Southern Manor Rest Home

The facility failed to ensure that resident care plans were properly developed and signed by the assessor. Specifically, for two out of three sampled residents, the care plans lacked the required signature and date from the assessor.

The facility failed to maintain resident room #10 in a clean, uncluttered, and orderly manner. Observations revealed heavily soiled floors, piles of unfolded clothing, soiled linens, and accumulated grime on furniture and appliances. The room contained various items of clutter, including food containers, tobacco products, and unhygienic items like a used paper towel used as a spit cup.

The facility failed to maintain resident room #10 in a clean, uncluttered, and orderly manner. Observations revealed heavily soiled floor tiles, piles of unfolded clothing, and cluttered surfaces containing food items, tobacco, and used paper towels. Additionally, furniture was found in disrepair or covered in grime and excessive items.

The facility failed to ensure medication administration records (MAR) were accurate for three sampled residents. Specifically, the MAR for Resident #1 incorrectly documented the daily administration of aspirin from 09/01/22 to 09/30/22, despite a physician's order to hold the medication while the resident was taking apixaban.

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The facility failed to ensure food being thawed for resident meals was protected from contamination. Specifically, a 4.32-pound package of ground beef was observed thawing in the kitchen sink without being in a separate container or having running water over it.

The facility failed to ensure that food being thawed for resident meals was protected from contamination. Specifically, a package of ground beef was observed thawing in the kitchen sink without running water, which is contrary to facility policy and safety standards.

The facility failed to ensure that medication administration was in accordance with orders from a licensed prescribing practitioner. For Resident #1, benztropine was documented as administered twice daily through October 2019, despite an order to discontinue the medication effective September 4, 2019.

The facility failed to keep the floors in the kitchen and dining room clean. Observations showed gray residue, black scuff marks, and brown discoloration on the floor tiles in the kitchen area.

The facility failed to maintain the outside grounds in a clean condition. Observations revealed overgrown weeds and grass in mulch beds, discarded furniture and debris near resident rooms, and a large amount of cigarette butts scattered in the smoking area.

The facility failed to maintain hot water temperatures at resident fixtures between 100 and 116 degrees Fahrenheit. Specifically, sink temperatures in resident rooms #5, #4, and the east side common shower room were observed to be as high as 134 degrees F, with steam visible in one instance. This issue was a recurring finding previously noted in a July 2015 inspection.