free from a heavy buildup of dust; to ensure the faucet at the three compartment sink operated properly so it would not continue to leak a stream of water after the valves were turned off; to maintain the floors under the reach in refrigerators and the six burner stove, free of food crumbs and debris; and to maintain the gasket (a piece of rubber or some other material that is used to make a tight seal between two parts that are joined together) of one refrigerator in good repair. […]

• No harm, potential for more than minimal, widespreadF880Feb 10, 2023

  Based on observation, interview and record review the facility failed to ensure infection control practices were performed in order to prevent cross contamination and spread of infection by not following their policy when an outbreak had been identified by not educating all staff, notifying visitors, posting signs, identifying exposed residents, and monitoring hand hygiene; failed to implement transmission based precautions and isolation for residents with known signs and symptoms of a norovirus (a group of viruses that cause a sudden onset of severe vomiting and diarrhea). […]

• No harm, potential for more than minimal, patternF584Feb 10, 2023

  Based on observation, interview and record review, the facility failed to maintain Resident #31's wheelchair in a clean manner and without clumps of hair on the wheels; to prevent the storage of trash that was contaminated with human waste, in two shower rooms located on the West North and West South Halls; to maintain the West South Hall shower room in good repair; and to maintain ceiling fans in offices (the Social Service Designee (SSD), the business office and the Administrator's office) where residents would potentially go into. This practice potentially affected at least 40 residents who resided in or used those areas. The facility census was 53 residents. 1. […]