McLean Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Apr 17, 2026

  Based on observation, interview, and record review, the facility failed to ensure the resident's environment remained free from accidents as was possible and each resident received adequate supervision and assistance devised to prevent accidents for 1 of 5 residents (Resident #2) reviewed for accidents, hazards, and supervision. The facility failed to ensure the TA securely fastened Resident #2's seat to the floor of the facility van when taking him to dialysis. Resident #2's seat tipped sideways, causing Resident #2 to strike the van door with his right shoulder and side, resulting in a fractured right collarbone and rib when the TA made a left turn. The noncompliance was identified as PNC. The IJ began on 3/18/26 when Resident #2 fell in the facility van and ended on 3/19/26. […]

• Immediate jeopardy, isolatedF760May 11, 2021

  Based on interview and record review the facility failed to ensure that its residents are free of any significant medication errors for 1 out of 6 residents (Resident # 1) reviewed. The facility failed to administer IV [MEDICATION(S)] (an antibiotic medication) in a manner that was consistent with accepted professional standards and principles in that the medication was administered without appropriate monitoring to prevent complications from 5/1/21 - 5/9/21 which resulted in Resident # 1 experiencing acute [CONDITION(S)] requiring mechanical ventilation, acute kidney failure requiring [CONDITION(S)], and hospitalization . […]

• No harm, potential for more than minimal, widespreadF812Jun 13, 2024

  Based on observation, interview and record review the facility failed to store, prepare, and distribute food in accordance with professional standards for food safety for 1 of 1 kitchen reviewed for food safety. The facility failed to ensure that all food items being served to residents, were within their expiration or best by dates. This failure could place residents at risk of food-borne illness and a diminished quality of life. Findings included: On [DATE] beginning at 9:31AM an initial observation of the kitchen was conducted. […]

• No harm, potential for more than minimal, widespreadF812May 10, 2023

  Based on observation, interview, and record review the facility failed to store food in accordance with professional standards for food service safety in one of one kitchen reviewed for proper food storage. 1. The facility failed to ensure refrigerated foods were properly labelled and dated. 2. The facility failed to ensure pantry foods were properly labelled, dated, and stored in airtight containers. 3. The facility failed to ensure expired foods and leftovers past the use by date were removed from the refrigerator, pantry, and spice shelf. These failures could place residents at risk for food-borne illness. […]

• No harm, potential for more than minimal, patternF812Sep 3, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure stored and cooked food was properly labeled, dated and covered. These failures could place residents who ate food served by the kitchen at risk of food-borne illness. Findings included: In an observation on 9/2/26 at 10:25 am the following was observed in the freezer:A box of breakfast beef, open to airBag of sausage links no label or date, not in original boxZiplock baggy of meat, open to airBox of boneless pork chop fritters, open to air6 bags of guacamole, no label or date, not in original box5 brown bags of potatoes, no… […]