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Deficiency Records for Mcpherson Operator, LLC
View the most recent health deficiencies and inspection results for Mcpherson Operator, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mcpherson Operator, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-04-23 | 2025-07-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-04-23 | 2025-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-23 | 2025-07-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-23 | 2025-07-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-04-23 | 2025-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-23 | 2025-07-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-23 | 2025-07-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-23 | 2025-07-16 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-04-23 | 2025-07-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-23 | 2025-07-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-04-23 | 2025-07-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-04-23 | 2025-07-08 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-04-23 | 2025-06-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-23 | 2025-06-05 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2025-04-23 | 2025-06-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-23 | 2025-06-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-04-23 | 2025-06-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-23 | 2025-03-20 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-07 | 2023-10-09 | N |
| Meet other general requirements. | Fire Safety | 2023-08-07 | 2023-10-09 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-07 | 2023-10-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-07 | 2023-10-09 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-08-07 | 2023-10-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-07 | 2023-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-07 | 2023-10-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-07 | 2023-10-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-07 | 2023-10-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-07 | 2023-09-20 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-08-07 | 2023-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-07 | 2023-09-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-07 | 2023-09-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-07 | 2023-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-07 | 2023-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-07 | 2023-09-20 | N |
| 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. | Health | 2023-08-07 | 2023-09-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-08-07 | 2023-09-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-07 | 2023-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-07 | 2023-09-20 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-07 | 2023-09-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-07 | 2023-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-19 | 2022-03-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-19 | 2022-02-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-01-19 | 2022-02-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-19 | 2022-02-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-01-19 | 2022-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-19 | 2022-02-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-19 | 2022-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-19 | 2022-02-09 | N |