Mccormick's Creek Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at Mccormick's Creek Rehabilitation and Healthcare, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Jan 14, 2026

  Based on interview and record review, the facility failed to ensure the facility had a Registered Nurse (RN) on site for 8 hours a day that was not the Director of Nursing Services (DNS) when the facility was over 60 residents for 3 of 45 days reviewed. This had the potential to affect 73 of 73 residents residing in the facility.Findings include:On 1/14/26 at 11:32 a.m., the December 2025 nursing schedule was requested. On 1/14/26 at 1:10 p.m., the DNS presented the Nursing Daily Staffing sheets for December 2025. They indicated the following:- On 12/6/25, the only RN that worked was the DNS. The Daily Nurse Staffing Posting indicated the census was 73 residents.- On 12/20/25, the only RN that worked was the DNS. […]

• No harm, potential for more than minimal, patternF727Feb 15, 2024

  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, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (Centers for Medicare and Medicaid Services) for Quarter 4 (July 1 through September 30) of fiscal year 2023. Findings include: On 2/12/24 at 11:30 a.m., the facility's Payroll Based Journal (PBJ) Staffing Data Report was reviewed. The report indicated the facility had no RN coverage on 8/5/23, 8/13/23, 8/20/23, and 9/10/23. On 2/14/24 at 3:25 p.m., a review of the fourth quarter staffing schedules indicated there was no RN coverage for 8 hours a day on 8/5/23, 8/13/23, 8/20/23, and 9/10/23. […]

• No harm, potential for more than minimal, patternF921Jan 4, 2023

  Based on observation, interview, and record review, the facility failed to ensure wheelchair arm pads were in good repair, call light and overbed light cords were repaired, and a resident wall was clean for 8 of 24 residents reviewed for environmental. (Resident 20, Resident 45, Resident 46, Resident 59, Resident 63, Resident 60, Resident 25, and Resident 51) Findings include: 1. On 12/28/22 at 11:20 A.M. and on 1/3/23 at 2:40 P.M., the armpad coverings of Resident 20's wheelchair were observed to be cracked, revealing the underlying padding. 2. On 12/28/22 at 11:40 A.M. and on 1/3/23 at 2:50 P.M., the left armpad covering of Resident 45's wheelchair was observed to be cracked, revealing the underlying padding. 3. On 12/28/22 at 11:50 A.M. […]

• No harm, potential for more than minimal, patternF602Dec 3, 2021

  Based on interview and record review, the facility failed to ensure staff did not use resident belongings and money without the residents' consent for 4 of 4 residents reviewed for misappropriation of identity and funds. (Resident E, Resident G, Resident H, Resident I) Findings include: During an interview, on 12/2/21 at 2:00 P.M., the facility Administrator indicated CNA (Certified Nurse's Aide) 1 was under investigation for theft of personal items/identity and money from Resident E, Resident G, Resident H, and Resident I. […]

• No harm, potential for more than minimal, isolatedF686Jan 14, 2026

  Based on observation, interview, and record review, the facility failed to ensure a resident with a pressure ulcer received necessary treatment and services to promote wound healing for 1 of 3 residents reviewed for pressure ulcers. (Resident 10)Findings include:During an interview on 1/9/26 at 2:39 p.m., Resident 10 was observed in bed and had a gauze bandage on his right elbow. He indicated he had a pressure wound on his elbow for a long time, and he was observed to utilize his right elbow to reposition himself throughout the interview.On 1/12/26 at 11:57 a.m., the resident was observed in bed with a bandage on his right elbow.On 1/13/26 at 12:07 p.m., the resident was observed in bed with a bandage on his right elbow.On 1/12/26 at 12:08 p.m., the resident's clinical record was reviewed. […]