Waters of Mckenzie a Rehabilitation & Nursing CTR

In the surveyor’s words

From the most serious findings on record at Waters of Mckenzie a Rehabilitation & Nursing CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jun 30, 2026

  Based on policy review, emergency menu review, observation, and interview, the facility failed to ensure the emergency food supply was completely stocked to accurately reflect the emergency menu requirements. The facility had a census of 45 with 45 residents receiving a meal tray. The findings include: 1. Review of the undated facility policy titled, Emergency and Disaster Planning, revealed .The following shall be maintained by the Dietary Manager and available in case of an emergency disaster.Planned three to seven day emergency menus.emergency food, water and supplies to match the emergency menu. Emergency stock shall be rotated to use prior to the manufacturer's expiration date. […]

• No harm, potential for more than minimal, patternF812Apr 17, 2025

  Based on facility document review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions when 1 of 1 ice machine was observed to have a dark slimy buildup on the inner seal. The census was 46 with 44 residents receiving a tray from the kitchen. The findings: 1. Review of the undated, facility document titled, Physical Plant-Monthly Inspections, revealed .Ice Machines: Clean filters and check water filter and observe for proper operation. Look for any calcium, lime, or algae. Check to ensure it is in a clean and sanitized state. This includes all ice machines throughout the facility including Dietary . 2. […]

• No harm, potential for more than minimal, isolatedF692Jun 30, 2026

  Based on Academy of Nutrition and Dietetics Scope of Standards and Practice, S-W-A-T (Skin-Weight-Assessment-Team) Program review, medical record review, observation, and interview, the facility failed to notify the physician or nurse practitioner (NP) of weight loss and failed to ensure the Registered Dietitian completed a nutritional assessment and made nutritional recommendations for 1 of 4 (Resident #5) sampled residents reviewed for weight loss. The findings include: 1. Review of the Academy of Nutrition and Dietetics Revised 2024 Scope and Standards of Practice for the Registered Dietitian Nutritionist, published 1/2024, revealed .The Revised 2024 Scope and Standards of Practice for the Registered Dietitian Nutritionist (RDN) serves as a key resource for RDNs to understand the… […]

• No harm, potential for more than minimal, isolatedF550Apr 17, 2025

  Based on facility policy, medical record review, observation and interview the facility failed to ensure dignity and resident choice was met for 1 (Resident #33) of 1 sampled resident reviewed for activities of daily living. The findings include: 1. Review of the undated facility policy titled, CALL LIGHTS, revealed, .It is the policy of the facility to have a system in placed to allow the staff to respond promptly to a resident's call for assistance .Never make the resident feel as though you are too busy to give assistance. If you yourself cannot provide the requested assistance, assure the resident that you will take their request to the appropriate staff. Follow through with this commitment and follow up to see if the resident had the need met. […]

• No harm, potential for more than minimal, isolatedF554Apr 17, 2025

  Based on policy review, medical record review, observation, and interview, the facility failed to assess 1 of 1 resident (Resident #197) reviewed for self-administration of medication. The findings include: 1. Review of the undated facility policy titled, Medication Self Administration, revealed .procedures for determining if the resident can safely self-administer .Residents .will be assess at the time of admission .to determine if the practice is safe, based on the results of the Resident Assessment-Self-administration Tool .assessment results will be discussed with the attending physician and an order obtained to self-administer if appropriate . 2. […]