Inspection Reports for McKinney Healthcare and Rehabilitation Center
TX, 75069
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
13.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
280% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Nov 25, 2025
Visit Reason
The inspection was conducted to assess compliance with regulations regarding medication storage and labeling in the facility, focusing on ensuring drugs and biologicals are stored securely and labeled according to professional standards.
Findings
The facility failed to store drugs and biologicals in locked compartments and allowed medications and wound care supplies to be accessible inside residents' rooms without proper authorization or assessment for self-administration, posing a risk of misuse and potential harm to residents.
Deficiencies (1)
Failure to ensure drugs and biologicals were stored in locked compartments and properly labeled, with medications and wound care supplies left accessible inside residents' rooms.
Report Facts
Residents reviewed for medication storage: 15
Residents affected: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN B | Registered Nurse | Observed medications improperly stored in residents' rooms and took corrective actions |
| CNA D | Certified Nursing Assistant | Provided information about improper storage of barrier creams in residents' rooms |
| LVN C | Licensed Vocational Nurse | Explained medication storage policies and risks of medications being accessible to residents |
| DON | Director of Nursing | Discussed medication storage issues and initiated in-service training |
| ADON A | Assistant Director of Nursing / Wound Care Nurse | Commented on medication storage and wound care supplies in residents' rooms |
| Administrator-in-Training | Discussed expectations for medication storage and staff rounds |
Inspection Report
Routine
Deficiencies: 3
Date: May 8, 2025
Visit Reason
The inspection was conducted to assess compliance with resident rights, personal possessions, and infection prevention and control standards at McKinney Healthcare and Rehabilitation Center.
Findings
The facility was found deficient in respecting resident dignity and privacy, specifically failing to ensure staff knocked and announced before entering a resident's room. Additionally, the facility failed to protect residents' rights to retain and use personal possessions and did not maintain proper infection control practices, as a staff member failed to perform hand hygiene during incontinent care.
Deficiencies (3)
Housekeeping Supervisor did not knock or announce before entering Resident #13's room and bathroom.
Activity Director utilized residents' personal crayons/markers for group activities without proper consent, risking misappropriation of personal property.
A COTA failed to perform hand hygiene and change gloves after providing incontinent care to Resident #61, risking infection transmission.
Report Facts
Residents reviewed for resident rights: 15
Residents reviewed for personal property: 5
Residents observed for infection control: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeping Supervisor | Named in deficiency for failing to knock and announce before entering Resident #13's room | |
| Activity Director | Named in deficiency for utilizing residents' personal crayons/markers for group activities | |
| Director of Nursing | Director of Nursing | Provided statements regarding expectations for staff behavior and infection control |
| COTA | Named in deficiency for failing to perform hand hygiene and change gloves during incontinent care |
Inspection Report
Routine
Deficiencies: 1
Date: May 1, 2025
Visit Reason
The inspection was conducted to evaluate compliance with medication storage and labeling regulations, specifically to ensure that drugs and biologicals are stored securely in locked compartments or under direct observation to prevent resident access.
Findings
The facility failed to ensure that a wound care cart was locked after use, leaving it unattended with keys on top, which could allow residents or unauthorized individuals to access medications and supplies, posing a risk of accidental overdose or misuse. Interviews with staff confirmed the expectation to lock carts and secure keys, and the facility had initiated in-service training on this issue.
Deficiencies (1)
Failure to store all drugs and biologicals in a locked cart or under direct observation, specifically a wound care cart left unlocked with keys on top.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LVN A | Licensed Vocational Nurse | Named in wound care cart left unlocked finding |
| ADON | Assistant Director of Nursing | Interviewed regarding cart locking procedures and observations |
| DON | Director of Nursing | Interviewed regarding expectations and in-service training on locking carts |
| Administrator | Facility Administrator | Interviewed regarding cart locking policies and in-service training |
Inspection Report
Routine
Deficiencies: 1
Date: Mar 6, 2025
Visit Reason
The inspection was conducted to assess the facility's infection prevention and control program, specifically focusing on compliance with hand hygiene and glove use during incontinence care.
Findings
The facility failed to ensure proper hand hygiene and glove use by CNA B while providing incontinence care to Resident #5, which could place residents at risk of cross-contamination and infections. The facility's policies on perineal care did not reflect glove use, and the infection control policy required handwashing after each resident contact.
Deficiencies (1)
Failure to ensure CNA B changed gloves and performed hand hygiene while providing incontinent care to Resident #5 on 03/06/2025.
Report Facts
Residents reviewed for infection control: 6
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA B | Certified Nursing Assistant | Named in infection control deficiency for improper glove use and hand hygiene |
| DON | Director of Nursing | Interviewed regarding CNA B's performance and facility training |
Inspection Report
Complaint Investigation
Deficiencies: 11
Date: Apr 11, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding failure to thoroughly investigate alleged misappropriation of property for Resident #138 and other related compliance concerns.
Complaint Details
The complaint investigation focused on failure to investigate alleged misappropriation of property for Resident #138 and related care and compliance issues.
Findings
The facility failed to timely investigate allegations of misappropriation of property, failed to maintain comprehensive care plans for multiple residents, failed to provide timely incontinence care, failed to ensure timely medication reordering for several residents, failed to provide appropriate perineal care, failed to maintain infection prevention practices including hand hygiene and PICC line care, and failed to provide alternative meal options and timely snacks to residents.
Deficiencies (11)
Failure to timely investigate misappropriation of property for Resident #138.
Failure to ensure comprehensive care plans reflected residents' needs including contractures, discontinued treatments, and equipment orders.
Failure to provide timely incontinence care to Resident #8.
Failure to provide appropriate perineal care for Resident #47.
Failure to timely reorder medications for multiple residents including Residents #289, #290, #61, #79, and #16.
Failure to label medication blister pack with updated instructions for Resident #81.
Failure to notify physician timely of abnormal lab results and failure to document notification for Resident #6.
Failure to provide nourishing, palatable, well-balanced diet with alternative meal options for Resident #31.
Failure to ensure no more than 14 hours between evening meal and breakfast with provision of bedtime snacks for Resident #1.
Failure to dispose of expired food item (graham cracker crust) in kitchen.
Failure to maintain infection prevention and control practices including capping PICC line and proper glove use and hand hygiene during incontinence care for multiple residents.
Report Facts
Residents reviewed for comprehensive care plans: 18
Residents reviewed for medication reordering: 5
Residents reviewed for infection control: 5
Residents reviewed for incontinence care: 6
Residents reviewed for meal preferences: 24
Residents reviewed for timely meals: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MA L | Medication Aide | Named in medication reordering and medication labeling deficiencies |
| MA J | Medication Aide | Named in medication reordering and medication labeling deficiencies |
| LVN B | Licensed Vocational Nurse | Named in medication reordering and infection control deficiencies |
| CNA E | Certified Nursing Assistant | Named in infection control and incontinence care deficiencies |
| CNA I | Certified Nursing Assistant | Named in infection control and incontinence care deficiencies |
| NA C | Nursing Assistant | Named in infection control and incontinence care deficiencies |
| ADON A | Assistant Director of Nursing | Named in lab notification deficiency |
| DON | Director of Nursing | Named in multiple interviews regarding care plan, infection control, medication, and lab notification deficiencies |
| Administrator | Named in multiple interviews regarding overall facility compliance and expectations | |
| DM Z | Dietary Manager | Named in dietary and meal service deficiencies |
| LVN K | Licensed Vocational Nurse | Named in infection control and PICC line care deficiencies |
| NP | Nurse Practitioner | Named in lab notification deficiency |
Inspection Report
Complaint Investigation
Deficiencies: 11
Date: Apr 11, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding failure to thoroughly investigate alleged misappropriation of property for Resident #138 and other related care and compliance concerns.
Complaint Details
The complaint investigation focused on failure to investigate alleged misappropriation of property for Resident #138 and related care and compliance issues.
Findings
The facility failed to timely investigate allegations of misappropriation of property, failed to maintain comprehensive care plans for multiple residents, failed to provide timely incontinence care, failed to ensure timely medication reordering for several residents, failed to provide appropriate perineal care, failed to maintain infection control practices including hand hygiene and PICC line care, and failed to provide alternative meal options and timely snacks to residents.
Deficiencies (11)
Failure to timely investigate misappropriation of property for Resident #138.
Failure to develop and implement comprehensive care plans addressing contractures, discontinued treatments, and equipment needs for multiple residents.
Failure to provide timely incontinence care to Resident #8 from 9:30 a.m. to 3:00 p.m.
Failure to provide appropriate perineal care for Resident #47, including failure to clean penis and scrotum and failure to perform hand hygiene.
Failure to ensure timely medication reordering for Residents #289, #290, #61, #79, and #16.
Failure to label medication blister pack for Resident #81 with change of instruction after dose increase.
Failure to obtain physician orders for lab tests and failure to notify physician timely of abnormal lab results for Resident #6.
Failure to provide nourishing, palatable, well-balanced diet with alternative meal options for Resident #31.
Failure to ensure no more than 14 hours between evening meal and breakfast with no offered bedtime snacks for Resident #1.
Failure to dispose of expired food item (graham cracker crust) in kitchen.
Failure to maintain infection prevention and control practices including capping PICC line, changing gloves, and performing hand hygiene during incontinent care for multiple residents.
Report Facts
Residents reviewed for comprehensive care plans: 18
Residents reviewed for medication reordering: 5
Residents reviewed for infection control: 5
Residents reviewed for incontinence care: 6
Residents reviewed for meal needs and preferences: 24
Medication doses: 50
Medication doses: 100
Medication doses: 20
Medication doses: 10
Medication doses: 24
Medication doses: 25
Medication doses: 20
Lab results: 22.4
Lab results: 20.8
Meal times: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MA L | Medication Aide | Named in medication reordering and medication labeling deficiencies |
| MA J | Medication Aide | Named in medication reordering and medication labeling deficiencies |
| LVN B | Licensed Vocational Nurse | Named in medication reordering and infection control deficiencies |
| CNA I | Certified Nursing Assistant | Named in infection control deficiency for failure to change gloves and hand hygiene |
| CNA E | Certified Nursing Assistant | Named in infection control deficiency for failure to change gloves and hand hygiene |
| ADON A | Assistant Director of Nursing | Named in lab notification deficiency |
| DON | Director of Nursing | Named in multiple deficiencies including lab notification, infection control, and medication reordering |
| Administrator | Named in multiple deficiencies and interviews regarding expectations and oversight | |
| LVN K | Licensed Vocational Nurse | Named in infection control deficiency for failure to cap PICC line |
| NA C | Nursing Assistant | Named in infection control deficiency for failure to change gloves and hand hygiene |
| DM Z | Dietary Manager | Named in dietary and meal service deficiencies |
Inspection Report
Routine
Deficiencies: 2
Date: May 15, 2023
Visit Reason
The inspection was conducted to evaluate the facility's pharmaceutical services and medication storage practices, specifically focusing on the administration and storage of intravenous antibiotics to ensure compliance with regulatory standards.
Findings
The facility failed to provide pharmaceutical services that meet the needs of residents by administering expired intravenous antibiotics to one resident and failing to protect IV antibiotics from light as required. These deficiencies could place residents at risk for not receiving therapeutic effects and potential health decline.
Deficiencies (2)
Facility administered expired intravenous antibiotics to Resident #1.
Facility failed to ensure IV antibiotics were protected from light as prescribed.
Report Facts
Medication dosage: 750
Date of inspection: May 15, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Nurse who administered IV antibiotics and responsible for checking expiration dates |
| Director of Nursing | Director of Nursing | Provided statements regarding medication administration and storage policies |
| Administrator | Administrator | Provided statements regarding responsibility for checking expiration dates and risks of expired IV antibiotics |
Inspection Report
Routine
Deficiencies: 5
Date: Mar 9, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care plans, respiratory care, kitchen sanitation, and infection prevention and control at McKinney Healthcare and Rehabilitation Center.
Findings
The facility failed to develop and implement comprehensive person-centered care plans including oxygen therapy for Resident #175, failed to maintain clean oxygen concentrator filters for Residents #54 and #175, failed to ensure the iced tea dispenser in the kitchen was covered after filling, and failed to sanitize blood pressure cuffs between residents, placing residents at risk of harm and infection.
Deficiencies (5)
Failed to ensure Resident #175's care plan included goals and interventions for oxygen therapy.
Failed to ensure oxygen concentrator filters were free of sediment and debris for Residents #54 and #175.
Failed to ensure Resident #175 had physician orders for oxygen therapy.
Failed to ensure the iced tea dispenser in the kitchen was covered after filling.
Failed to sanitize blood pressure cuff between Resident #1 and Resident #51's care.
Report Facts
Start date of oxygen saturation monitoring: Mar 3, 2023
Start date of elevating head of bed: Mar 6, 2023
Start date of oxygen tubing and humidifier change: Feb 5, 2023
Start date of oxygen therapy: Jan 9, 2023
Isolation duration: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Interviewed regarding Resident #175 oxygen therapy and oxygen concentrator filter cleaning |
| MDS Coordinator | Interviewed regarding responsibility for updating resident care plans | |
| DON | Director of Nursing | Interviewed regarding care plan responsibilities and oxygen therapy policies |
| Dietary Manager | Interviewed regarding iced tea dispenser sanitation and staff responsibilities | |
| Dietary Aide A | Interviewed regarding failure to cover iced tea dispenser | |
| Administrator | Interviewed regarding expectations for sanitary conditions in the facility | |
| MA B | Medication Aide | Observed and interviewed regarding failure to sanitize blood pressure cuff between residents |
Inspection Report
Routine
Deficiencies: 5
Date: Mar 9, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care plans, respiratory care, food service safety, and infection prevention and control at McKinney Healthcare and Rehabilitation Center.
Findings
The facility failed to develop and implement comprehensive person-centered care plans including oxygen therapy for Resident #175, failed to maintain clean oxygen concentrator filters for Residents #54 and #175, failed to ensure the iced tea dispenser was covered in the kitchen, and failed to sanitize blood pressure cuffs between residents, placing residents at risk of unmet care needs, infection, and cross-contamination.
Deficiencies (5)
Failed to ensure Resident #175's care plan included goals and interventions for oxygen therapy.
Failed to ensure oxygen concentrator filters were free of sediment and debris for Residents #54 and #175.
Failed to ensure Resident #175 had physician orders for oxygen therapy.
Failed to ensure iced tea dispenser in the kitchen was covered after filling.
Failed to sanitize blood pressure cuff between Resident #1 and Resident #51's care.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Duration of isolation: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Interviewed regarding Resident #175 oxygen therapy and oxygen concentrator filter cleaning |
| MDS Coordinator | Interviewed regarding responsibility for updating resident care plans | |
| DON | Director of Nursing | Interviewed regarding care plan responsibilities and oxygen therapy policies |
| Dietary Manager | Interviewed regarding iced tea dispenser sanitation | |
| Dietary Aide A | Interviewed regarding failure to cover iced tea dispenser | |
| Administrator | Interviewed regarding expectations for sanitary conditions | |
| MA B | Medication Aide | Observed and interviewed regarding failure to sanitize blood pressure cuff between residents |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 15, 2023
Visit Reason
The inspection was conducted as a routine annual survey of McKinney Healthcare and Rehabilitation Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection, indicating full compliance with applicable standards.
Viewing
Loading inspection reports...
