Complete Care at Mercerville LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Mercerville LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF809May 2, 2025

  Based on interviews, and review of pertinent facility documents, it was determined that the facility failed to serve and consistently document that resident's received a nourishing snack in the evening when there was more than a 14-hour span between dinner and breakfast mealtimes. This deficient practice was identified for a.) 5 of 5 alert and oriented residents (Resident's #39, #52, #81, #84, and #86) during the resident council meeting, who represented 2 of 2 units and b.) 1 of 2 residents reviewed for Nutrition (Resident #83). This deficient practice was evidenced by the following: On 4/28/25 at 8:07 AM, the surveyor conducted a kitchen tour with the Food Service Director (FSD). […]

• No harm, potential for more than minimal, widespreadF812May 10, 2022

  Based on observations, interviews, and a review of documentation provided by the facility, it was determined that the facility failed to maintain proper kitchen sanitation practices in a safe and sanitary environment to prevent the potential development of food-borne illness. This deficient practice was observed and was evidenced by the following: On 04/18/22 from 09:51 AM until 10:40 AM, during the initial tour of the kitchen in the presence of the Food Service Director (FSD), the surveyor observed the following: 1. The trash bucket at the handwashing sink had a broken foot pedal, causing the lid of the trash bucket to not open when stepped on. The FSD tried to fix it but said it was broken and had to be replaced. 2. […]

• No harm, potential for more than minimal, patternF698Oct 16, 2023

  Based on observation, interview, and record review it was determined that the facility failed to a.) document the appropriate blood pressure (B/P) site b.) maintain ongoing consistent complete communication notes between the facility and the dialysis center post dialysis and c.) document post dialysis weight as per standards of practice. This deficient practice was identified for 1 of 1 resident reviewed for dialysis, (Resident #8), and was evidenced by the following: According to the Admission Record, Resident #8 was admitted to the facility with the diagnoses which included but was not limited to: end stage renal disease (ESRD) and dependence on renal dialysis (a treatment to filter wastes and water from the blood). […]

• No harm, potential for more than minimal, patternF812Oct 16, 2023

  Based on observation, interviews and review of facility documentation it was determined that the facility failed to: a.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross contamination and b.) maintain adequate infection control practices during food service in the kitchen. This deficient practice was observed and evidenced by the following: On 10/04/23 at 09:45 AM, the surveyor started the kitchen tour in the presence of the cook, while awaiting the arrival of the Director of Dining Services (DDS). At 09:52 AM, the surveyor was met by the Food Services Director (FSD) of a sister facility and continued the tour. The surveyor observed the following: 1. On the metal dried storage rack, there were two 6-inch-deep pans with clear liquid between them. […]

• No harm, potential for more than minimal, isolatedF565May 2, 2025

  Based on interviews, record review, and facility documentation it was determined that the facility failed to ensure the grievance process was followed to ensure that all concerns presented by the residents were consistently addressed. This deficient practice was identified for 1of 6 residents (Resident #86) reviewed for grievances. This deficient practice was evidenced by the following: On 4/29/25 at 10:02 AM, during a resident council meeting with 5 alert and oriented residents, Resident #86 stated they were not happy with the way a nurse treated their roommate so the resident pulled the curtain back and told LPN #1 the resident is telling you the air is too much, the nurse told me to mind my f*** business, proceeded to yell at me and when she was walking out of the room, she said your… […]