Yorktown Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF803Oct 8, 2024

  Based on observation, interview, and record review, the facility failed to ensure menus were followed to ensure proper portions were served for 1 of 1 meal observed for following menus (10/7/24 Lunch). This deficient practice had the potential to impact 69 of 69 residents. Finding include: An undated facility document titled, Midwest Fall/Winter 2024-2025, provided by the facility following the entrance conference on 10/2/24, indicated lunch on October 7, 2024 was Baked Ziti with Meat sauce, Tossed Salad with Dressing, and Ice Cream. An undated facility document titled, Midwest Fall/Winter 2024-2025, Diet Spreadsheet Short Name Format, provided by the Certified Dietary Manager on 10/7/24 at 11:19 a.m., indicated the portion of baked ziti to be served to the residents was 6 ounces. […]

• No harm, potential for more than minimal, patternF812Aug 25, 2023

  Based on observation, interview, and record review, the facility failed to ensure the dishwasher sanitization rinse cycle was tested and recorded to assure sanitary eating surfaces and to assure pureed food was prepared using the facility's recipe. This deficient practice had the potential to impact 64 of 64 residents who received meals from the facility kitchen. Findings include: 1. During a kitchen observation on [DATE] at 9:41 a.m., accompanied by Dietary Aide (DA) 12, the dishwasher was cycled. She indicated the dishwasher was a low temperature washer and was tested each morning. DA 12 obtained some testing strips from the office and placed them in the rinse water. The result was 50 ppm (parts per million) and she indicated she thought that may be low and she would check. […]

• No harm, potential for more than minimal, patternF600Mar 2, 2023

  Based on observation, interview, and record review, the facility failed to protect the resident's rights to be free from physical abuse by Resident E and Resident D for 3 of 4 residents reviewed for abuse (Resident D, Resident F and Resident G). Findings include: Resident E's clinical record was reviewed on 3/2/23 at 9:15 a.m. Diagnoses included unspecified dementia, moderate, with agitation and mood disturbance and other recurrent depressive disorders. Her orders included nortriptyline (treat depression) 25 mg (milligrams) daily. A quarterly MDS (Minimum Data Set), dated 1/30/23, indicated she was rarely or never understood. She required limited assistance for bed mobility, transfers, walk in room and corridor, locomotion on the unit, and personal hygiene. […]

• No harm, potential for more than minimal, isolatedF609Jun 2, 2026

  Based on interview and record review, the facility failed to report an allegation of staff to resident physical abuse to the State Agency (Indiana Department of Health) when the staff member was alleged to have slapped the resident's hand to take her bed controller from her for 1 of 3 residents reviewed for abuse. (Resident D and CNA 1) Findings include:Resident D's clinical record was reviewed on 6/2/26 at 10:22 a.m. Diagnoses included Pick's Disease, anxiety disorder, dementia, bipolar disorder, and early onset Alzheimer's disease. The most recent annual Minimum Data Set (MDS) assessment, dated 5/22/26, indicated Resident D was moderately cognitively impaired.Confidential interviews were conducted during the survey. […]

• No harm, potential for more than minimal, isolatedF605Sep 8, 2025

  Based on interview and record review, the facility failed to ensure a resident receiving psychotropic medications was evaluated for either a gradual dose reduction (GDR) by the indicated prescriber or was determined to have an individualized clinical contraindication for GDR for 1 of 3 residents reviewed for psychotropic medications. (Resident 6)Finding includes: Resident 6's clinical record was reviewed on 9/5/25 at 10:54 a.m. Diagnoses included dementia, bipolar disorder, and major depressive disorder. […]