Manchester Commons of Presbyterian Senior Care.

“Resident #1 did not receive required assistance with activities of daily living. An unlocked 4 oz. tube of Sensodyne toothpaste with poison warning label was found on the resident's bedside table, despite the resident's assessment indicating severe problems with safe use of poisonous materials requiring staff to keep such items locked and out of reach.”

“Direct care staff person B did not receive required annual training topics during training year 1/1/25-12/31/25, specifically medication self-administration training and instruction on meeting resident needs as described in the preadmission screening form, assessment tool, and medical evaluation and support plan.”

“Staff person A and B did not receive required annual fire safety training completed by a fire safety expert or trained staff person during training year 2025. Additionally, staff person A did not receive required training in resident rights and falls and accident prevention during training year 2025.”

“Poisonous materials were not kept locked and inaccessible to residents. An unlocked 4 oz. tube of Sensodyne toothpaste with a poison warning label was found on resident #1's bedside table. Resident #1 has been assessed as being unsafe around poisonous materials.”

“Resident #2 and resident #3 did not have access to an operable source of light that can be turned on and off at bedside in their bedrooms.”

“The home's current evacuation diagrams posted did not accurately reflect the current exits.”

“An exit sign was placed over a common courtyard exit door that is gated and not an actual emergency exit, creating a false indication of an evacuation route.”

“Staff person A was suspended following an allegation of verbal abuse toward a resident on an unspecified date at 2:30 p.m., but returned to work before the required supervision plan or continued suspension was in place.”

“Staff person A responded to a resident's multiple toileting requests in a negative manner on multiple dates and times, causing the resident to feel degraded and scolded for having accidents, thereby violating the requirement that residents be treated with dignity and respect.”