McLoud Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 24, 2026

  Based on observation, record review, and interview, the facility failed to: a. ensure assistive devices were used to prevent accidents for 1 (#4) of 15 sampled residents reviewed for accidents; andb. ensure the temperatures of the hot water in residents' rooms and bathrooms were safe to prevent potential burns. The DON identified 16 residents required the assistance of a mechanical lift and 55 residents required assistance with showers. Findings:On 07/21/26 at 5:17 p.m., Resident #4 was observed in a geriatric chair with a mechanical lift sling under the resident in the dining room. A care plan for Resident #4, dated 04/04/19, showed the resident required extensive assistance with ADL care. […]

• No harm, potential for more than minimal, widespreadF727Jun 13, 2024

  Based on record review and interview, the facility failed to ensure RN coverage for eight consecutive hours a day, seven days a week. The administrator identified 43 residents who resided in the facility. Findings: A document titled, Nursing Department Schedule as Worked, dated 06/08/24, documented there was not an RN who had worked on the day, evening, or night shift. On 06/13/24 at 1:52 p.m., the administrator stated they did not have an RN scheduled to work on 06/08/24 and 06/09/24. They stated an RN had not worked on 06/08/24. The administrator stated they did not utilize staffing agencies.

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

  Based on observation and interview, the facility failed to ensure proper food service sanitation and storage requirements were followed. The DON identified 43 residents who received their meals from the kitchen. Findings: The facility's undated, Food Storage policy, read in part, It is the policy .to follow all state and federal guidelines on food storage. The policy also read, Plastic containers with tight fitting covers must be used for storing .flour .Scoops must be provided for .flour .Scoops are not to be stored in food. The policy also read, Perishable food such as meat .fruits, vegetables and frozen products must be refrigerated immediately to ensure nutritive value and quality. […]

• No harm, potential for more than minimal, patternF582Jun 13, 2024

  Based on record review and interview, the facility failed to complete a SNF ABN for two (#1 and #42) of three sampled residents reviewed for beneficiary notices. The administrator reported 43 residents resided in the facility. Findings: The DON identified 17 residents who had been discharged from a Medicare Part A covered stay with benefit days remaining in the past six months. 1. Res #1 admitted to Part A skilled services on 03/26/24 and discharged from skilled services on 05/30/24. There was no documentation a SNF ABN was provided to Res #1 or their representative. 2. Res #42 admitted to Part A skilled services on 05/08/24 and discharged from skilled services on 06/06/24. There was no documentation a SNF ABN was provided to Res #42 or their representative. On 06/12/24 at 9:28 a.m. […]

• No harm, potential for more than minimal, patternF644Jun 13, 2024

  Based on record review and interview, the facility failed to ensure a new PASARR Level I screening was conducted when a new serious mental illness diagnosis was received for one (#13) and the PASARR level I included the mental health diagnoses for one (#14) of two sampled residents reviewed for PASARR assessments. The administrator identified 43 residents who resided in the facility. Findings: 1. Res #13 had diagnoses, dated 06/02/23, which included unspecified psychosis not due to a substance or known physiological condition. On 06/11/24 at 1:46 p.m., the MDS coordinator stated they were unaware they needed to submit a PASARR level I for a new diagnosis of serious mental illness. 2. […]