Miller's Merry Manor

During a continuous observation of the lunch meal service in the dining room, on 3/2/2026 from 12:00 P.M until 12:36 P.M., RN 2 touched her pony tail before serving a tray with two meals on it to residents.

She did not wash her hands after she had touched her hair before she served the meal trays. RN 2, RN 3 and AA 4 moved three residents who already had already been served their meals from one table to another table.

After pushing the three resident's wheelchairs to the new table, RN 2, RN 3 and AA 4 did not wash their hands before RN 2 and RN 3 started assisting residents to eat and AA 4 served six more meals without washing her hands.

After the all meal trays were served in the dining room, AA 4 began refilling resident drinks by taking the resident's drink cups from their table and refilling the cups at the drink station. AA 4 refilled two resident drinks, but had not washed her hands before or after refilling the cups and returning the cups to the residents.

During an interview on 3/2/2026 at 12:36 P.M., the Regional Dietician indicated staff should have washed their hands anytime they touched their own clothing, body or hair and after touching a resident's clothing or equipment.

She indicated when staff refilled drinks, the staff should have washed their hands if they had touched the resident's cups while refilling it.

During an interview on 3/2/2026 at 2:45 P.M., the Executive Director indicated the facility did not have a policy related specifically to hand washing during dining service, but indicated the facility followed the Hand Hygiene policy. On 3/2/2026 at 3:00 P.M. the ED provided a policy, dated 8/2024, and titled, Hand Hygiene.

The ED indicated the policy was the one currently used by the facility.

The policy indicated, .Employee's of (facility name) will perform hand hygiene according to the standards of practice and guidance from the Centers of Disease Control 3.1-21(i)(3) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

155589 03/04/2026

Miller's Merry Manor 730 School St Culver, IN 46511