Inspection Results » Manchester Manor Convalescent Hospital

Health Inspection on May 6, 2018 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-29)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-05-29)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2018-05-29)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-05-29)
   • Provide and implement an infection prevention and control program. (Corrected 2018-05-29)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-05-29)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-05-29)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-05-29)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-05-29)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2018-05-29)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-05-29)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-05-29)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-29)
   • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne (Corrected 2018-05-29)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-05-29)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-05-29)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-05-29)

3. Pattern: No actual harm with potential for minimal harm

   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2018-05-29)