MCV Health Care Facilities, Inc

In the surveyor’s words

From the most serious findings on record at MCV Health Care Facilities, Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Nov 3, 2023

  Based on medical record review, observations, staff and resident interviews and review of facility policies, the facility failed to ensure staff implemented infection control protocols when providing care to residents. This affected 10 (#52, #51, #31, #29, #41, #46, #3, #59, #13 and #2) out of 17 residents sampled for infection control. Facility census was 67. Findings included: 1. Observation on 10/31/23 from 11:55 A.M. through 12:05 P.M. with State tested Nursing Assistant (STNA) #171 revealed the staff assisted Resident #52 with the lunch meal while wearing gloves. After assisting Resident #52, STNA #171 assisted Resident #51 with the same pair of gloves. […]

• No harm, potential for more than minimal, isolatedF550Jun 29, 2026

  Based on observation, staff interview, medical record review, and policy review, the facility failed to ensure resident dignity was maintained during medication administration. This affected one (#59) of five residents observed during medication administration. The facility census was 61.Findings include:Review of the medical record revealed Resident #59 was admitted to the facility on [DATE]. Diagnoses included Alzheimer's disease, dementia, major depressive disorder, and anxiety disorder. […]

• No harm, potential for more than minimal, isolatedF605Jun 29, 2026

  Based on review of the medical record, review of pharmacy recommendations, staff interview, and policy review, the facility failed to ensure as needed psychotropic medications were not ordered for more than 14 days without adequate documented rationale. This affected one (#2) of five residents reviewed for unnecessary medications. The facility census was 61.Findings include:Review of the medical record for Resident #2 revealed an admission date of 12/23/25. Diagnoses included type II diabetes mellitus, major depressive disorder, and anxiety disorder. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 had moderate cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of ten. […]

• No harm, potential for more than minimal, isolatedF657Jun 29, 2026

  Based on review of the medical record, staff interview, and policy review, the facility failed to ensure care conferences were completed in a timely manner. This affected one (#2) of two residents reviewed for care conferences. The facility census was 61.Findings include:Review of the medical record for Resident #2 revealed an admission date of 12/23/25. Diagnoses included type II diabetes mellitus, major depressive disorder, and anxiety disorder. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 had moderate cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of ten. […]

• No harm, potential for more than minimal, isolatedF686Jun 29, 2026

  Based on medical record review, staff interview, and policy review, the facility failed to ensure pressure ulcers were thoroughly assessed and interventions were initiated to prevent pressure ulcer development for at risk residents. This affected one (#3) of two residents reviewed for pressure ulcers. The census was 61. Findings include: Review of the medical record for Resident #3 revealed an admission date on 06/01/26. Diagnoses included congestive heart failure (CHF), dysthymic disorder, major depressive disorder, osteoarthritis, pathological fracture, iron deficiency, insomnia, and fracture of the shaft of the left tibia. […]