McGregor Wellness & Rehabilitation

In the surveyor’s words

From the most serious findings on record at McGregor Wellness & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF689Apr 15, 2024

  Based on observation, interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 3 (Resident #1, Resident #2 and Resident #3 ) of 14 residents reviewed for accident hazards/supervision. There was one staff member in the memory care unit of the facility supervising 14 residents by herself., limiting adequate supervision for preventing accidents. An IJ was identified on 04/12/24. The IJ template was provided to the facility on [DATE] at 6:00PM. […]

• Immediate jeopardy, patternF755Dec 4, 2023

  Based on interview and record review, the facility failed to provide pharmaceutical services, including accurate acquiring, and administering of all drugs and biologicals to meet the needs for 1 (Resident#1) of 8 resident reviewed for pharmaceutical services. The facility failed to ensure Resident #1's scheduled medications were acquired and administered. Resident #1 was not given Acyclovir for a total of 8 times, one post-dialysis dose of 400 MG on 10/16/2023, and seven 200 MG doses from 10/31/2023 through 11/05/2023. Resident #1 was not given Trifluridine a total of 59 times from 7/23/2023 through 11/28/2023, with 22 of the 59 missed Trifluridine doses having been missed in the month of November 2023. […]

• Immediate jeopardy, patternF760Dec 4, 2023

  Based on interview and record review, the facility failed to ensure residents were free of significant medication errors for 1 (Resident#1) of 8 resident reviewed for pharmaceutical services. The facility failed to follow prescribers' orders and professional standards and principles which apply to professionals providing services for Resident #1's scheduled medications. Resident #1 was not given Acyclovir for a total of 8 times, one post-dialysis dose of 400 MG on 10/16/2023, and seven 200 MG doses from 10/31/2023 through 11/05/2023. Resident #1 was not given Trifluridine a total of 59 times from 7/23/2023 through 11/28/2023, with 22 of the 59 missed Trifluridine doses having been missed in the month of November 2023. […]

• Immediate jeopardy, isolatedF580Jun 25, 2025

  Based on interviews and record reviews the facility to immediately inform the resident; consult with the resident's physician; and notify, consistent with his or her authority, the resident representative(s) when there is a significant change in the resident's physical status for 1 (Resident #1) of 5 residents reviewed for resident rights. The facility failed to ensure the MD and Hospice were notified when Resident #1 had a change of condition on [DATE] with blood in his foley catheter (a medical device, a thin flexible, sterile tube that is inserted through the urethra into the bladder to drain urine). […]

• Immediate jeopardy, isolatedF690Jun 25, 2025

  Based on interview, and record review, the facility failed to ensure that a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections for 1 (Resident #1) of 3 residents review for catheter care. The facility failed to assess and intervene with Resident #1's foley catheter (a medical device, a thin flexible, sterile tube that is inserted through the urethra into the bladder to drain urine) when Resident #1's foley catheter was draining all blood from [DATE] until 3 days later on [DATE]; Resident #1 was sent to the local ER for further evaluation and treatment and was diagnosed with Sepsis (a serious condition in which the body responds improperly to an infection, causing organ damage and sometimes death) without acute organ… […]