Mcclure Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Jun 9, 2022

  Based on observation, interview and facility document review, the facility failed to ensure the competency of Registered Dietitian 1 (RD 1) and Certified Dietary Manager 1 (CDM 1) when CDM 1 and RD 1 did not provide guidance to a cook to follow recipes which resulted in unpalatable pureed food. This failure had the potential for four residents who received pureed diet to decrease their intake of food out of 55 residents who received food from the kitchen Findings: During an observation and concurrent interview with Cook 1 on 6/7/22 at 11:30 a.m., Cook 1 pureed food for resident lunches. Cook 1 added water to puree spinach which was already very moist, before assessing the consistency of the puree. Because the pureed spinach was too thin, Cook 1 then added thickener to thicken the puree. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2022

  The facility did not handle and prepare food that prevents food born illness and cross contamination. Based on observation, interview, and record review, the facility failed to store, prepare, and distribute food safely when: 1. The internal parts of the ice machine were not clean; 2. Walls, baseboards, ceiling areas, floor areas, cabinets, shelving, tiles under stove, and piping in the kitchen area and food storage areas were dirty and in disrepair; 3. A mechanical room was used to store food, single food service items, clean uniforms and the room was not clean and had pests; 4. Chopping boards were in poor condition and stained; 5. Resident personal items were stored with clean dishes and cooking utensils; 6. Proper hand hygiene and cleaning of soiled equipment was not practiced; 7. […]

• No harm, potential for more than minimal, widespreadF880Jun 9, 2022

  Based on observation, interview and record review, the facility failed to follow standard precautions to prevent the spread of infection when following was noted: 1. Resident 346's Oxygen (O2) tubing was on the floor for almost eight feet from the O2 concentrator to the toilet seat in the bathroom. Certified Nursing Assistant (CNA 1) used her feet to move the O2 tubing when O2 tubing got caught under the bathroom door. 2. Housekeeper (HK 2) folded clean linens closely touching body. These failures had the potential for cross contamination and potential spread of infections in the facility. Findings: 1. During an observation on 6/6/22, at 10:34 a.m., Resident 346's O2 connecting tube was observed on the floor next to her bed. Resident 346 was receiving O2 at 2 liters per minute. […]

• No harm, potential for more than minimal, widespreadF880Aug 7, 2021

  Based on interviews and record review, the facility failed to ensure COVID-19 (a new coronavirus causing a respiratory illness and outbreak that is easily spread) was properly contained when; 1. Licensed Nurses were not dedicated and assigned to care exclusively for the positive COVID-19 residents. 2. The facility did not designate one area of the facility to serve as the isolation wing/unit for monitoring residents that have been exposed or have confirmed COVID-19 positive from COVID-19 negative residents. These deficient practices had the potential to result in the spread of COVID-19. Findings: During an interview on 8/6/21 at 1:14 p.m., the Infection Preventionist/Director of Staff Development (IP/DSD) stated the facility had an outbreak of COVID-19. […]

• No harm, potential for more than minimal, patternF640Apr 9, 2026

  Based on an interview and record review, the facility failed to ensure the Minimum Data Set (MDS, standardized assessment used in nursing homes to evaluate a resident's physical, psychological, and functional status) assessments were transmitted (electronically submitted to the national database) within the required 14 day timeframe for four of 19 sampled residents (Resident 12, 29, 46, and 64). This failure resulted in the delayed reporting of the residents' condition, which may negatively impact care planning, oversight, and delivery of appropriate services to meet the residents' needs. […]