Dr Arthur Clifton Mckinley CTR

In the surveyor’s words

From the most serious findings on record at Dr Arthur Clifton Mckinley CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 28, 2023

  Based on review of infection control records, facility policy, and staff interviews, it was determined that the facility failed to provide proof that a system to monitor and prevent legionella in the facility water was established. Findings include: Review of facility policy entitled [NAME] Health Center Potable Water Safety/Legionella Policy and Action Plan, dated 2/3/23, with a policy review date of 1/27/23, identified Maintenance control measures must be prepared by a qualified staff to include appropriate Check Sheets for record purposes. The Water Safety Plan will be reviewed regularly by qualified person(s) and updated accordingly. Documentation will be maintained by the Maintenance Director of the reporting and checking process for all aspects of the Water Safety Plan. […]

• No harm, potential for more than minimal, widespreadF812Mar 24, 2022

  Based on review of facility policy, observations, and staff interview, it was determined that the facility failed to maintain proper sanitation procedures for the three compartment sink in the main kitchen. Findings include: Review of the facility policy entitled Three Compartment Sink last reviewed on 1/16/22, identified to fill the third sink with water and sanitizer to the correct concentration per manufacturer's recommendations quaternary ammonium mix 200-400 ppm (parts per million); Check and record wash temperature and final rinse sanitizer strength on the three compartment sink temperature log prior to doing dishes. Observation on 3/21/22, at 12:15 p.m. revealed that the three compartment sink was filled up for use. […]

• No harm, potential for more than minimal, patternF655Dec 4, 2025

  Based on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to initiate a baseline care plan and provide a written summary of the baseline care plan and order summary to the resident and/or representative for five of five residents reviewed (Residents R2, R6, R9, R10, and R13). Findings include: Review of facility policy entitled Care Plans - Baseline dated 11/4/25, revealed that A baseline plan of care to meet the resident's immediate health and safety needs is developed for each resident within forty-eight hours of admission. […]

• No harm, potential for more than minimal, patternF553Jan 12, 2024

  Based on clinical record review and staff and resident interviews, it was determined that the facility failed to ensure that the resident was offered the opportunity to participate in the development, review, and/or revision of their person-centered care plan for three of 18 residents reviewed (Residents R7, R12, and R26). Findings include: Resident R7's clinical record revealed an admitted [DATE], with diagnoses that included Diabetes (a condition where the body produces insufficient amounts of insulin, causing high blood sugar), peripheral vascular disease (a slow and progressive circulation disorder), and atrial fibrillation (a type of abnormal, rapid heartbeat that is present all the time, causing shortness of breath, heart palpitations, and weakness and can lead to development of… […]

• No harm, potential for more than minimal, patternF655Jan 12, 2024

  Based on review of clinical records and staff interview, it was determined that the facility failed to ensure that a written summary of the baseline care plan was provided to the resident and/or the resident's representative for four of 18 residents reviewed (Residents R30, R25, R34, and R65). Findings include: Resident R30's clinical record revealed an admitted [DATE], with diagnoses that included Chronic Obstructive Pulmonary Disease (COPD-a condition that obstructs air flow in the lungs with symptoms of difficulty breathing, coughing and shortness of breath), congestive heart failure (a progressive heart disease that weakens the pumping action of the heart muscles, causing fatigue and shortness of breath in the resident), Diabetes (a condition where the body produces insufficient… […]