MCGIVNEY HEALTH CARE CENTER

πŸ“ 2907 EAST 136TH ST, carmel, IN 46033 πŸ“ž 3178460265 πŸ›οΈ 37 beds

Overall Rating

⭐
1/5

Health Inspection

⭐⭐
2/5

Staffing

⭐
1/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

95
Total Violations
7 years of data
$0
Total Fines
1 penalties
6
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 25 violations

Tag 0580 D Sep 22, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Oct 27, 2023
Tag 0609 D Sep 22, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Oct 27, 2023
Tag 0641 D Sep 22, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 27, 2023
Tag 0644 D Sep 22, 2023

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Oct 27, 2023
Tag 0656 D Sep 22, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Oct 27, 2023
Tag 0689 D Sep 22, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 27, 2023
Tag 0690 D Sep 22, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Oct 27, 2023
Tag 0725 D Sep 22, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Oct 27, 2023
Tag 0727 D Sep 22, 2023

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Oct 27, 2023
Tag 0730 D Sep 22, 2023

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Oct 27, 2023
Tag 0732 D Sep 22, 2023

Post nurse staffing information every day.

βœ“ Corrected: Oct 27, 2023
Tag 0760 G Sep 22, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Oct 27, 2023
Tag 0761 D Sep 22, 2023

Ensure 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.

βœ“ Corrected: Oct 27, 2023
Tag 0809 F Sep 22, 2023

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

βœ“ Corrected: Oct 27, 2023
Tag 0812 F Sep 22, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 27, 2023
Tag 0835 E Sep 22, 2023

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

βœ“ Corrected: Oct 27, 2023
Tag 0842 D Sep 22, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Oct 27, 2023
Tag 0867 D Sep 22, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Oct 27, 2023
Tag 0880 E Sep 22, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 27, 2023
Tag 0881 E Sep 22, 2023

Implement a program that monitors antibiotic use.

βœ“ Corrected: Oct 27, 2023

2022 18 violations

Tag 0842 D Nov 14, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Nov 30, 2022
Tag 0580 D Sep 27, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Oct 31, 2022
Tag 0689 D Sep 27, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 31, 2022
Tag 0727 F Sep 27, 2022

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Oct 31, 2022
Tag 0880 D Sep 27, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 25, 2022
Tag 0578 D Jul 26, 2022

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.

βœ“ Corrected: Aug 17, 2022
Tag 0580 D Jul 26, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Aug 17, 2022
Tag 0582 D Jul 26, 2022

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Aug 17, 2022
Tag 0656 E Jul 26, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Aug 17, 2022
Tag 0661 D Jul 26, 2022

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Aug 17, 2022
Tag 0689 D Jul 26, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Aug 17, 2022
Tag 0700 D Jul 26, 2022

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.

βœ“ Corrected: Aug 17, 2022
Tag 0758 E Jul 26, 2022

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.

βœ“ Corrected: Aug 17, 2022
Tag 0812 D Jul 26, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 10, 2022
Tag 0883 E Jul 26, 2022

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Aug 17, 2022
Tag 0886 F Jul 26, 2022

Perform COVID19 testing on residents and staff.

βœ“ Corrected: Aug 17, 2022
Tag 0912 D Jul 26, 2022

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

βœ“ Corrected: Aug 10, 2022
Tag 0888 C Apr 25, 2022

Ensure staff are vaccinated for COVID-19

βœ“ Corrected: May 17, 2022

2021 8 violations

Tag 0570 E Jun 11, 2021

Assure the security of all personal funds of residents deposited with the facility.

βœ“ Corrected: Jul 16, 2021
Tag 0578 D Jun 11, 2021

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.

βœ“ Corrected: Jul 16, 2021
Tag 0641 D Jun 11, 2021

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jul 16, 2021
Tag 0656 D Jun 11, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jul 16, 2021
Tag 0661 D Jun 11, 2021

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Jul 16, 2021
Tag 0692 D Jun 11, 2021

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jul 16, 2021
Tag 0755 D Jun 11, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jul 16, 2021
Tag 0912 C Jun 11, 2021

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

βœ“ Corrected: Jul 16, 2021

2020 5 violations

Tag 0580 D Jun 10, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jul 31, 2020
Tag 0684 D Jun 10, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jul 31, 2020
Tag 0880 F Jun 10, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 7, 2020
Tag 0600 D Mar 2, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Apr 1, 2020
Tag 0609 D Mar 2, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Apr 1, 2020

2019 15 violations

Tag 0600 D Dec 20, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Feb 12, 2020
Tag 0610 D Dec 20, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 12, 2020
Tag 0609 D Jul 31, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Aug 16, 2019
Tag 0610 D Jul 31, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 16, 2019
Tag 0578 D Jun 17, 2019

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.

βœ“ Corrected: Jul 12, 2019
Tag 0622 D Jun 17, 2019

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Jul 12, 2019
Tag 0644 D Jun 17, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Jul 12, 2019
Tag 0656 D Jun 17, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jul 12, 2019
Tag 0657 D Jun 17, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jul 12, 2019
Tag 0684 D Jun 17, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jul 12, 2019
Tag 0686 D Jun 17, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jul 12, 2019
Tag 0695 D Jun 17, 2019

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jul 12, 2019
Tag 0698 D Jun 17, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Jul 12, 2019
Tag 0757 D Jun 17, 2019

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jul 12, 2019
Tag 0806 D Jun 17, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Jul 12, 2019

2018 10 violations

Tag 0689 E Aug 17, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Aug 31, 2018
Tag 0580 D Jun 14, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jun 18, 2018
Tag 0607 E Jun 14, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Jun 18, 2018
Tag 0644 D Jun 14, 2018

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Jun 18, 2018
Tag 0645 D Jun 14, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Jun 18, 2018
Tag 0656 D Jun 14, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 18, 2018
Tag 0755 E Jun 14, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jun 18, 2018
Tag 0758 E Jun 14, 2018

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.

βœ“ Corrected: Jun 18, 2018
Tag 0880 D Jun 14, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 18, 2018
Tag 0912 D Jun 14, 2018

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

βœ“ Corrected: Jun 18, 2018

2017 14 violations

Tag 0159 D Jun 23, 2017

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

βœ“ Corrected: Jul 23, 2017
Tag 0174 D Jun 23, 2017

Provide residents with private access to a telephone.

βœ“ Corrected: Jul 23, 2017
Tag 0246 E Jun 23, 2017

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Jul 23, 2017
Tag 0278 D Jun 23, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Jul 23, 2017
Tag 0279 D Jun 23, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jul 23, 2017
Tag 0309 D Jun 23, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jul 23, 2017
Tag 0323 E Jun 23, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Jul 23, 2017
Tag 0325 D Jun 23, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: Jul 23, 2017
Tag 0329 D Jun 23, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Jul 23, 2017
Tag 0371 F Jun 23, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jul 23, 2017
Tag 0412 D Jun 23, 2017

Provide or obtain dental services for each resident.

βœ“ Corrected: Jul 23, 2017
Tag 0431 D Jun 23, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Jul 23, 2017
Tag 0458 D Jun 23, 2017

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

βœ“ Corrected: Jul 23, 2017
Tag 0465 E Jun 23, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Jul 23, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2019 1 penalties totaling $0

$0
Payment Denial
December 20, 2019
Average: $0 | Range: $0 - $0

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

September 22, 2023
0.00

Health

November 14, 2022
0.00

Health

September 27, 2022
0.00

Health

July 26, 2022
0.00

Health

April 25, 2022
0.00

Health

June 11, 2021
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
155855
155855
3178460265
Hamilton

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual