A list of the most recent deficiencies for Mcclay Senior Care. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-13 | 2023-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-13 | 2023-10-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-29 | 2022-10-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-29 | 2022-10-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-08-29 | 2022-10-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-29 | 2022-10-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-29 | 2022-10-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-29 | 2022-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-29 | 2022-10-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-29 | 2022-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-10-06 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-08-29 | 2022-10-06 | Y |
| 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 | 2022-08-29 | 2022-10-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-29 | 2022-10-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-29 | 2022-10-06 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-29 | 2022-10-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Meet other general requirements. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-29 | 2022-10-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-11 | 2022-07-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-03 | 2021-12-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-29 | 2021-12-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-09-29 | 2021-11-13 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-11-26 | 2020-01-05 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-11-26 | 2020-01-05 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-11-26 | 2020-01-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-26 | 2020-01-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-26 | 2020-01-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-26 | 2020-01-05 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-26 | 2020-01-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-11-26 | 2020-01-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-26 | 2020-01-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-26 | 2020-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-26 | 2020-01-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-11-26 | 2020-01-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-26 | 2020-01-05 | 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 | 2019-11-26 | 2020-01-05 | 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 | 2019-11-26 | 2020-01-05 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-11-26 | 2020-01-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-11-26 | 2020-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-26 | 2020-01-05 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-11-26 | 2020-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2020-01-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-26 | 2020-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-26 | 2020-01-05 | N |
