Mccamey Convalescent Center

In the surveyor’s words

From the most serious findings on record at Mccamey Convalescent Center, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 1, 2022

  Based on observation, interview, and record review, the facility failed to ensure residents receive adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 2 residents reviewed who required full assistance with repositioning while in bed due to not being able to ambulate. CNA A failed to use to proper techniques when repositioning Resident #1 to sit up in bed, which resulted in a fracture to the upper part of the arm. The failure placed residents at the facility who require assistance with ADLs at risk for pain or serious injuries. The failure resulted in actual harm to Resident #1 on 10/14/2022. […]

• Actual harm, isolatedF726Dec 1, 2022

  Based on observation, interview, and record review, the facility failed to ensure that nurse aides were able to demonstrate competency in skills and techniques necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care to prevent a fracture while repositioning 1 (Resident #1) of 2 residents reviewed for bed mobility due to inability to ambulate. CNA A failed to use the proper technique when repositioning Resident #1 to sit up in bed, which resulted in a fracture to the upper part of the arm. The failure placed residents at risk for serious injuries who require assistance with ADLs. The failure resulted in actual harm to Resident #1 on 10/14/2022. […]

• No harm, potential for more than minimal, widespreadF908Dec 5, 2025

  Based on observation, interview, and record review the facility failed to maintain essential mechanical and electrical equipment in safe operating condition for 1 kitchen of 1 reviewed for essential equipment. The facility failed to ensure the dishwasher worked. This failure could place residents at risk of malfunctioning equipment being used for their service/care.The findings included: Interview on 10/14/25 at 9:52 AM the FSS stated the dishwasher went out two months ago. The FSS stated that the facility was getting new quotes. The FSS stated maintenance fixed the dishwasher by replacing the booster heater. The FSS stated then the booster heater went out and had water spraying continuously and the dishwasher went out - it smoked and sparked and sounded like gunshots. […]

• No harm, potential for more than minimal, patternF656Dec 5, 2025

  Based on observation, interview, and record review the facility failed to develop and implement comprehensive person-centered care plan that includes measurable objectives and time frames to meet a resident medical and nursing needs to be furnished to attain or maintain the residents highest practicable physical, mental, and psychosocial well-being for 5 of 13 residents (Resident #3, Resident #6, Resident #7, Resident #11, and Resident #15) reviewed for accurate care plans.Resident #3, #6, #7, and #15's care plan did not address their current code status. Resident #6 and #11's Care Plan did not address ADL Status Resident #11's Care Plan did not address wander guard use. Resident #11's Care Plan did not address her choice of Authorized Electronic Monitoring. […]

• No harm, potential for more than minimal, patternF755Dec 5, 2025

  Based on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 out of 1 med rooms reviewed for medication storage and 1 of 1 medication carts reviewed. The facility failed to ensure the medication cart and refrigerator in the medication room did not contain expired medications and unlabeled medications. These failures could place residents at risk of adverse medication reactions.Findings included: Observation on 10/15/25 at 11:30 AM revealed the medication cart had the following expired medications: 1. Coreg 6.25mg expired 7/30/2025 (Medication to treat high blood pressure).2. […]