Mcpherson Operator, LLC

In the surveyor’s words

From the most serious findings on record at Mcpherson Operator, LLC, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 23, 2025

  The facility had a census of 42 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to ensure an environment free from accident hazards when staff left an unlocked shower door open on Country Hall and Resident (R) 12 entered, fell , and sustained a fractured wrist. This placed the residents at risk for preventable accidents or injuries. Findings included: - R12's Electronic Medical Record (EMR) recorded diagnoses of chronic obstructive pulmonary disease (COPD - a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk), delusional disorder (untrue… […]

• No harm, potential for more than minimal, widespreadF812Jul 14, 2026

  Based on observation, record review, and interview, the facility failed to store, prepare, and serve food under sanitary conditions for the residents who resided in the facility and received meals from the facility's kitchen. Findings included:- On 07/13/26 at 11:30 AM, during a follow-up tour of the dietary department/kitchen, observations revealed:The steam table where prepared food was stored leaked water onto the floor, which was not contained beneath the steam table.The steam table had a black, round power cord that hung above the food being served, which had grey fuzzy material on it.The metal shelving next to the steam table, which stored steam table pans and various other dishes, had a sticky material/grease like feel.The water piping, which was below the dishwasher and… […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2025

  The facility had a census of 42 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to measure and record food temperatures for food items at mealtime and the daily refrigerator and freezer temperatures for the evening shift. The facility further failed to record the chemical Parts Per Million (PPM) of the sanitizing solution (Chemical PPM- 50-400) on the Sanitizer Bucket Log three times a day. This placed the residents at risk for food borne illnesses. […]

• No harm, potential for more than minimal, widespreadF812Aug 7, 2023

  The facility had a census of 39 residents. The sample included 15 residents. Based on observation, record review and interview, the facility failed to prepare and serve food in a sanitary condition for the 39 resident's who resided in the facility placing them at risk for food borne illness. Findings included: - On 08/01/23 at 08:15 AM, observation revealed the following: The large silver freezer, pulled out approximately 12 inches from the wall with multiple dead bugs, leaves, and dirt on the floor. The wall beside the large silver refrigerator had dried red liquid splattered from the floor up to the ceiling. Two dirty rags were on the floor next to a cart that had dirty rags. The inside of the door of the microwave had dried food debris. […]

• No harm, potential for more than minimal, widespreadF882Aug 7, 2023

  The facility had a census of 39 residents. Based on record review and interview, the facility failed to ensure the staff person designated as the Infection Preventionist, who was responsible for the facility's Infection Prevention and Control Program, completed the specialized training and possessed the required certification in infection prevention and control. This placed the residents at risk for lack of identification and treatment of infections. Findings included: - On 8/03/23 at 02:30 PM, Administrative Nurse D stated she was responsible for the Infection Prevention and Control Program and lacked certification as an Infection Preventionist. […]