Mary Manning Walsh Nursing Home Co Inc

Inspectors wroteBased on observations, record review, and interviews conducted during an abbreviated survey (2648284), the facility did not ensure a resident's physician was notified of changes in condition. This was evident for one (1) of four (4) residents (Resident #1) sampled. Specifically, on 10/18/2025 at 9:30 AM, Resident #1, who required supervision with ambulation, spilled hot coffee on their right hand while they were ambulating in the hallway holding onto their rolling walker with their left hand, and holding a cup of hot coffee in their right hand. A physician or nursing supervisor was not immediately notified of the changes in Resident #1's condition. Physician #1 became aware of the burn on 10/20/2025 and assessed Resident #1 to have sustained a third-degree burn to their right hand and thumb. [...]

Inspectors wroteBased on observation, record review, and interviews conducted during an abbreviated survey (2648284), the facility failed to ensure that an alleged violation involving abuse, neglect, exploitation or mistreatment are reported immediately but not later than two hours after the allegation is made, if the events that cause the allegation involved abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures. This was evident for one (1) of four (4) residents (Resident #1) sampled. [...]

Inspectors wroteBased on observation, record review, and interviews conducted during an abbreviated survey (2648284), the facility failed to provide an environment that is free from accident hazards and to ensure that a resident received adequate supervision to prevent accidents. This was evident for one (1) of four (4) residents (Resident #1) sampled. Specifically, on 10/18/2025 at 9:30 AM, Resident #1, who required supervision with ambulation, spilled hot coffee on their right hand while they were ambulating in the hallway holding onto their rolling walker with their left hand, and holding a cup of hot coffee in their right hand Resident #1 was assessed on 10/20/2025 by Physician #1 and was diagnosed with a third-degree burn to their right hand and thumb. Cold compress and Bacitracin Ointment treatment was applied and burn area was covered with dry gauze.

Inspectors wroteBased on observation, record review, and interviews, the facility failed to provide necessary services to maintain good grooming and personal hygiene to a resident who is unable to carry out activities of daily living. This was evident for one (1) (Resident #280) of three (3) residents reviewed for Choices out of 33 total sampled residents. Specifically, Resident #280 was not provided showers as stated in the care plan.

Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure each resident received food that accommodated their preferences. This was evident for one (1) (Resident #404) of three (3) residents reviewed for Choices out of 35 total sampled residents. Specifically, Resident #404, who's meal preferences include salad for lunch and dinner, are often not being met.

Inspectors wroteBased on record review and interviews conducted during the Recertification and Complaint (NY00324925) survey from 11/09/2023 to 11/16/2023, the facility did not ensure all alleged violations involving abuse were reported within 2 hours to the New York State Department of Health (NYSDOH). This was evident for 1 (Resident #14) of 40 total sampled residents. Specifically, Resident #14 reported an allegation of abuse that was not reported to the NYSDOH within 2 hours of occurrence.

Inspectors wroteBased on record review and interviews conducted during the Recertification and Abbreviated survey (NY00321684), the facility did not ensure that a resident received adequate supervision to prevent elopement. This was evident for 1 of 5 residents reviewed for Accidents (Resident #375) out of a sample of 38 residents. Specifically, on 8/8/23, Resident #375, identified as a high risk for elopement and wearing a wander guard, took the elevator from the 9th floor and exited the building through the front door.

Inspectors wroteBased upon observation and interview, the facility failed to ensure food was stored, prepared, and distributed in accordance with professional standards for food safety. Specifically, staff were observed not performing hand hygiene in between tasks and food handling. This was evident for the Kitchen Observation facility task.

Inspectors wroteBased on record reviews and interviews conducted during the Recertification survey, the facility failed to notify a resident's medical provider when there was a need to alter treatment significantly. Specifically, a resident's medical provider was not informed when the resident's blood sugar increased to 350 on one occasion. This was evident for 1 of 5 residents reviewed for Unnecessary Medications out of a sample of 35 (Resident #245). The finding is: The Facility's policy titled Clinical, Acute change in condition, System -Wide last revised 8/27/18 documented it is the policy of the facility that acute changes in resident's condition are immediately shared with the resident/representative and reported to the attending physician. [...]

Inspectors wroteBased on record reviews and interviews conducted during recertification and complaint (NY00272048) survey, the facility did not ensure that person-centered care plans with measurable goals, time frames and interventions were developed to address resident's concerns. Specifically, there was no documented evidence that a comprehensive care plan was developed and implemented with appropriate interventions to address resident #326 actual fall and resident # 574 use of oxygen therapy. This was evident for 2 of 38 sampled residents (Resident #326 & Resident #574). The finding is: 1) Resident #326 was originally admitted to the facility on [DATE] with diagnoses of BPH, ESRD, pneumonia, hyperlipidemia, arthritis, and asthma. The admission MDS dated [DATE] documented the that the resident cognitive level is intact. [...]

Inspectors wroteBased on observation, record review, and interviews conducted during Re-certification Survey from 1/6/2022 to 1/13/2022, the facility did not ensure that a resident received treatment and care in accordance with professional standards of practice. Specifically, a resident received oxygen therapy without a physician's order for one month, and there was no care plan in place for oxygen therapy. This was evident for 1 out of 4 residents reviewed for Quality of Care out of a sample of 38 residents (Resident # 574).

Inspectors wroteBased on observation, record review, and staff interview conducted during the Recertification survey, the facility did not ensure that medication and biologicals were labeled in accordance with currently accepted professional principles, and include the appropriate expiration date when applicable. Specifically, eye drops, insulin vials, and insulin pens did not have labels that included the medication name, prescribed dose, strength, expiration date, the resident's name, route of administration, and appropriate instructions and precautions directly affixed to the medication. The medication labels were affixed to plastic bags. This was evident 1 on 11 units reviewed for Medication Storage (Unit 9).