Manor review — Surveyor finds no preliminary staffing deficiency
During a three-day investigation that was prompted by 11 complaints, a state surveyor identified no preliminary staffing deficiency at Weston County Manor, hospital officials reported at an Aug. 14 special meeting.
The surveyor identified one preliminary deficiency involving documentation after a resident-on-resident incident, according to Kim Scharf, Weston County Health Services nursing home administrator.
The state had not yet issued its final written findings as of the time of the meeting.
The surveyor visited the Manor from Aug. 11 through Aug. 13 to investigate complaints concerning abuse, resident rights, quality of care, quality of life and nursing services. Scharf said the 11 complaints could represent allegations from one person, 11 people or some combination. Complaints may come from residents, family members, employees or other members of the public, and the total may include incidents the Manor itself reported.
During the inspection, the surveyor visited during irregular hours, including at night, and spoke with residents, employees and family members. She reviewed medical records, staffing schedules, resident care hours, daily census figures and hours per resident day.
“She said our staffing hours look good,” Scharf said.
Scharf said the surveyor preliminarily considered the remaining allegations unfounded or unsubstantiated.
The single finding concerned the Manor’s documentation following an incident the facility had reported to the state. Officials said staff took appropriate protective measures, educated employees and notified law enforcement but failed to document changes in the resident’s care plan. The Manor corrected the care plan before the surveyor left, Scharf said.
Officials said the state has 10 business days to provide its report, and the Manor will then have 10 working days to submit a correction plan if one is required.
Interim CEO Pat Ryan said the inspection did not mean the Manor’s work was finished. The facility must continue reinforcing care protocols and is still seeking a permanent director of nursing.
“We appreciate the care our staff have given and continue to give,” Ryan said.
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