Park Manor of Mckinney

In the surveyor’s words

From the most serious findings on record at Park Manor of Mckinney, in the surveyor’s own words.

• Immediate jeopardy, patternF777Apr 25, 2024

  Based on observation, interview and record review, the facility failed to promptly notify the resident's physician, physician's assistant, nurse practitioner, or clinical nurse specialist of results that fell outside of clinical reference ranges in accordance with facility policies and procedures for notification of a practitioner or per the ordering physicians' orders for one of three residents (Resident #1) reviewed for notification. 1. The facility failed to notify Resident #1's primary Physician and Infectious Disease Nurse Practitioner for three days when Resident #1 tested positive for C. Diff on 04/19/24. (Per CDC website: C. diff is a bacterium that causes diarrhea and colitis (an inflammation of the colon). Most cases of C. […]

• Immediate jeopardy, patternF880Apr 25, 2024

  Based on observation, interview and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (Residents #1 and Resident #6) of four residents observed for infection control. 1. The facility failed to place Resident #1 who tested positive Clostridioides difficile (C. Diff) on 4/19/2024 in isolation until 04/22/2024, three days after the positive C. Diff result were obtained. (Per CDC website : C. diff is a bacterium that causes diarrhea and colitis (an inflammation of the colon) .Most cases of C. […]

• Immediate jeopardy, patternF580May 27, 2022

  Based on interview and record review, the facility failed to immediately consult with the resident's physician when there was a significant change in the resident's physical status, a need to alter treatment significantly, and did not ensure that all pertinent information were available and provided to the physician for two (Resident #1 and #23) of ten residents reviewed for notification of changes. 1. The facility failed to immediately notify the attending physician when it was discovered Resident #1, who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #1 received IV fluids for dehydration. 2. The facility failed to immediately notify the attending physician when Resident #23 had blood in his urine on [DATE] and was receiving [MEDICATION(S)], an anti-coagulant. […]

• Immediate jeopardy, patternF693May 27, 2022

  Based on observation, interview, and record review the facility failed to ensure residents who are fed by enteral means receives the appropriate treatment and services to prevent complications of enteral feeding including but not limited dehydration and metabolic abnormalities for 3 (Resident #1, #2, and #3) of 5 residents reviewed for enteral feedings. The facility failed to administer adequate amounts of free water to Residents #1, #2, and #3 via their g-tubes. This resulted in: 1. Resident #1 being hospitalized from 03/10/22 to 03/18/22 with [CONDITION(S)] (high sodium level of 157, normal 135-145) likely due to dehydration per the hospital report. 2. Resident #2 being hospitalized from 02/28/22 to 03/07/22 with [CONDITION(S)] due to lack of free water per the hospital report. 3. […]

• Immediate jeopardy, patternF694May 27, 2022

  Based on observation, interview, and record review, the facility failed to ensure [MEDICATION(S)] fluids were administered consistent with professional standards for 2 (Resident #20 and #22) of 4 residents reviewed for intravenous fluids. The facility failed to obtain physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in Resident #20's PICC line dressing becoming dislodged and not being replaced from 03/18/22 until HHSC Surveyor intervened on 04/29/22. An Immediate Jeopardy (IJ) was identified during the administrative review process, it was determined that an IJ existed from 04/29/22 to 05/27/22. The ADM, DON, and the Regional Nurse were notified on 05/24/22 5:50 PM of the IJ and a POR was requested. […]