Life Care Center of McMinnville

In the surveyor’s words

From the most serious findings on record at Life Care Center of McMinnville, in the surveyor’s own words.

• Immediate jeopardy, widespreadF886Feb 10, 2021

  Based on observation, interview and record review, the facility failed to properly prevent and/or contain COVID-19 when it failed to conduct COVID testing in a manner that was consistent with current standards of practice. COVID-19 is an infectious disease by a new virus causing respiratory illness with symptoms of cough, fever, and in severe cases difficulty breathing that could result in severe impairment or death. Specifically, 3 of 3 staff (Registered Nurse 1, interim Director of Nursing, and Infection Preventionist), who conducted resident and staff COVID-19 testing, failed to collect nasal specimens from both nostrils and did not rotate swab 5 times for 15 seconds per nostril and did not wear isolation gowns when collecting nasal specimens. […]

• No harm, potential for more than minimal, patternF725Mar 12, 2026

  Based on observation, interview and record review it was determined the facility to provide sufficient nursing staff to ensure residents received medications timely for 1 of 1 facility reviewed for staffing. This placed residents at risk for adverse side effects of medication. Findings include: 1. The 2/19/26 Resident Council Minutes indicated nurses were rushing during medication pass. 2. Resident 59 admitted to the facility in 2023 with diagnoses including unspecified convulsions and dementia. […]

• No harm, potential for more than minimal, patternF760Mar 12, 2026

  Based on observation, interview and record review it was determined the facility failed to ensure residents were free of significant medication errors for 1 of 6 sampled residents (#53) reviewed for medications. This placed residents at risk for medication errors. Findings include:Resident 53 admitted to the facility in 2/2026 with diagnoses including Parkinson's and orthostatic hypotension (a sudden drop in blood pressure upon sitting or standing). The 2/26/26 admission MDS revealed a BIMS of 12 indicating a moderate cognitive impairment, but no delirium, inattention, or disorganized thinking. Resident 53 was assessed to be at risk for falls and required assistance with mobility and ADLs. […]

• No harm, potential for more than minimal, patternF761Mar 12, 2026

  Based on observation, interview, and record review it was determined the facility failed to ensure appropriate medication storage temperatures were logged and maintained, and failed to ensure proper labeling of biologicals for 1 of 1 medication room and 1 of 3 treatment carts reviewed for medication storage. This placed residents at risk for reduced efficacy of medication. Findings include:1. On 3/9/26 at 9:02 AM an open Humalin N insulin pen was observed in the C hall treatment cart with no open date.On 3/9/26 at 9:02 AM Staff 3 (LPN) acknowledged the insulin pen was open and not labeled with an open date.On 3/12/26 8:15 AM Staff 2 (DNS) stated the expectation was for insulin pens to be labeled with open dates. 2. […]

• No harm, potential for more than minimal, patternF812Mar 12, 2026

  Based on observation, interview and record review it was determined the facility failed to ensure food items stored in unit refrigerators were not expired and refrigerator temperatures were monitored for 2 of 2 unit refrigerators reviewed for food storage. This placed residents at risk for foodborne illness. Findings include: 1. On 3/9/26 at 8:19 AM the ADL kitchen refrigerator was observed and revealed the following:-The temperature log for 2026 was on the outside of the refrigerator door and had one temperature documented for 1/14/26, but no other temperatures for January, February, and March were documented.-An individual to go container dated 2/22/26.-A snack pack with moldy food inside with a use by 2/25/26 date printed on it. […]