Inspection Reports for Mary‘s Manor

The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

The facility was found to have multiple deficiencies including lack of carbon monoxide detector, unsafe storage of hazardous items and medications, unclean bathrooms, broken patio furniture, missing staff training records, and incomplete personnel files. Several immediate and potential safety risks to residents were identified.

An unannounced Case Management visit was conducted to follow up on deficiencies observed during the annual inspection on 09/19/2024, specifically regarding failure to provide doctor's orders for the use of half rails for residents R2, R3, and R4.

During the visit, the Administrator stated that residents R2, R3, and R4 no longer needed the half rails and had removed them. No deficiencies were cited during this visit.

Unannounced Case Management Plan of Correction visit regarding deficiencies observed during the annual visit on 2024-09-19.

No deficiencies were issued during this visit. The Licensing Program Analysts confirmed that the bedridden resident (R6) had moved out and observed six residents present at the facility.

The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing regulations and facility standards.

The inspection identified multiple deficiencies related to fire clearance, storage of hazardous materials, personal rights postings, resident accommodations, medical assessments, admission agreements, emergency drills, care of bedridden residents, postural supports, and hospice care notifications. Plans of correction were requested with due dates, and an immediate civil penalty was assessed for one deficiency.

The inspection was an unannounced 1-Year Annual Required Inspection conducted to evaluate compliance with licensing regulations and facility safety standards.

The inspection found several deficiencies including unlocked medication and cleaning supplies accessible to residents, missing needs and service plans for residents, and outdated physicians' reports. The facility was otherwise observed to maintain adequate safety measures such as fire clearance, smoke detectors, and proper environmental conditions.

The inspection was an unannounced annual infection control visit conducted to evaluate compliance with infection control and care standards at the facility.

The inspection found the facility generally compliant with infection control measures, including sufficient PPE and food supplies, operable safety equipment, and no obstructions posing health risks. However, deficiencies were cited for unlocked knives and medication cabinets accessible to residents, and missing appraisal needs/service plans for all residents.

The inspection was an unannounced Infection Control Inspection conducted as a required 1-year visit.

The Licensing Program Analyst toured the facility and observed COVID-19 signage, sufficient PPE, food and paper supplies, hand sanitizer at entry, and daily disinfection of common areas. The facility had a Mitigation Plan on file. No deficiencies were cited during the visit.