Mcclay Senior Care

In the surveyor’s words

From the most serious findings on record at Mcclay Senior Care, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 4, 2025

  Based on observation, interview and record review, the facility failed to conduct weekly skin assessments per their policy and complete a Braden Scale (a tool used to identify if a resident is at risk for the development of Pressure Ulcers (PU) for four residents (Resident #1, #2, #3 and #8) out of eight sampled residents who developed PU. Resident #1 admitted to the facility from a local hospital with a pressure ulcer to the coccyx. The facility failed to complete an admission skin assessment indicating that the resident had the PU, or document the size and characteristics of the PU. […]

• No harm, potential for more than minimal, widespreadF812Apr 4, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety and sanitation. Staff failed to practice proper hygienic practices, including hair restraint use, handwashing and gloving, and consumption of personal food and beverage items, when preparing and serving food to residents. Staff failed to ensure food and beverage containers and utensils were handled in a sanitary manner and were protected from moisture and other contaminants. Staff failed to ensure food items were in good condition and were sealed, labeled, dated, and stored in accordance with the manufacturer's label. […]

• No harm, potential for more than minimal, widespreadF812Aug 29, 2022

  Based on observation, interview, and record review, the facility failed to ensure sanitary practices in the kitchen. The facility census was 48. Review of the facility kitchen cleaning policy, dated December 2018, showed the following: -It is policy to follow the cleaning schedule as directed by the dietary manager. -Dietary staff will maintain a clean and sanitary kitchen. -The dietary manager delegates the cleaning to the cook or the aide for the day. -Daily cleaning: floors, and sink and countertops are cleaned and sanitized throughout the day; -Weekly cleaning: walls, doors, drains, and reach-in chillers; -Monthly cleaning: lighting and freezers; -Twice yearly the extraction ducts are cleaned. […]

• No harm, potential for more than minimal, patternF760Apr 4, 2024

  Based on observation, interview and record review, the facility failed to ensure three residents (Resident #2, #5 and #44), in a review of three sampled residents who received insulin injections, were free from significant medication errors. Staff failed to prime (remove the air) the Humalog/Novolog Kwik pen (prefilled pen of fast acting insulin) (medication injected under the skin used to treat diabetes) needle as instructed by the manufacturer prior to administration of the medication, resulting in administration of less than the ordered dose of Humalog/Novolog. Staff failed to hold the needle against the resident's skin for the manufacturer's suggested time after the administration of the medication. […]

• No harm, potential for more than minimal, patternF761Apr 4, 2024

  Based on observation, interview, and record review, the facility failed to keep lorazepam (a schedule IV narcotic anxiety medication with the potential for abuse) behind two locks when it was stored in the unlocked refrigerator in the lower level medication room, without evidence of when the medication was dispensed or a narcotic sheet for reconciliation. The facility failed to remove and destroy discharged resident medications from the lower level medication room for eight discharged residents (Residents #100, #101, #102, #103, #104, #105, #106, and #107) as directed by facility policy. […]