Mullican Care Center

In the surveyor’s words

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

• Immediate jeopardy, patternF755Jul 22, 2021

  Based on interview, and record review the facility failed to provide pharmaceutical services to include procedures that assured the accurate dispensing and administering of all drugs to meet the needs of 3 of 7 residents (Resident #1, #2 & #6) reviewed for pharmacy services. The facility did not develop and implement medication administration procedures to prevent an adverse medication reaction. The facility had a 4-hour window of 6:00 p.m. to 10:00 p.m. for giving bedtime medication. […]

• Immediate jeopardy, isolatedF755Aug 10, 2021

  Based on observation, interview, and record review the facility failed to provide pharmaceutical services to include procedures that assured the accurate dispensing and administering of all drugs to meet the needs of 3 of 7 residents (Resident #1, #2 & #6 reviewed for pharmacy services. The facility did not develop and implement medication administration procedures to prevent an adverse medication reaction. The facility had a 4-hour window of 6:00 p.m. to 10:00 p.m. for giving bedtime medication. […]

• Immediate jeopardy, isolatedF760Aug 10, 2021

  Based on interview and record review the facility failed to ensure residents were free from significant medication error for 1 of 7 residents (Resident #1) reviewed for medication administration. The facility did not administrator medications to Resident # 1 to prevent an adverse medication reaction. MA A administered bedtime medication and other scheduled medication of [MEDICATION(S)] 0.5 mg, [MEDICATION(S)] Sprinkles 125 mg, [MEDICATION(S)] 10 mg, [MEDICATION(S)] 15 mg, [MEDICATION(S)] 1 mg, and Tylenol #4 with [MEDICATION(S)] 300/60 mg to Resident #1 at the same time causing him to become lethargic (state of having severe drowsiness or sleepy) and having to be admitted into the hospital. An Immediate Jeopardy was identified on 08/09/21. […]

• Actual harm, patternF790Feb 16, 2023

  Based on observation, interview, and record review, the facility failed to assist residents in obtaining routine dental services to meet the needs of 3 of 17 (Resident #12, Resident #26, and Resident #47) residents reviewed for dental services. The facility did not assist Resident #12 with obtaining dental services when she had broken and missing teeth. The facility failed to ensure Resident #26 received dental services when she had severe cavities and oral pain. The facility failed to ensure Resident #47 received dental services when she had missing teeth, broken teeth, and oral pain. This failure could place residents at risk of not having their oral health care needs met and oral pain while chewing. Findings included: 1. […]

• No harm, potential for more than minimal, widespreadF812May 29, 2025

  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 dietary services. 1) The facility failed to dispose of expired food items. 2) The facility failed to label and date all food items in the refrigerator and freezer. 3) The facilty failed to main safe holding temps on the steam table. These failures could place residents at risk for food contamination and foodborne illness. […]