Macgregor Downs Health Center by Harborview

In the surveyor’s words

From the most serious findings on record at Macgregor Downs Health Center by Harborview, in the surveyor’s own words.

• Immediate jeopardy, patternF925Aug 2, 2024

  Based on observation, record review and interviews with pest control staff, resident and facility staff, the facility failed to maintain an effective pest control program to prevent an infestation of mice and to protect a vulnerable resident from mice. On 7/1/24 Resident #18 was in bed when she felt something touch her foot. She pressed her call bell for assistance and when Nurse Aide (NA) #7 responded the NA pulled the blankets off the bed and a mouse jumped out of the bed and onto the floor. On 7/7/24 Resident #18 was in bed when NA #7 pulled the covers down to provide care and a mouse jumped out of the bed and onto the floor. On 7/26/24 Resident #18 saw a mouse running across the floor of her room. […]

• No harm, potential for more than minimal, widespreadF582Jan 26, 2023

  Based on record review and staff interviews, the facility failed to provide a Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notice (SNF-ABN) prior to discharge from Medicare Part A skilled services for 2 of 2 residents reviewed for beneficiary protection notification review who required the provision of the SNF-ABN form (Resident #427 and Resident #109). The findings included: 1. Resident #427 was admitted to the facility on [DATE]. Review of CMS-R-131 (a form used to indicate Medicare Part B services are ending) revealed Resident #427's Medicare Part A skilled services ended on 7/13/22. […]

• No harm, potential for more than minimal, patternF812Feb 13, 2025

  Based on observations and staff interviews, the facility failed to store a sugar scoop in a manner that prevented the potential for cross contamination by storing the scoop in the bulk sugar bin with the scoop handle touching the sugar. This was for 1 of 3 pantry's observed. This had the potential to affect food served to residents. Findings included: On 2/11/25 at 4:05 PM an observation of the bulk sugar bin in Hall 2 pantry revealed the sugar scoop was stored directly in the bulk sugar bin with the handle of the scoop in contact with the sugar. In an interview with Dietary Aide #1 at that time she stated she was assigned to the Hall 2 pantry that day. She reported that when she had gone on her break a little after 3:00 PM that day the scoop had not been in the sugar. […]

• No harm, potential for more than minimal, patternF880Feb 13, 2025

  Based on observations, record reviews and staff interviews, the facility failed to implement their infection control policies and procedures when Housekeeper #1 failed to wear an isolation gown while cleaning the room of two residents on droplet contact precautions and the Director of Nursing (DON) failed to wear personal protective equipment (PPE) before entering the room of a resident on droplet contact precautions. In addition, Nurse #3 and the Administrative Ambassador failed to wear PPE and perform hand hygiene before entering the room of two residents on droplet contact precautions and Nurse #1 failed to perform hand hygiene before putting on clean gloves and after removing soiled gloves. […]

• No harm, potential for more than minimal, patternF812Dec 22, 2023

  Based on observations and staff interviews the facility failed to prevent the potential for cross-contamination by storing plastic scoops inside dry ingredient bins allowing the handles to touch the dry ingredients for 2 of 2 observations. Findings included: During an observation of the kitchen on 12/17/23 at 10:35 AM the flour and sugar scoops were observed in the flour and sugar bins and the handles were visibly touching the flower and sugar. During observation of the kitchen on 12/18/23 at 12:43 PM the flour and sugar scoops were again observed in the flour and sugar bins and the handles were visibly touching the flower and sugar. […]