Manchester Commons of Presbyterian Senior Care.

“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.”

“Residents #2, #4, #5, and #6 participated in the development of their support plans but had not signed the plans as of the inspection date.”

“License Inspection Summaries dated 7/22/22, 11/28/22, and 1/11/23 were not posted in a conspicuous and public place in the home.”

“Resident #1's apartment was cluttered and not free from hazards, with boxes piled 4-5 feet high covering the floors.”

“Unscreened operational windows were found throughout the home in resident rooms #118, 120, 122, 124, and 159.”

“The First Aid Kit located on the crash cart on Wood Side Place did not include gauze.”

“Resident #2's medical evaluation was missing Height, Weight, Temperature, Pulse rate, Blood Pressure, Health Status, and Cognitive Functioning assessments. Resident #3's evaluation was missing Temperature assessment. Resident #4's evaluation was missing Height, Weight, Pulse rate, Blood Pressure, Health status, Cognitive Functioning assessments, and Medical Professional License Number.”

“Resident #6's support plan did not indicate the use of a bedside enabler, although one was observed at the bedside. Resident #3's support plan did not indicate bedside enabler use, although one was observed. Resident #5's support plan did not indicate bedside enabler use, although one was observed.”

“Two incidents of suspected sexual assault/attempted rape were not reported to Adult Protective Services immediately. One allegation was reported late, and another was not reported to APS at all.”

“The facility became aware of two incidents of suspected abuse involving a resident but did not notify the resident's designated person of either incident.”

“An incident of suspected sexual assault/attempted rape reported by a resident was not reported to the Department within 24 hours as required.”

“A resident's support plan did not document how identified needs for agitation would be met. Another resident's assessment indicated no need regarding confusion, but multiple staff members reported the resident displayed confusion and lack of judgment on multiple occasions.”

“Two residents participated in the development of their support plans but did not sign the documents as required.”