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Complaint Investigation

Mckinley Park Care Center

August 15, 2025 · Sacramento, CA · 3700 H Street
Citations 1
CMS Rating 3/5
Beds 86
Provider ID 555122
Healthcare Facility
Mckinley Park Care Center
Sacramento, CA  ·  View full profile →
Inspection Summary

McKinley Park Care Center in Sacramento, CA — inspection on August 15, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0584
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an interview with the ADM on 8/15/25 at 5 p.m., the ADM indicated the ideal temperature ranges in the facility should be between 71 degrees to 81 degrees Fahrenheit.

The ADM stated the rooms were primarily affected when the air conditioning unit failed to function and the temperature was too hot and could affect the residents health.During a review of Resident 1's Face Sheet (FS), the FS indicated Resident 1 was admitted to the facility with diagnoses which included heart failure (a condition when the heart cannot pump enough blood to meet the body's needs) and chronic obstructive pulmonary disease (COPD - a progressive lung disease that makes it hard to breathe).

During an interview on 8/15/25 at 5:45 p.m. in Resident 1's room, Resident 1 indicated his room was hot, and stated, There is a large fan blowing air from the hallway, but it is still hot.During a review of Resident 2's FS, the FS indicated Resident 2 was admitted to the facility with diagnoses which included end stage renal disease (ESRD - the final stage of kidney disease where the kidneys have lost most or all of their ability to function).

During an interview on 8/15/25 at 5:50 p.m. in Resident 2's room, Resident 2 stated his room was hot, but he has the use of a fan on top of his nightstand to cool off. Resident 2 stated he heard a large fan outside by the door of his room, which was trying to cool off his room, but his room still remained hot.

Resident stated, I believe the air conditioner in this section of the building stopped working, and for a few days now, hence my room is hot.During a review of Resident 12's FS, the FS indicated Resident 12 was admitted with diagnoses which included respiratory failure and hypercapnia (a high level of carbon dioxide in the blood).

During an interview on 8/15/25 at 6:30 p.m. in Resident 12's room, Resident 12 stated the room temperature was hot earlier, and stated, It seemed the room air conditioner (swamp cooler) was not working too well as the room was hot.During a review of facility's policy and procedure titled, Homelike Environment, revised 2/2021, the P&P indicated, .Residents are provided with a safe, clean, comfortable and homelike environment .h. comfortable and safe temperatures (71 degrees - 81 degrees Fahrenheit) .

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

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Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Sacramento, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from McKinley Park Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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