Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Aristacare At Manchester during CMS and state inspections, most recent first.
The facility did not adequately protect resident-identifiable information or maintain medical records according to professional standards, as observed by surveyors.
The facility failed to supervise a cognitively impaired resident with exit-seeking behavior, leading to the resident eloping and being found at a local restaurant. Additionally, the facility did not follow the care plan for a fall-risk resident, resulting in the resident falling in the shower and sustaining a skin tear.
The facility failed to maintain an ongoing communication record between the facility and the dialysis center for a resident requiring dialysis services. Observations revealed incomplete and missing documentation in the dialysis communication binder, and interviews confirmed that the facility's policy was not being followed.
The facility failed to ensure accurate ordering and receiving of narcotic medications on DEA 222 forms. Three forms were found incomplete in Part 5, which should have been filled out upon receipt of the medications. The DON acknowledged the oversight.
A facility failed to develop an individualized care plan for a resident with aggressive behaviors, despite multiple incidents of aggression and agitation. The resident was placed on 1:1 observation, but the observation logs did not document the behaviors exhibited. Staff interviews confirmed the lack of a behavioral care plan prior to the incident.
The facility failed to obtain physician orders for an orthotic device and the treatment of a skin tear for a resident with severe cognitive deficits and hemiplegia. The resident fell in the shower when a CNA transferred them without the required two-person assistance, resulting in a skin tear. The resident was not wearing the prescribed AFO at the time of the fall, and there was no physician's order documented for the AFO or the skin tear treatment.
A facility failed to provide a resident with the physician-ordered pudding thick liquid consistency, resulting in the resident receiving improperly thickened coffee. The resident, who had a history of dysphagia and was at high risk for aspiration, was observed coughing after consuming the coffee. The deficiency was identified as Immediate Jeopardy due to the potential for serious harm.
The facility failed to accurately document in the medical records for a resident who sustained a skin tear after being bumped by a meal cart. Although the incident was reported and treated, there was no progress note in the EMR on the day of the incident, only the following day. Staff interviews revealed discrepancies in documentation practices, leading to the deficiency.
The facility failed to follow infection control practices for storing respiratory equipment for two residents. Nebulizer masks and oxygen tubing were left unprotected and exposed, contrary to facility policy, despite multiple observations and staff confirmations of proper procedures.
Failure to Safeguard Resident Information and Maintain Medical Records
Penalty
Summary
The facility failed to safeguard resident-identifiable information and/or did not maintain medical records for each resident in accordance with accepted professional standards. This deficiency was identified through surveyor observation or review, indicating that the required protocols for protecting confidential information and proper record-keeping were not consistently followed. No additional details regarding specific residents, their medical history, or the exact nature of the records involved are provided in the report.
Failure to Supervise Cognitively Impaired Resident and Follow Fall Risk Care Plan
Penalty
Summary
The facility failed to adequately supervise a cognitively impaired resident with exit-seeking behavior, resulting in the resident eloping from the facility. The resident, who had diagnoses including senile degeneration of the brain, dementia with behavioral disturbance, and delirium, was found at a local restaurant after being missing for approximately one hour. Despite multiple documented instances of the resident attempting to elope and removing their wander guard, no new interventions were added to the care plan to prevent further exit-seeking behavior. The facility's failure to maintain adequate supervision and update the care plan led to the resident's elopement and an Immediate Jeopardy situation was identified by surveyors. Additionally, the facility failed to maintain the safety of another resident identified as a fall risk by not following the plan of care. This resident, who had severe cognitive deficits and required maximum assistance with activities of daily living, fell in the shower when a CNA attempted to transfer the resident alone, contrary to the care plan that required two-person assistance. The resident sustained a skin tear as a result of the fall. The CNA admitted to not reviewing the assignment sheet and not knowing that the resident required two-person assistance for transfers. The facility's policies and procedures for managing residents at risk for elopement and falls were not adequately followed. The care plans for both residents were not properly implemented, leading to significant safety risks. The staff failed to apply necessary interventions and did not adhere to the established protocols for monitoring and assisting residents, resulting in serious deficiencies in the care provided.
Removal Plan
- Resident 535 was discharged from the facility
- All residents at risk for wandering or elopement had a wandering risk assessment completed and updated Care plans. Assessments reviewed by the Nursing administration, Administrator, Assistant Administrator, Nurse Practitioner (NP), Activities, and Social Work team. The residents indicated were reviewed
- Staff education via facility wide text message portal which consisted of where to find all residents at risk for elopement within the electronic medical record, the requirement to review the at-risk residents, and interventions at each shift. Department heads with departments that don't have access to the electronic medical record, educated their staff that the electronic medical record list will be printed and posted at the time clock and the pictures of the residents at risk will be kept at the reception desk. The lists will be updated with any changes through the intervention meeting or as needed
Failure to Maintain Dialysis Communication Records
Penalty
Summary
The facility failed to complete and maintain an ongoing communication record between the facility and the dialysis center for a resident who required dialysis services. The resident, who had diagnoses including acute kidney failure, psychosis, dementia, and dependence on renal dialysis, had a comprehensive care plan that included attending dialysis three times a week. However, the dialysis communication binder, which was supposed to include pre- and post-dialysis information, was found to be incomplete. Observations revealed that many forms were missing the resident's name, and several forms had incomplete pre- and post-dialysis information. Additionally, multiple dialysis treatment forms were missing for the months of January, February, March, and April 2024. Interviews with the direct care LPN, the DON, and the LPN UM confirmed that it was the nurse's responsibility to document the vitals and ensure the communication book was filled out completely. The DON acknowledged that the facility's policy was not being followed, and the LPN UM admitted that it was her responsibility to check the dialysis communication sheets for completeness. Despite the facility's policy requiring effective communication between the facility and the dialysis center, the surveyor found numerous instances of incomplete documentation, indicating a failure to adhere to the established procedures.
Failure to Complete DEA 222 Forms Accurately
Penalty
Summary
The facility failed to ensure accurate ordering and receiving of narcotic medications on the required Federal narcotic acquisition forms (DEA 222 forms). During a review on 4/17/24, it was found that three out of three provided DEA 222 forms had not been completed in Part 5 upon receipt of the medications from the Provider Pharmacy. The forms in question were order form numbers 231659497, 231659498, and 23165949. The Director of Nursing (DON) acknowledged that Part 5 should have been completed as instructed on the reverse of the DEA 222 form. The instructions for DEA Form 222 specify that the purchaser must fill out the number of packages received and the date received for each line item in Part 5.
Failure to Develop Individualized Care Plan for Aggressive Resident
Penalty
Summary
The facility failed to develop an individualized resident-centered care plan for a resident with documented aggressive behaviors toward other residents and staff. The resident, who had diagnoses including schizo-affective disorder, depression, and dementia with behavioral disturbance, exhibited severe cognitive impairment and difficulty communicating. Despite multiple incidents of aggression and agitation, including an episode where the resident lunged at staff and another where the resident assaulted another resident, the facility did not have a behavioral care plan in place prior to 11/30/23. The care plan created on 11/30/23 did not include specific interventions for staff to address the resident's behaviors. The facility's documentation revealed that the resident was placed on 1:1 observation, but the observation logs did not document the behaviors exhibited. Additionally, the facility did not provide documentation to indicate how the resident was able to make contact with another resident while on 1:1 observation. Interviews with staff, including a CNA, LPN, and the DON, confirmed that the resident had increased agitation and aggressive behaviors, but no behavioral care plan was developed to address these issues prior to the incident on 11/29/23. The facility's policy on 1:1 observation required continuous visual supervision within arm's length of the resident and documentation on a designated observation form. However, the 1:1 observation logs did not reflect the resident's behaviors, and the DON stated that the logs were not intended for visual observation. The lack of a comprehensive care plan and proper documentation of the resident's behaviors contributed to the deficiency identified by the surveyors.
Failure to Obtain Physician Orders for Orthotic Device and Skin Tear Treatment
Penalty
Summary
The facility failed to obtain physician orders consistent with professional standards of clinical practice for an orthotic device and for the treatment of a skin tear for Resident #24. The resident, who had severe cognitive deficits, hemiplegia, hemiparesis, hydrocephalus, and dementia, required maximum assistance with activities of daily living and was dependent on staff for transfers. The resident fell in the shower when a CNA transferred them without the required two-person assistance, resulting in a skin tear on the left elbow. The CNA did not review the assignment sheet and was unaware that the resident required two-person assistance for transfers. Additionally, the resident was not wearing the prescribed ankle-foot orthosis (AFO) at the time of the fall, and there was no physician's order for the AFO documented in the Treatment Administration Record (TAR) for March and April 2024. The facility's policies required physician orders for orthotic devices and treatments, but these were not obtained or documented for Resident #24. The Director of Nursing confirmed that a physician's order was required for the treatment of a skin tear and the use of an orthotic device, but this was not followed in the case of Resident #24.
Failure to Provide Physician-Ordered Liquid Consistency
Penalty
Summary
The facility failed to ensure that staff provided a resident with the appropriate physician-ordered liquid consistency. During an observation, a Certified Nurse Aide (CNA) was seen adding only two thickener packets to a resident's coffee instead of the required four packets for pudding thick consistency. The resident, who had a diet order for puree texture and pudding thick liquids, was observed coughing after drinking the improperly thickened coffee. The meal ticket on the resident's tray clearly indicated the need for pudding thick liquids, but the CNA incorrectly stated that the resident was supposed to have nectar thick liquids. Further investigation revealed that the resident had a history of dysphagia, cerebral infarction, and hemiplegia, and was at high risk for aspiration. The resident's electronic medical record and care plan both indicated the need for pudding thick liquids. The Speech Therapist and Registered Dietitian confirmed the importance of the correct liquid consistency to prevent aspiration. The Director of Nursing (DON) acknowledged that the staff should have been trained and competent in preparing thickened liquids, but admitted that competencies might not have been completed. The facility's policy on thickened liquids required staff to use prepared thickened liquid preparation from the dietary department or thickening packets to achieve the appropriate consistency. However, the CNA's failure to follow the physician's order and the facility's policy resulted in the resident receiving an incorrect liquid consistency, posing a serious risk to the resident's health and well-being. The deficiency was identified as Immediate Jeopardy (IJ) due to the potential for serious harm to the resident.
Removal Plan
- Resident #24 was examined by the Nurse Practitioner.
- The physician was made aware.
- The Nurse Aide was in-serviced which included return demonstration.
- All other staff who may serve Resident #24 as well as any other staff who may serve other residents with thickened liquids have been in-serviced with return demonstration.
Failure to Accurately Document Medical Records
Penalty
Summary
The facility failed to accurately document in the medical records for one resident, identified as Resident #183. The resident was admitted with diagnoses including lack of coordination, type 2 diabetes mellitus, and abnormalities of gait and mobility. An incident occurred where a CNA accidentally bumped into the resident with a meal cart, resulting in a skin tear on the resident's right third toe. Although the incident was reported, assessed, and treated, there was no progress note documented in the electronic medical record (EMR) on the day of the incident. The progress note was only entered the following day, which indicated redness and a physician-ordered X-ray and bacitracin treatment for the resident's toe injury. Interviews with various staff members, including LPNs, CNAs, the Unit Manager, and the Director of Nursing (DON), revealed that the facility's protocol required documenting a progress note in the EMR for any incident. The staff emphasized the importance of documenting progress notes as a communication tool for shift-to-shift awareness and continuity of care. However, the DON mentioned that if an incident report was completed, a progress note in the EMR was not always necessary, as the incident report could be printed out. This discrepancy in documentation practices led to the failure to record the incident in the EMR promptly. The facility's Charting and Documentation policy mandates that all incidents, accidents, or changes in a resident's condition be recorded as soon as possible. The policy also requires documentation of procedures and treatments, including assessment data and notification of family and physicians. The Assistant Licensed Nursing Home Administrator (LNHA) acknowledged in the presence of the survey team that the progress note was missing and should have been included in the EMR, confirming the deficiency in documentation practices.
Improper Storage of Respiratory Equipment
Penalty
Summary
The facility failed to adhere to accepted standards of infection control practices for the proper storage of respiratory tubing and masks for two residents. For Resident #241, the surveyor observed a nebulizer mask placed directly on the nightstand, touching the nebulizer machine and in close proximity to the resident's phone and toiletries. This mask was not stored in a plastic bag as required to prevent infection. Despite multiple observations over several days, the mask remained unprotected and exposed to the environment. The resident's medical record indicated diagnoses of acute respiratory failure with hypoxia and pneumonia, and the resident had orders for nebulizer treatments. Both the Infection Control Nurse Preventionist and the LPN confirmed that the mask should have been stored in a plastic bag when not in use. For Resident #40, the surveyor observed oxygen tubing and a nasal cannula left unprotected on the bed and nightstand. The nasal cannula was not labeled or dated. The physical therapy staff used the unprotected nasal cannula left on the bed when assisting the resident. The resident's medical record indicated diagnoses of acute respiratory failure with hypoxia, pneumonia, emphysema, and adult failure to thrive, with orders for continuous oxygen therapy. The facility's policy required that respiratory equipment be disinfected and stored in a plastic bag when not in use, but this policy was not followed. The LPN confirmed that all respiratory equipment should be disinfected and stored properly to prevent infection.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 282 citations issued within 25 miles in the last 12 months — including the 13 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Manchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Arbors | 2.1 mi | — | 0 | 0 |
| Shore Gardens Rehabilitation And Nursing Center | 3.3 mi | — | 1 | 0 |
| Hampton Ridge Healthcare And Rehabilitation | 4.2 mi | — | 9 | 0 |
| Childrens Specialized Hospital Toms River | 4.2 mi | — | 0 | 0 |
| Complete Care At Green Acres | 4.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.