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Facility profile · CCN 555583

Maclay Healthcare Center

170 federal citations on record , including 6 at the Immediate Jeopardy level, and 9 federal enforcement actions totaling $297,315.

Abuse Icon Special Focus Status 6 Immediate Jeopardy

Record summary

Federal record · Q1 2026
170
Total citations
151
Last 3 years
12
Actual harm+
9
Federal penalties
$297,315
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

170 on record
SurveyF-TagViolationSeveritySource
Sep 15, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 28, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 28, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 9, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 3, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jun 3, 2025F825Provide or get specialized rehabilitative services as required for a resident.DComplaint
Jun 3, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jun 3, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Apr 28, 2025F880Provide and implement an infection prevention and control program.EComplaint
Mar 22, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Mar 22, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EComplaint
Mar 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Mar 22, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
Mar 22, 2025F610Respond appropriately to all alleged violations.DComplaint
Mar 22, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Mar 22, 2025F583Keep residents' personal and medical records private and confidential.EComplaint
Jan 28, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Jan 28, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 16, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 24, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Dec 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 24, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 24, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
Dec 24, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Dec 18, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 31, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 31, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 24, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Oct 24, 2024F584Honor 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.EComplaint
Oct 11, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Oct 11, 2024F908Keep all essential equipment working safely.DStandard
Oct 11, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Oct 11, 2024F880Provide and implement an infection prevention and control program.EStandard
Oct 11, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Oct 11, 2024F814Dispose of garbage and refuse properly.EStandard
Oct 11, 2024F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Oct 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 11, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.JStandard
Oct 11, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Oct 11, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Oct 11, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Oct 11, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Oct 11, 2024F760Ensure that residents are free from significant medication errors.EStandard
Oct 11, 2024F758Implement 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.DStandard
Oct 11, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 11, 2024F700Try 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.EStandard
Oct 11, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Oct 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Oct 11, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Oct 11, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Oct 11, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Oct 11, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Oct 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Oct 11, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Oct 11, 2024F641Ensure each resident receives an accurate assessment.DStandard
Oct 11, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard
Oct 11, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Oct 11, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Oct 11, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Sep 10, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Sep 10, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 21, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 5, 2024F880Provide and implement an infection prevention and control program.DComplaint
Aug 5, 2024F610Respond appropriately to all alleged violations.DComplaint
Aug 5, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 5, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint
Jul 18, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 7, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Jun 7, 2024F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.CComplaint
Jun 7, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Jun 7, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EComplaint
Jun 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 7, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 7, 2024F610Respond appropriately to all alleged violations.DComplaint
Jun 7, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Jun 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 7, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Apr 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jan 25, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jan 25, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jan 25, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 25, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jan 25, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 25, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 4, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Nov 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 25, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 6, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 6, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Oct 6, 2023F880Provide and implement an infection prevention and control program.EStandard
Oct 6, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EStandard
Oct 6, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 6, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Oct 6, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Oct 6, 2023F758Implement 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.DStandard
Oct 6, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Oct 6, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 6, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard

Federal enforcement history

Federal regulators have imposed 9 enforcement actions against this facility, including 5 civil money penalties totaling $297,315 and 4 payment-denial actions spanning 71 days.

DateTypeFinePayment denial
Mar 22, 2025Fine$51,704
Mar 22, 2025Payment DenialApr 19, 2025 · 20 days
Oct 11, 2024Fine$17,660
Oct 11, 2024Fine$112,506
Oct 11, 2024Payment DenialNov 22, 2024 · 14 days
Jun 7, 2024Fine$86,623
Jun 7, 2024Payment DenialJul 9, 2024 · 6 days
Aug 23, 2023Fine$28,822
Aug 23, 2023Payment DenialNov 23, 2023 · 31 days
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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