McKinley Park Care Center

In the surveyor’s words

From the most serious findings on record at McKinley Park Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 23, 2026

  Based on observation, interview and record review the facility failed to follow proper food storage, hygienic dish handling and hand hygiene techniques in the kitchen when:Undated and unlabeled raw green squash were observed in the kitchen food refrigerator; Kitchen staff stacked wet meal tray lids on top of one another before allowing them to dry;Kitchen staff failed to follow proper hand hygiene during handling of soiled dishes during dishwashing; and,Kitchen staff failed to follow proper hand hygiene during food preparation.These failures had the potential for all 77 residents in the facility to receive expired food, place all residents at risk for food-borne illness related to improper hand hygiene and place all residents at risk for exposure to possible biological growth on wet meal… […]

• No harm, potential for more than minimal, widespreadF725Oct 13, 2023

  Based on observation, interview, and record review, the facility failed to ensure sufficient staffing was provided for a census of 77 residents when: 1. Multiple residents reported long call light response times from facility staff; and 2. Multiple staff stated the facility was insufficiently staffed. These failures decreased the facility's potential to provide residents with timely, necessary care and services to maintain their highest practicable physical, mental, and psychosocial well-being. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF755Nov 4, 2022

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services to meet the needs of the residents for a census of 63 when: 1. The narcotic (medication that may be abused or cause addiction) count sheet for Resident 24 was not filled out after medication administration; 2. Emergency Kit (E-Kit, limited number of medications for use in an emergency) log was not properly filled out for two opened refrigerator E-Kits (E-Kit number 086 and 052) which was missing six vials of lorazepam (a controlled medication used to treat anxiety); and, 3. […]

• No harm, potential for more than minimal, widespreadF812Nov 4, 2022

  Based on observation, interview, and record review the facility failed to maintain a sanitary kitchen for a census of 63 residents when there were multiple brown spots on the ceilings and walls near the food preparation area. This failure increased the potential for food contamination from the brown spots dropping onto resident trays. Findings During the initial tour of the kitchen on 11/1/22 at 8:38 a.m. multiple brown areas were observed on the ceiling near the dishwashing station and steam table (tables which keep ready-to-serve food at set temperatures). In an interview on 11/1/22 at 8:40 a.m., the Dietary Manager (DM) confirmed the presence of brown spots on the ceilings by the dishwashing machine and the steam table. […]

• No harm, potential for more than minimal, widespreadF880Nov 4, 2022

  Based on observation, interview, and record review, the facility failed to ensure proper infection prevention and control practices were followed for a census of 63 when: 1. A reusable blood pressure device was not disinfected between resident use; 2. Hand hygiene was not performed during medication administration; 3. Resident 8's oxygen tubing was undated and unlabeled; and, 4. The facility's water management for the prevention of Legionella disease was not conducted. These failures had the potential to transmit infectious disease among residents. Findings: 1. During a medication administration observation on 11/1/22 starting at 8:14 a.m., the Licensed Nurse 1 (LN 1) was observed preparing medications for Resident 86 which included blood pressure medications. […]