Mechanicsville Specialty Care

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 8, 2024

  Based on observations, staff interviews and facility policy review, the facility failed to prevent exposure for cross contamination during meal service and failed to follow safe food handling practices. The facility identified a census of 33 residents. Findings include: On 08/06/24 at 12:19 PM, observed Staff C, [NAME] leave the meal serving area to go to the dining room. The cook left the serving scoops in the potatoes, corn, rice casserole and the tongs in the chicken and did not cover any of food items on the steam table before leaving. At 12:23 PM Staff C returned to the kitchen, scratched her face and resumed plating resident's food without washing her hands. […]

• No harm, potential for more than minimal, patternF804Sep 28, 2023

  Based on observations, test tray, resident and staff interviews, the facility failed to provide food at an appropriate temperature to ensure the food was safe and appetizing. The facility also failed to serve pureed food that was attractive in appearance. The facility reported a census of 37 residents. Findings Include: On 9/26/23 at 9:45 AM, Resident #10 reported the food on his room trays were cold most of the time. Resident #10 stated he doubted the facility would do anything about the food being cold. On 9/26/26 at 1:00 PM, Staff C, Dietary Manager served two pureed meals that consisted of fish, wax beans, and potatoes. The pureed food items were white in color, appeared bland and served together on the same plate, with the pureed food items blending into each other on the plate. […]

• No harm, potential for more than minimal, patternF812Sep 28, 2023

  Based on observations, staff and resident interviews and facility policy review, the facility failed to ensure food was discarded after product expiration date, that leftovers were discarded after 3 days, prevent cross contamination during meal service and serve the meal on time. The facility identified a census of 37 residents. Findings include: 1. An initial kitchen tour conducted on 9/25/23 at 11:00 AM, revealed the following items were stored in the refrigerator ready for service: a. Vanilla Yogurt 32 ounces- best by date 9/18/23. b. […]

• No harm, potential for more than minimal, isolatedF550Sep 4, 2025

  Based on observations, clinical record review, staff interviews, and facility policy review the facility failed to provide dignity with cares for 1 out of 3 residents reviewed (Resident #2). The facility reported a census of 29 residents. Finding include:1. The Minimum Data Set (MDS assessment for Resident #2 dated 6/8/25 revealed a Brief Interview for Mental Status (BIMS) score of 9 out of 15, which indicated moderate cognitive impairment. The MDS assessment for Resident #2 dated 8/22/25 listed diagnoses of neurogenic bladder, spastic quadriplegic cerebral palsy, and urinary tract infection. The Care Plan for Resident #2 dated 4/10/25 identified a urinary catheter related to neurogenic bladder. […]

• No harm, potential for more than minimal, isolatedF693Sep 4, 2025

  Based on observation, clinical record review, staff interview and facility policy review the facility failed to administer the correct amount of water flush before the administration of the tube feeding for 1 of 1 resident reviewed (Resident #2). The facility reported a census of 29 residents. Finding include: The Minimum Data Set (MDS) assessment for Resident #2 dated 6/8/25 revealed a Brief Interview for Mental Status (BIMS) score of 9 out of 15, which indicated moderate cognitive impairmentThe Minimum Data Set (MDS) assessment dated [DATE] listed diagnoses of spastic quadriplegic cerebral palsy and urinary tract infection. […]