Carecore at Margaret Hall

In the surveyor’s words

From the most serious findings on record at Carecore at Margaret Hall, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 23, 2026

  Based on record review, review of hospital paperwork, staff interview, policy review and review of online medical resources, the facility failed to monitor and record resident bowel functioning. This resulted in Actual Harm for Resident #76 whose last documented bowel movement occurred on 11/19/25. Resident #76 was subsequently treated in the hospital for a fecal impaction on 01/25/26. This affected one (Resident #76) of three residents reviewed for hospitalization. The facility census was 78 residents. Findings include:Review of the medical record for Resident #76 revealed an admission date of 02/06/24 with diagnoses including cerebral infarction, dysphagia, depression, and mood disorder. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2026

  Based on observation, staff interview, and review of facility documents and policy, the facility failed to ensure food was stored and prepared under sanitary conditions. This had the potential to affect all residents in the facility with the exception of one facility-identified (Resident #61) who did not receive food from the facility kitchen. The facility census was 87 residents.Findings Include:1. Observation on 07/20/26 at 9:08 A.M. of the dry food storage area revealed there was a box of thickened hot chocolate mis with a use by date of 11/02/25 and a box of thickened coffee with a use by date of 02/15/26. Interview on 07/20/26 at 9:17 A.M. with [NAME] #272 verified thickened hot chocolate and thickened coffee were expired and should have been discarded. 2. […]

• No harm, potential for more than minimal, widespreadF880Jul 23, 2026

  Based on record review, staff interview, and policy review, the facility failed to conduct adequate infection control surveillance. This had the potential to affect all of the residents residing in the facility. The facility census was 87 residents. Findings include: Review of the infection control logs with the Director of Nursing (DON) revealed the facility did not conduct infection surveillance for the following months: August 2025, September 2025, October 2025, November 2025, December 2025, January 2026, February 2026, March 2026,April 2026. […]

• No harm, potential for more than minimal, widespreadF803Feb 23, 2026

  Based on observation, review of the facility menu and dietary spreadsheets, and staff interview, the facility failed to ensure the menu was followed and portion sizes were served as planned on dietary spreadsheets. This had the potential to affect 76 residents in the facility. The facility identified two (Residents #49 and #50) who did not receive food from the kitchen. The facility census was 78 residents. Findings include: Review of the menu for 02/10/26 revealed residents on regular textured diets were to receive cereal, toast, and sausage egg bake.Review of the dietary spreadsheet for 02/10/26 revealed all diets were to receive six ounces of cereal. […]

• No harm, potential for more than minimal, widespreadF804Feb 23, 2026

  Based on observation, staff interview, resident interview, and policy review, the facility failed to ensure food was served at the appropriate temperature and was palatable. This had the potential to affect 76 of 78 residents in the facility. The facility identified two (Residents #49 and #50) who did not receive food from the kitchen. The facility census was 78 residents.Findings include: Observation of a test tray on 02/10/26 at 9:33 A.M. after all trays had been passed revealed the eggs and sausage were lukewarm to taste and not palatable. The eggs were 93 degrees Fahrenheit (F) and the sausage was 93.4 degrees F. The milk was poured from a carton which had been placed on top of the cart of trays into a glass was 48.8 degrees F and the orange juice was 51 degrees F. […]