Mcdonald County Living Center

In the surveyor’s words

From the most serious findings on record at Mcdonald County Living Center, in the surveyor’s own words.

• Actual harm, isolatedF554Aug 8, 2024

  Based on interview and record review, the facility failed to ensure resisdents were appropriately asssesed to have medicaiton at bedside prior to providing bedside medications to residents when staff returned the resident's home medications to the resident prior to the resident exiting the facility for one resident (Resident #1), out of six sampled residents. The resident self-administered two medications and was found unresponsive. The facility census was 58. On 06/24/24, the Director of Nursing (DON) was notified of the Past Non-Compliance that occurred on 06/24/24. The DON notified the physician and the Administrator. The DON completed in-service education with all licensed nurses and certified medication technicians (CMT) regarding dispensing and releasing medications to residents. […]

• No harm, potential for more than minimal, widespreadF812Dec 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure food was protected from possible contamination at all times when kitchen staff failed to air-dried bowls and pans prior to storage for use. This failure had the potential to increase the risk of food borne illness and had the potential to affect all 54 residents who resided in the facility and who received dietary services. Review of the facility's policy titled, Dishwashing and Storage, undated, showed the following: -Air-dry all items. Never use a towel to dry items. Make sure items are completely dry before stacking or storing them. Store them in a way that will protect them from contamination. 1. […]

• No harm, potential for more than minimal, patternF625Apr 28, 2023

  Based on interview and record review, the facility failed to give written information to the resident and/or resident's representative of the facility's bed hold policy for four residents (Residents #28, #45, #29, and #62) who were transferred out to the hospital, out of a sample of 18 residents. The facility census was 71. The facility did not provide a written policy of the Bed Hold Policy with all transfers. 1. Review of Resident #28's face sheet (brief information sheet about the resident) showed the following information: -admitted on [DATE]; -Diagnoses included: Chronic obstructive pulmonary disease (COPD - group of lung diseases that block airflow and make it difficult to breathe), pneumonia (lung inflammation caused by bacterial or viral infection, in which the air sacs fill with… […]

• No harm, potential for more than minimal, patternF761Apr 28, 2023

  Based on observation, interview, and record review, the facility failed to maintain an ongoing monitoring process to include accurate accountability of expired or unusable medications, including one over-the-counter medication for one resident (Resident #59), and including one over-the-counter supplement, and three topical ointments/creams, following standards of practice. The facility census was 69. Review showed no facility policy provided regarding expired medications. Review of the Centers for Disease Control and Prevention (CDC) guidance dated, August 2022, showed the following: -Every year, two million people end up in the hospital due to drug-related injuries; -This might include medication errors, adverse drug reactions, allergic reactions, or overdoses; -Safe and secure storage… […]

• No harm, potential for more than minimal, patternF812Apr 28, 2023

  Based on interview, observation, and record review, the facility failed to keep food safe from potential contamination when food contact surfaces (dishes) were stacked wet instead of air dried, potentially causing a bacterial growth. The facility census was 69. Review of the 2013 Missouri Food Code showed the following information: -Physical facilities will ensure the rinsing of equipment and utensils after cleaning and sanitizing; -Food contact surfaces and utensils shall be clean to the sight and touch; -After being cleaned and sanitized, equipment and utensils shall be air dried; -Utensils and other eating equipment shall be in a self-draining position that allows air drying. 1. […]