Facility profile · CCN 345168
Macgregor Downs Health Center By Harborview
34 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $10,023.
Record summary
Federal record · Q1 202634
Total citations
22
Last 3 years
1
Actual harm+
1
Federal penalties
$10,023
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
34 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Feb 13, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Feb 13, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint |
| Feb 13, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 13, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard |
| Feb 13, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 13, 2025 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Feb 13, 2025 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| Feb 13, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 13, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Feb 13, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 13, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Feb 13, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Aug 2, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | K | Complaint |
| Aug 2, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Dec 22, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 22, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Dec 22, 2023 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Dec 22, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Dec 22, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Dec 22, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Dec 22, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | Standard |
| Dec 22, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Jan 26, 2023 | F948 | Ensure that paid feeding assistants have the training they need. | D | Standard |
| Jan 26, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Jan 26, 2023 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | Standard |
| Jan 26, 2023 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard |
| Jan 26, 2023 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Jan 26, 2023 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Jan 26, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jan 26, 2023 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard |
| Jan 26, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Jan 26, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jan 26, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | B | Standard |
| Jan 26, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | F | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $10,023 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 2, 2024 | Fine | $10,023 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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