Mercy Manor Transition Center

Penalties

• Jan 30, 2025 — Fine ($53,847)

Inspection findings

1. Jul 17, 2025 Fire Safety · 1 finding
   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Aug 8, 2025 · CMS fire safety

2. Jan 30, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Feb 17, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Feb 15, 2025 · CMS health inspection

3. May 30, 2024 Health · 6 findings
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jun 14, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 19, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0342 Smoke Deficiencies

     Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

     Corrected Jun 11, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 10, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Jun 13, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jun 13, 2024 · CMS fire safety

4. Mar 12, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0700 Quality of Life and Care Deficiencies

     Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

     Corrected Apr 1, 2024 · CMS health inspection

5. Jun 7, 2023 Fire Safety · 9 findings
   • Not serious Scope/severity F

     E0013 Emergency Preparedness Deficiencies

     Develop Emergency Preparedness policies and procedures.

     Corrected Jul 21, 2023 · CMS fire safety

   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jun 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Jun 26, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 26, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 26, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Jun 9, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jun 9, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 16, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0911 Gas, Vacuum, and Electrical Systems Deficiencies

     Meet requirements for the installation and maintenance of electrical systems.

     Corrected Jun 9, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• AREVALO, CARLOS — corporate director, NOT APPLICABLE, since 10/16/2024
• BEA, JAVON — corporate officer, NOT APPLICABLE, since 07/27/1989
• BEA, JAVON — corporate director, NOT APPLICABLE, since 01/23/2012
• BENNING, JOANNA — corporate officer, NOT APPLICABLE, since 03/15/2015
• BRINKERHOFF, ROBERT — corporate officer, NOT APPLICABLE, since 02/19/2024
• BUDD, THOMAS — corporate director, NOT APPLICABLE, since 01/01/2016
• CRANLEY, EDWARD — corporate officer, NOT APPLICABLE, since 11/30/2014
• DORSEY, JOHN — corporate officer, NOT APPLICABLE, since 08/20/2012
• GOELZER, MARK — corporate officer, NOT APPLICABLE, since 01/01/2016
• GOELZER, MARK — corporate director, NOT APPLICABLE, since 09/22/1988
• GOELZER, MARK — operational/managerial control, NOT APPLICABLE, since 09/22/1988
• GOELZER, MARK — adp of the snf, NOT APPLICABLE, since 05/07/2025
• HALLATT, JENNIFER — corporate officer, NOT APPLICABLE, since 01/01/2012
• JOST, WESLEY — corporate director, NOT APPLICABLE, since 09/01/2016
• KILLPACK, TYLER — corporate officer, NOT APPLICABLE, since 08/01/2023
• KUS, KATHERINE — operational/managerial control, NOT APPLICABLE, since 04/01/2011
• KUS, KATHERINE — adp of the snf, NOT APPLICABLE, since 04/29/2025
• MALAS, JOSEPH — corporate officer, NOT APPLICABLE, since 06/01/2025
• OLIA, ALI — corporate officer, NOT APPLICABLE, since 11/01/2021
• OLSON, BRADLEY — corporate officer, NOT APPLICABLE, since 09/25/2023
• PALCHES, KATHI — adp of the snf, NOT APPLICABLE, since 11/08/1999
• POOL, THOMAS — corporate director, NOT APPLICABLE, since 09/16/1998
• SANKEY, KARA — corporate officer, NOT APPLICABLE, since 01/17/2023
• SCACCIA, KIMBERLY — corporate officer, NOT APPLICABLE, since 04/21/2020
• SCHACK, KATHERINE — corporate director, NOT APPLICABLE, since 03/22/2017
• SYVERSON, DAVE — corporate director, NOT APPLICABLE, since 11/21/2002
• UDY, LADD — corporate officer, NOT APPLICABLE, since 11/10/2018
• WHITAKER, AMY — corporate officer, NOT APPLICABLE, since 01/17/2023
• MERCY HEALTH CORPORATION — 5% or greater direct ownership interest, 100%, since 01/01/2015
• MERCY HEALTH CORPORATION — operational/managerial control, NOT APPLICABLE, since 01/01/2016