Maverick Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Maverick Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 11, 2024

  Based on observations, interviews, and record review, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 7 residents (Resident #54) reviewed for quality of care. The facility failed to ensure Resident #54 was properly secured in the facility transport van on 08/22/24 and sustained a fall resulting in fractures to the third and fourth left hand fingers and a fracture to the right elbow. The noncompliance was identified as PNC. The IJ began on 08/22/204 and ended on 08/24/2024. The facility had corrected the noncompliance before the survey began. Assessment of Resident #54. Inservice training to all staff related to Abuse and Neglect and Reporting Incidents to MD and RP. […]

• No harm, potential for more than minimal, widespreadF727Aug 11, 2023

  Based on interview and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week, on 5 days during the look back period from April 1, 2023, to August 8, 2023 (99 calendar days). The facility failed to maintain RN coverage on: April 1,2023, April 2, 2023, April 5, 2023, May 12, 2023, and May 13, 2023. This failure could affect all 82 residents of the facility by placing them at risk for not having their nursing and medical needs met. […]

• No harm, potential for more than minimal, patternF804Dec 12, 2025

  Based on interview and record review, the facility failed to provide food that is palatable, attractive, and at a safe and appetizing temperature for 1 of 1 kitchen observed. 1. The facility failed to maintain the temperature for puree bread at 135 F or above. These failures could place residents at risk for weight loss, poor quality of life and food borne illness. The findings included:During an observation on 12/11/2025 at 11:45 a.m., the cook took the temperature of the bread puree on serving line which reached 116 degrees.During an interview on 12/11/2025 at 11:49 a.m., COOK G stated the holding temperature for hot items should be 145 degrees or above. [NAME] G stated they can reheat the item in the microwave if they do not meet holding temperatures. […]

• No harm, potential for more than minimal, patternF812Dec 12, 2025

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food storage safety. 1.The kitchen had an unsealed cheese bag dated 12/4/2025 in the fridge,2.The kitchen had an unsealed cilantro bag dated 12/5/2025 in the fridge.3.The kitchen had an unsealed pizza dough bag dated 10/26/2025 in the freezer.4.The kitchen had an undated macaroni container in the pantry5.The kitchen had a tomato that appeared to be spoiled in the fridge. This deficient practice could place residents who eat food from the kitchen at risk of foodborne illnesses.The findings include:During an observation on 12/09/2025 at 10:46 a.m. […]

• No harm, potential for more than minimal, patternF812Sep 11, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: The facility failed to ensure three packets of bread, observed in the freezer on 09/08/2024, were labeled and dated, and that one of packets was not opened in the freezer because the plastic bag was torn. This failures could place residents who received meals and/or snacks from the kitchen at risk for food borne illness. The findings included: Observation on 09/08/2024 at 9:59 a.m. in the kitchen revealed there was one freezer in the dry storage room, and inside the freezer there were three packets of bread. Two packets were covered in plastic bags but not labeled and dated. […]