MRC the Crossings

In the surveyor’s words

From the most serious findings on record at MRC the Crossings, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF755Mar 13, 2026

  Based on observations, interview, and record review, the facility failed to store and label drugs and biologicals used in the facility in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 5 residents (Resident #14) reviewed for medication storage and labeling. RN A failed to remove Resident #14's expired insulin from the nursing cart. This failure could place residents at risk of receiving expired and ineffective medications.Findings include: Record review of Resident #14's admission Record dated 3/12/26 revealed an [AGE] year old female who admitted to the facility on 0114/2026 with diagnoses including acute diastolic congestive heart failure (occurs when the left… […]

• No harm, potential for more than minimal, isolatedF759Mar 13, 2026

  Based on observation, interview and record review, the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 7% based on 2 out of 26 opportunities, which involved 1 of 5 residents (Resident #44) and 1 of 3 staff (LVN A) observed during medication administration reviewed for medication error. LVN A failed to ensure Resident #44's medications were crushed individually and within professional standards. LVN A failed to ensure Resident #44's Levaquin (antibiotic) and Ferrous Sulfate (Iron) were not crushed and mixed together. LVN A failed to ensure Resident #44's Levaquin (antibiotic) and Ferrous Sulfate (Iron) were not given at the same time. […]

• No harm, potential for more than minimal, isolatedF812Mar 13, 2026

  Based on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement. The facility failed to ensure foods were covered and sealed appropriately.These failures could place residents at risk of food borne illness and disease.Findings included: Observation and interview on 3/10/26 at 8:56 am with the Dining Service Director of one large plastic bin with clear closable lids was open and had sugar in it.An observation at 8:59 am of one 3- gallon tub of chocolate chip ice cream in the walk-in freezer, the lid was not on the ice cream. Interview with DM he said that a staff member left the sugar bin open and forgot to close it. […]

• No harm, potential for more than minimal, isolatedF919Mar 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure rooms were adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for 1 of 6 residents (Resident #5) reviewed for call systems.The facility failed to install a functioning call light system for Resident #5's room located on the 1500 hall.This failure could place residents at risk for a delay in care and services, increased falls, excessive wait times, pain, and a decreased quality of life.Finding included:Record review of the face sheet for Resident #5 dated 03/13/2026 revealed an [AGE] year-old female admitted to the facility on [DATE] in room [ROOM NUMBER] with diagnoses of… […]

• No harm, potential for more than minimal, isolatedF657Nov 9, 2023

  Based on observation, interview and record review the facility failed to review and revise the person-centered care plan to reflect the current condition for 1 resident (Resident #30) of 18 residents reviewed for care plan accuracy. The facility failed to ensure Resident #30's care plan was updated to reflect her current feeding status of puree diet. This failure could place residents at risk of not receiving appropriate interventions to meet their current needs. Findings include: Record review of Resident #30's face sheet dated 11/09/23 reflected an [AGE] year-old female who was admitted to the facility on [DATE]. Her diagnoses included respiratory failure, shortness of breath, chronic obstructive pulmonary disease, muscle weakness, anxiety disorder. […]