A list of the most recent deficiencies for Mcclure Post Acute. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-09 | 2022-07-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-09 | 2022-07-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-09 | 2022-07-21 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-06-09 | 2022-07-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-09 | 2022-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-07-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish methods for sharing information. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-06-22 | 2022-07-13 | 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 | 2022-06-22 | 2022-07-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-11-30 | 2021-12-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-07 | 2021-10-08 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-06-11 | 2021-07-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-11 | 2021-07-13 | 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 | 2021-06-11 | 2021-07-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-11 | 2021-07-13 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-06-11 | 2021-07-13 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-12 | 2019-09-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-12 | 2019-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-12 | 2019-09-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-27 | 2018-12-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-27 | 2018-12-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-27 | 2018-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2018-12-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-27 | 2018-12-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-27 | 2018-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-27 | 2018-12-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-27 | 2018-12-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-30 | 2018-09-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-30 | 2018-09-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-30 | 2018-09-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-30 | 2018-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-30 | 2018-09-30 | 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 | 2018-08-30 | 2018-09-30 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-08-30 | 2018-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-09-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-30 | 2018-09-30 | N |
