Lourdes-Noreen Mckeen Residence for Geriatric Care

In the surveyor’s words

From the most serious findings on record at Lourdes-Noreen Mckeen Residence for Geriatric Care, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Sep 5, 2025

  Based on policy review, observation, interview, and record review, the facility failed to implement infection control processes to prevent the spread of infection during 1 of 3 meals observed in the 2S dining room (lunch meal on 09/04/25) as evidenced by the staff failure to perform hand hygiene between resident contact; failure to implement and or follow Enhanced Barrier Precautions (EBP) for 4 of 8 sampled residents, Resident #41 who had an open wound, Resident #133 who had an indwelling urinary catheter, Resident #48 who had an indwelling urinary catheter, and Resident #97 who had a wound; and failure to disinfect the glucometer for 1 of 2 observations, after use for Resident #2.The findings included:Review of the policy titled Hand Hygiene (Copyright 2025) documented, in part, Policy:… […]

• No harm, potential for more than minimal, patternF657Nov 4, 2021

  Based on record review and interviews, the facility failed to involve 2 of 20 sampled residents (Residents #35 and #69) in the care planning process. The facility also failed to reflect documentation of Direct Care Nurses and Certified Nursing Assistants participation in the Care planning process of 13 out of 20 sampled residents (Residents #23, 30, 36, 39, 40, 41, 42, 69, 70, 74, 77, 78, and 489). The findings included: 1) On 11/02/21 at 10:35 AM, an interview was conducted with Resident #35. The Resident reported that she was leaving the facility in two weeks and that she had not had a care plan meeting. Resident #35 reported that her son handles her financial affairs, but she is still responsible for her personal care. […]

• No harm, potential for more than minimal, isolatedF550Sep 5, 2025

  Based on policy review, observation, interview, and record review, the facility failed to ensure of rendering dignified care and services for 2 of 29 sampled residents as evidenced by the voiced dislike of using a shampoo instead of an appropriate cleanser during a bath for Resident #31, and failure to treat and speak to Resident #31 and #41 in a dignified manner.The findings included:1) Review of the policy Bed Baths (Copyright 2024) documented in part, 6. Wash the resident's eyes with water only, . 7. Wash the resident's face using soap or a facial cleaner . Review of the record revealed Resident #31 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF561Sep 5, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents rights for 2 of 8 sampled residents as evidenced by the failure to ensure showers and hair washing for Resident # 12, and failure to use room shower for Resident #97.The findings included:1) Review of the record revealed that Resident #12 was admitted to the facility on [DATE] with diagnoses documented in part, Unspecified Dementia, Hemiplegia and Repeated Falls. Review of the Minimum Data Set (MDS) assessment dated [DATE] documented that Resident #12 had a Brief Interview for Mental Status (BIMS) score of 7 on a 0-15 scale, indicating the resident had severe cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF578Sep 5, 2025

  Based on interviews and record review, the facility failed to ensure the desired code status was in place for 1 out of 29 sampled residents reviewed for Advanced Directives (Resident # 1). The findings included:Review of the facility's policy titled, Advance Directives dated [DATE] included, in part, the following: Policy Interpretation and Implementation . 4. Do not resuscitate orders (DNRO) will remain in effect until the resident (or legal surrogate) provides the facility with a signed and dated request to end the DNR order. 5. […]