Marcella Post Acute

In the surveyor’s words

From the most serious findings on record at Marcella Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF600May 20, 2026

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to protect one resident, Resident #36 (R36) from a resident-to-resident altercation out of a survey sample of 42 residentsThe facility staff failed to protect R36 from a resident-to-resident altercation occurring on 11/13/25, which resulted in a left thumb fracture thus constituting harm to R36. The facility staff failed to identify and/or implement appropriate interventions, supervision, and monitoring to prevent the altercation.The findings included:A facility policy titled, Abuse, Neglect, Exploitation and Misappropriation Prevention Program, revised April 2021, specified, Residents have the right to be free from abuse, neglect, misappropriation of resident property and… […]

• Actual harm, isolatedF697May 20, 2026

  Based on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure effective pain management was provided for one resident, Resident #28 (R28), out of a survey sample of 42 residents. Specifically, the facility failed to administer the resident's prescribed pain medication as ordered. As a result, R28 experienced withdrawal symptoms, causing actual harm and discomfort. The findings included:On 5/17/26 at 10:30 am, an interview was conducted with R28. During the interview R28 stated, my morphine was not available to be given so oxycodone was ordered one time in the morphine place but that didn't help my pain like the morphine did and I had withdrawal symptoms because I went without the morphine. […]

• No harm, potential for more than minimal, widespreadF908May 20, 2026

  Based on observation, staff interview, policy review and facility document review, the facility staff failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition. The findings included:The facility policy titled, Personal laundry Handling and Processing Policy with a reviewed date of 2/1/25 read in part, Lint traps should be checked, brushed and cleaned at least every hour unless state/local requirements prescribe more frequent attention. Lint trap cleanings should be documented on the Lint Trap Cleaning Log.The facility synopsis of events was reviewed and read in part, .concerning the fire that occurred Thursday January 22, 2026, there were no negative outcomes/injuries resulting from this incident. […]

• No harm, potential for more than minimal, widespreadF925May 20, 2026

  Based on observation, resident interview, family interview, staff interview, and facility document review, the facility staff failed to maintain an effective pest control program to address and prevent the presence of insects throughout the facility. The findings included: The facility staff failed to maintain an effective pest control program to address the presence of cockroaches, ants, and other insects within resident care areas. On 05/17/2026 at 10:05 AM, during an interview on the [NAME] unit with Resident #59, the surveyor observed a brown insect near the resident's bed. The insect crawled toward the closet and disappeared. The resident reported issues with cockroaches, gnats, flies, and ants. […]

• No harm, potential for more than minimal, widespreadF925Oct 28, 2021

  Based on observation, record review, staff interview, resident interview, interview with the facility's Pest Control Company staff, and facility policy review, the facility failed to maintain an effective pest control program to ensure the facility was free of pests. This affected three of three units, common areas, and the dining rooms in the facility, and had the potential to affect all 126 residents residing in the facility. Findings include: Observation in the dining room on 10/26/21 at 8:58 AM revealed four small white boxes on the floor in each corner of the room. The boxes were observed to have more than 10 dead bugs in each one of them. Some of the bugs were one and a half inches in length and were noted to be sticking out the end of the boxes. […]