McMurray Hills Rehabilitation and Healthcare Cente

In the surveyor’s words

From the most serious findings on record at McMurray Hills Rehabilitation and Healthcare Cente, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 26, 2022

  Based on facility policy, clinical record review, and interviews, the facility failed to assess and identify the potential risk of elopement for one of four residents in the facility (Resident R1), placing the resident in Immediate Jeopardy. The Facility policy Elopement management program dated 3/1/22, identifies the following conditions when a resident should be evaluated for elopement risk and interventions put in place: upon admission, per the MDS schedule, significant change and as needed. […]

• Actual harm, isolatedF600Jul 22, 2021

  Based on review of facility policies, job description, clinical records and facility reports and resident and staff interviews, it was determined that the facility failed to ensure that a resident was free from neglect by not providing the necessary assistance for a safe transfer resulting in harm to the resident and failed to promptly report and provide timely intervention following the incident for one of 11 residents reviewed (Resident R1). Findings include: The facility Abuse Policy dated [DATE], defined neglect as, a failure to provide the care necessary to avoid physical harm, mental anguish or mental illness, or deterioration of a resident's physical or mental condition and that any reports of neglect were promptly reported and investigated. […]

• Actual harm, isolatedF689Jul 22, 2021

  Based on review of facility policies, job description, a facility specific document, clinical records and facility reports and resident and staff interviews, it was determined that the facility failed to provide adequate supervision of two during a transfer, utilize a mechanical lift as per the physician orders for assistance during a transfer resulting in actual harm for one of 11 residents reviewed (Resident R1). Findings include: The facility policy Transferring the Resident Using a Mechanical Lift dated [DATE], indicated that the mechanical lift (device used to move those who are unable to stand on their own or whose weight makes it unsafe to move or lift them manually) was to be used for those residents who were dependent, non-weight bearing or had inconsistent weight bearing. […]

• No harm, potential for more than minimal, widespreadF812Nov 9, 2023

  Based on review of facility policies, observations and staff interviews it was determined that the facility failed to maintain food equipment in a clean, sanitary condition, to prevent the potential for cross-contamination. (Main Kitchen) Findings include: A review of the facility Handling Clean Equipment and Utensils reviewed 1/30/23, indicated clean equipment and utensils will be stored in a clean, dry location in a way that protects them from contamination by splashes and dust During an observation of the Main Kitchen on 11/7/23, at 9:40 a.m. pots and pans were observed being stored hanging over the two-compartment sink where soiled pots and pans are washed. During an interview on 11/7/23, at 9:42 a.m. […]

• No harm, potential for more than minimal, widespreadF909Dec 29, 2022

  Based on policy review, observation, record review and staff interview, it was determined that the facility failed to conduct inspections of bed rails to identify areas of possible entrapment for three of three residents reviewed (Residents R29, R58 and R74). Findings include: Review of the facility's restraint policy, revealed that side rails while having potential benefits also create the risk for entrapment or injury. A review the clinical record revealed that Resident R29 was admitted to the facility on [DATE]. The minimum data Set (MDS- a periodic assessment of care needs) dated 10/18/22 included diagnoses of cancer, hypertension, and dementia. […]