Moran Manor Rehabilitation & Skilled Nursing

Inspectors wroteThe facility reported a census of 36 residents with one kitchen. Based on observation, interview, and record review, the facility failed to provide sanitary conditions for food storage to prevent the spread of food borne illness to the residents of the facility. This placed the residents at risk for food-borne illness.

Inspectors wroteThe facility reported a census of 36 residents. The sample included 14 residents. Based on interviews, record reviews and observation, the facility failed to maintain an effective pest control program to ensure the kitchen was free from insects and/or pests. This deficient practice placed the residents at risk for contaminated food, illness and discomfort.

Inspectors wroteThe facility reported a census of 36 residents with 14 residents sampled, including two residents reviewed for dignity. Based on observation, interview, and record review, the facility failed to ensure dignified care for Resident (R)28, when staff failed to cover the resident while receiving care when staff entered and exited his room. This placed the resident at risk for embarrassment and decreased psychosocial well-being.

Inspectors wroteThe facility identified a census of 36 residents. The sample included 14 residents with one sampled for dialysis (a procedure where impurities or wastes were removed from the blood) review. Based on observation, interview, and record review, the facility failed to complete a Significant Change Minimum Data Set assessment for Resident (R) 31 when the resident started dialysis. This deficient practice placed the resident at risk for unidentified care needs after a significant change in health status.

Inspectors wroteThe facility reported a census of 36 residents with 14 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately complete the Minimum Data Set for Resident (R) 2. This placed the resident at risk for unidentified care needs.

Inspectors wroteThe facility reported a census of 36 residents with 14 residents sampled including one resident reviewed for positioning. Based on observation, interview, and record review, the facility failed to ensure appropriate wheelchair positioning for Resident (R)23, regarding the positioning of her feet on the foot pedals. This placed the resident at risk for accidents and decreased comfort.

Inspectors wroteThe facility identified a census of 36 residents. The sample included 14 residents with one sampled for dialysis (a procedure where impurities or wastes were removed from the blood) review. Based on observation, interview, and record review, the facility failed to provide the necessary dialysis assessment, care, and services for Resident (R) 31. This deficient practice had the risk of adverse outcomes and dialysis complications for R31.

Inspectors wroteThe facility reported a census of 36 residents. Based on record review and interview, the facility failed to display accurate and identifiable staffing information, which contained the actual nursing hours worked.

Inspectors wroteThe facility reported a census of 34 residents, with one resident sampled for accidents. Based on observation, interview, and record review, the facility failed to ensure Resident (R) 1 remained free of accident hazards during transportation. On 01/21/25, Transportation Staff E and Certified Nurse Aide (CNA) D did not ensure R1 was safely secured in the transportation vehicle before operating the vehicle. CNA D, who secured R1 in the transportation vehicle, lacked appropriate training and competency evaluation. [...]

Inspectors wroteThe facility reported a census of 32 residents. Based on observation, interview, and record review, the facility failed to properly store, prepare and distribute food under sanitary conditions to ensure proper sanitation and food handling practices to prevent the outbreak of foodborne illnesses for the residents of the facility.

Inspectors wroteThe facility reported a census of 32 residents. Based on observation, interview, and record review, the facility failed to ensure sanitary catheter care for two Residents (R)10 and R87, failed to sanitize a nasal inhaler and utilize proper hand hygiene for this task for R15 and dietary staff failed to don personal protective equipment prior to entry to R30's room who was in isolation due to active COVID infection.

Inspectors wroteThe resident reported a census of 32 residents. Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents and staff.

Inspectors wroteThe facility reported a census of 32 residents with 16 selected for review. Based on observation, interview, and record review, the facility failed to review and revise the care plan for Resident (R)15 to include use of an arm immobilizer after the resident had a fractured humerus and inability to utilize a walker, R25 for chin hair removal, R18 for toilet times and use of bedpan, and R 23 for use of foot pedals on her wheelchair.

Inspectors wroteThe facility reported a census of 32 residents with 16 residents selected for review, which included five residents reviewed for activities of daily living (ADL). Based on observation, interview, and record review, the facility failed to ensure five residents (R)11, R15, R2, R25 and R26 had facial hair groomed appropriately and one resident, R25 had clean and trimmed fingernails.

Inspectors wroteThe facility reported a census of 32 residents with 16 residents sampled, including three residents reviewed for dignity. Based on observation, interview, and record review, the facility failed to show respect and dignity to one Resident (R)25, when staff failed to close the blinds while providing peri-care (cleansing of the genitals), R 10, when staff failed to provide dignity as two staff opened and closed the door to his room while he was exposed from the mid chest to his ankles, and R26, when the resident had his abdomen exposed in the dining room, common living area.

Inspectors wroteThe facility reported a census of 32 residents with 16 sampled for review. Based on observation, interview, and record review, the facility failed to complete an accurate Minimum Data Set (MDS) for one Resident (R)25, regarding anti-psychotic medications (class of medications used to treat psychosis and other mental emotional conditions).

Inspectors wroteThe facility reported a census of 32 residents with 16 residents sampled. Based on observation, interview, and record review, the facility failed to complete a comprehensive care plan for one Resident (R)32, regarding pain.

Inspectors wroteThe facility reported a census of 32 residents with 16 residents sampled, including three residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to ensure an environment free from accident hazards for one Resident (R)23, regarding the lack of foot pedals on her wheelchair.

Inspectors wroteThe facility reported a census of 32 residents with 16 residents sampled including one resident reviewed for bowel and bladder. Based on observation, interview, and record review, the facility failed to develop and implement an effective individualized toileting program to maintain as much bladder function as possible for one Resident, (R)18.

Inspectors wroteThe facility reported a census of 35 residents with 16 residents selected for review, which included five residents reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to ensure one Resident (R)15, received laboratory blood monitoring as ordered by the physician.

Inspectors wroteThe facility reported a census of 20 residents. Based on observation and interview, the facility failed to ensure a two-inch air gap existed between the two water drainage pipes on the ice machine and the sewer drain to prevent the backflow of contaminated drain water up into the ice machine to prevent the spread of food borne illness to the residents.

Inspectors wroteThe facility reported a census of 20 residents with 15 residents selected for the sample. Based on interview, observation, and record review, the facility failed to complete a significant change Minimum Data Set (MDS), for one Resident (R)#6 for initiation of hospice care services.

Inspectors wroteThe facility reported a census of 20 residents with 15 selected for review. Based on interview and record review, the facility failed to complete a comprehensive care plan for one resident (R)7 to ensure the development of goals, interventions, and treatments to meet the needs of this resident.

Inspectors wroteThe facility reported a census of 20 residents with 15 residents selected for review, including one resident reviewed for discharge. Based on interview and record review, the facility failed to complete a discharge summary for one Resident (R)22, following discharge from the facility.

Inspectors wroteThe facility reported a census of 20 residents with 15 selected for review. Based on observation, interview and record review, the facility failed to ensure dressing change to one resident (R)11 skin tear in a sanitary manner to promote healing and prevent infections.