Memorial Community Care

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF868Feb 2, 2026

  Licensure Reference Number 175 NAC 12-006.07(A) The facility failed to ensure the required members of the Quality Assurance and Performance Improvement (QAPI - a data-driven, proactive approach to Quality Assurance {meeting standards} and performance improvement {enhancing processes} to improve care, safety, and quality of life) Committee attended the quarterly meetings. This had the potential to affect 33 residents that resided in the facility at the time of the survey. The facility census was 33. Findings are: A record review of the facility's undated QAPI policy revealed the committee members included the Medical Director (Physician Review Committee). […]

• No harm, potential for more than minimal, widespreadF812Sep 24, 2024

  Licensure Reference Number 175 NAC 12-006.11(E) Based on record reviews, observations, and interviews, the facility failed to ensure the water temperatures of the facility dishwasher reached the required temperature while washing and rinsing dishes and utensils. This affected all residents in the facility who received food and meals from the facility kitchen. The reported census was 37. Findings are: Record Review on 9/18/2024 of the undated [NAME] automatic dishwashing machine manufacturer panel decal revealed that the dishwasher was a high temperature machine which required a minimum water temperature during the wash cycle of 160 degrees Fahrenheit (F) and the rinse cycle of 180F degrees to activate the chemicals used for sanitization. […]

• No harm, potential for more than minimal, widespreadF812Sep 14, 2023

  Licensure Reference Number 175 NAC 12-006.11E Based on observation, record review and interview, the facility failed to dispose of food in a timeframe to prevent foodborne illness and cross contamination. This had the potential to affect 40 residents that ate food prepared in the facility kitchen. The facility census was 40. Findings are: An observation on 09/11/23 from 8:19 AM to 8:30 AM revealed the following during the initial kitchen tour: -a carton of heavy whipping cream opened on 8/7 -a container of classic egg salad opened on 8/27 -a container of labeled cinnamon roll frosting dated 5/11 An observation on 9/14/23 from 8:18 AM to 8:28 AM revealed the following during the final kitchen tour: -a carton of heavy whipping cream opened on 8/7 -a container of classic egg salad opened on… […]

• No harm, potential for more than minimal, patternF552Sep 24, 2024

  Licensure Reference Number 175 NAC 12-006.05(D)(E) Based on record reviews, observations and interviews, the facility failed to inform the resident of medication changes made by the provider for 1 (Resident 14) of 1 sampled residents, and failed to re-evaluate residents or responsible parties choices for eye care needs for 1 (Resident 17) of 1 sampled residents. The facility census was 37. Findings are: A. Review of the facility supplied document labeled Resident Rights and dated 2016 revealed the following: -The resident has the right to be informed of and participate in their treatment including the right to be fully informed of their total health status. -The resident has the right to be informed in advance of the care to be furnished. […]

• No harm, potential for more than minimal, patternF641Sep 24, 2024

  Based on record review, and interview; the facility failed to accurately code residents Minimum Data Set (MDS, a mandatory comprehensive assessment tool that measures the health status of nursing home residents and is used for care planning) for 3 (Resident 4, 14, and 17) of 4 sampled residents. The facility stated census was 37. Findings are: A. A review of an Admitting Record not dated revealed the facility admitted Resident 4 on 09/10/2019 with diagnoses that included anxiety (a mental health disorder characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities), major depression (a mood disorder that causes a persistent feeling of sadness and loss of interest and can interfere with one's daily activities), and psychosis(a severe… […]