MANOR ON MARSTON LAKE-2, THE

An administrative relicensure survey was completed on 7/23/26. No deficiencies were cited.

A revisit survey was completed on 2/11/25 for all previous deficiencies cited on 11/7/24. The facility is in compliance with all deficiencies that were cited.

A relicensure survey was completed on 11/7/24. A deficiency was cited.

Based on record review and interview, the residence failed to ensure there was at least one staff member on-site at all times with current certification in cardiopulmonary resuscitation (CPR) from a nationally recognized organization, affecting nine current residents. Findings include: 1. Record ReviewOn 11/7/24, staff CPR certifications were reviewed in comparison with the staff schedule for 10/1/24 through 11/16/24 and revealed the following:On 10/5, 10/19, and 10/26/24 from 6:00 a.m. to 6:00 p.m., Staff #4 was the only staff working who was certified in CPR; however, it was not from a nationally recognized organization. 2. InterviewsOn 11/7/24 at 8:15 a.m., the administrator stated the residence should have ensured there was a CPR-certified staff scheduled at the residence at all times. On 11/7/24 at 3:52 p.m., the health and wellness director (HWD) stated she and the resident care coordinator were responsible for creating the staff schedule and that she was aware of the CPR requirement. The HWD stated she was unaware that Staff #4 was not certified from a nationally recognized organization. She acknowledged that the residence failed to ensure there was at least one staff member onsite at all times with current certification in CPR from a nationally recognized organization. On 11/7/24 at 4:01 p.m., the administrator stated he was unaware that Staff #4 was not CPR-certified from a nationally recognized organization. He acknowledged that the residence failed to ensure there was at least one staff member onsite at all times with current certification in CPR from a nationally recognized organization.