Webco Manor

In the surveyor’s words

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

• Actual harm, isolatedF697Dec 6, 2024

  Based on observation, interview, and record review, the facility failed to comprehensively assess pain, follow-up on effectiveness of pain medication, failed to try additional steps when pain was not relieved, and failed to notify the physician of the pain, ineffectiveness of the current pain medication regimen, and when an order for a new pain medication was not received from the pharmacy for one resident (Resident #1) in a review of four sampled residents. The facility census was 52. […]

• No harm, potential for more than minimal, widespreadF880Jun 24, 2021

  Based on interview and record review the facility failed to provide an effective, thorough program for the prevention of the growth of the Legionella bacteria (a bacteria which causes a respiratory disease when breathing in small droplets of water in the air that contain Legionella) when staff were unaware of the steps the facility needed to take to prevent Legionella; staff failed to complete a Legionella risk assessment for the facility; and staff failed to monitor water temperatures and the pH (a measure of how acidic/basic water is) levels routinely. The facility census was 54. […]

• No harm, potential for more than minimal, patternF610Jan 21, 2026

  Based on interview and record review, the facility failed to ensure that all allegations of possible abuse were thoroughly and timely investigated, and steps were taken to protect all residents during the investigation, when staff did not begin an immediate investigation into an allegation staff to resident (Resident #1) abuse and the staff member continued to work independently with residents. The facility census was 64.Review of the facility's Abuse and Neglect Policy, undated, showed the following information:-Types of abuse include physical, verbal, sexual, mental, and financial exploitation;-The Administrator or Director of Nursing (DON) or designee must begin an internal investigation immediately and report to DHSS. 1. […]

• No harm, potential for more than minimal, patternF755Aug 28, 2025

  Based on interview and record review, the facility failed to provide pharmaceutical services to meet the needs of each resident when staff did not ensure physicians' orders and pharmacy dosage directions matched resulting in staff administering incorrect dosages of Paxlovid (oral antiviral medication used to treat coronavirus disease 2019 (COVID-19) disease (an infectious disease caused by the SARS-CoV-2 virus)) to four residents (Resident #1, Resident #2, Resident #3 and Resident #4) out of 9 sampled residents. […]

• No harm, potential for more than minimal, patternF657Jul 28, 2025

  Based on interview and record review the facility failed to ensure all resident care plans were completed and current when staff failed to care plan related to a relationship and restrictions involving two residents (Resident #20 and #2) and when the staff failed to care plan new falls and new interventions for one resident (Resident #50). A sample of 20 residents was reviewed in a facility with a census of 57. Review of the facility's policy titled Care Plans, Comprehensive Person-Centered, revised December 2016, showed the following:-A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident;-Identifying problem areas and their causes, and… […]