Mccrea Manor NSNG and Rehab CTR LLC

In the surveyor’s words

From the most serious findings on record at Mccrea Manor NSNG and Rehab CTR LLC, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 14, 2023

  Based on closed record review and interview, the facility failed to ensure adequate assessment/monitoring was completed and the attending physician was promptly notified for Resident #55 following an acute change in condition. Actual harm occurred on 01/03/23 when Resident #55, who was assessed to have an acute change in condition (new onset inability to feed herself/diet downgrade) was not comprehensively assessed, provided timely medical treatment and the attending physician was not notified resulting in a delay of treatment. On 01/04/23 the resident was admitted to the hospital for treatment of weakness, encephalopathy, hypoxia and pneumonia. The resident did not return to the facility following the hospitalization . […]

• Actual harm, isolatedF697Oct 7, 2021

  Based on medical record review, resident interview and staff interview the facility failed to timely obtain and administer pain medications to Resident #47 as ordered by the physician. Actual Harm occurred when Resident #47 waited over 24 hours to receive ordered pain medication which affected her sleep and limited her activity level. This affected one of three residents reviewed for medications. Findings include: Review of the medical record revealed Resident #47 was admitted to the facility on [DATE] from the hospital with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident was discharged from the facility on 09/24/21 to another facility. […]

• No harm, potential for more than minimal, widespreadF887Dec 18, 2025

  Based on interview, record review, and policy review the facility failed to ensure Resident #26 and Resident #4 timely received COVID-19 vaccines and failed to develop a policy related to the administration of COVID-19 vaccines for residents. This affected two residents (Resident #4 and Resident #26) out of five residents reviewed for COVID-19 vaccinations and had the potential to affect all 58 residents in the facility. The facility census was 58. 1. Review of the medical record for Resident #26 revealed an admission date of 02/19/2025. Diagnoses included diabetes mellitus, muscle weakness, COPD, and anxiety. […]

• No harm, potential for more than minimal, widespreadF812Aug 28, 2024

  Based on observation and staff interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary condition. This had the potential to affect 110 of 111 residents receiving food from the kitchen. Resident #45 was identified as receiving no food from the kitchen. The facility census was 68. Findings include: Initial tour of the kitchen on 08/25/24 from 8:10 A.M. to 8:32 A.M. with Dietary Manager (DM) #238 revealed the floor was dirty with food splatter, pieces of paper, and dried food debris especially underneath equipment. The microwave had food splatter on all sides of the microwave and had burnt food on the bottom. The grill had food residue on it and the grill pan was filled with french fries and food pieces. […]

• No harm, potential for more than minimal, widespreadF868Jul 14, 2022

  Based on record review and staff interview, the facility failed to ensure Quality Assurance Performance Improvement (QAPI) meetings were held every quarter. This had the potential to affect all residents. The facility census was 47. Findings include: Review of the facilities sign-in sheet for the QA meeting minutes for the meetings held on July 2021 to April 2022 revealed no evidence the Quality Assurance (QA) meetings were held as required. Interview with the Administrator on 07/14/22 at 9:24 A.M. verified the QAPI meetings were not held from July 2021 to April 2022. The Administrator verified QAPI meetings are to be held every quarter.