McCormick Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 6, 2025

  Based on review of the facility policy, record review, and interviews, the facility failed to ensure Resident (R)1 was free from of accident/hazards, over which the facility had control of on 04/26/25. The facility staff loaded R1, who is a bilateral amputee to his lower extremities, with a Hoyer lift to a boat, allowing him to ride on a highway without being properly secured. On 06/05/25 at 5:39 PM, the survey team provided the Director of Nursing (DON) and the Regional Director of Clinical Services (RDCS) with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of 04/26/25. […]

• Immediate jeopardy, isolatedF600May 2, 2025

  Based on record review, interview, and facility policy review, the facility failed to ensure two residents, Resident (R)83 and R6, were free from resident-to-resident physical abuse for 2 of 3 resident reviewed. Specifically, R103 was able to physically attack R83 on 03/09/25, on three separate occasions, within a forty-five-minute timeframe. Additionally, on 04/14/25, R103 spit on and hit R6. On 05/01/25 at 5:34 PM, the Operation Manager and Director of Nursing were notified that the failure to protect a resident from multiple incidents of physical abuse constituted Immediate Jeopardy (IJ) at F600. On 05/01/25 at 5:34 PM, the survey team provided the Operation Manager and Director of Nursing with a copy of the CMS IJ Template and informed the facility IJ existed as of 03/09/25. […]

• Immediate jeopardy, isolatedF624Apr 19, 2024

  Based on review of facility policy, record reviews and interviews, the facility failed to ensure a resident had a safe and orderly discharge from the facility, for 1 of 1 resident. Specifically, Resident (R)1 was discharged from the facility on 04/14/23 to a motel located approximately 50 minutes from facility. Upon arrival to the motel, R1 suffered an emergent event and had to be transported to an emergency room . On 04/09/24 at 3:00 PM, the Director of Nursing and Regional Director of Clinical Services was notified that the failure to ensure a resident had a safe and orderly discharge from the facility constituted Immediate Jeopardy (IJ) at F624. […]

• No harm, potential for more than minimal, widespreadF803May 2, 2025

  Based on observation, record review, interview, and facility policy review, the facility failed to ensure the menu was followed regarding menu substitutions displayed on the menu and tray tickets for one of one resident (Resident (R)91) reviewed for menu compliance of 30 sample residents. This had the potential to affect nutritional status and resident preferences for residents who received food from the kitchen. Findings include: Review of the facility's policy titled, Menus revised 10/22, revealed, Menus will be planned in advance to meet the nutritional needs of the residents/patients in accordance with established national guidelines . […]

• No harm, potential for more than minimal, widespreadF812Feb 23, 2022

  Based on observation, interview, and policy review, the facility failed to ensure floors, ceiling, vents, equipment, and walls throughout the kitchen were kept clean and/or in good repair and foods were stored and/or labeled. This deficient practice had the potential to affect 85 of 87 residents who received meals prepared in the facility's only kitchen. Findings include: During a kitchen tour on 02/21/22 at 9:42 AM, the following observations were made with the Kitchen Assistant Manager ([NAME]). a. A box of cucumbers with a black fuzzy substance on them and an open carton of buttermilk without an open date were observed in the walk-in refrigerator. b. In the walk-in freezer, a box of carrots, a box of cinnamon rolls, and a box of biscuits were all open and exposed to air. […]