MCCULLOUGH HALL NURSING CENTER INC

πŸ“ 603 S W 24TH ST, san-antonio, TX 78207 πŸ“ž 2104357711 πŸ›οΈ 51 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

46
Total Violations
8 years of data
$29,296
Total Fines
23 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 1 violations

Tag 0758 D Aug 29, 2024

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 30, 2024

2023 8 violations

Tag 0558 D Oct 5, 2023

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Nov 15, 2023
Tag 0604 E Oct 5, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Nov 15, 2023
Tag 0690 D Oct 5, 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: Nov 15, 2023
Tag 0727 F Oct 5, 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: Nov 15, 2023
Tag 0755 D Oct 5, 2023

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

βœ“ Corrected: Nov 15, 2023
Tag 0759 E Oct 5, 2023

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Nov 15, 2023
Tag 0812 E Oct 5, 2023

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

βœ“ Corrected: Nov 15, 2023
Tag 0880 D Oct 5, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 15, 2023

2022 10 violations

Tag 0880 D Dec 1, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 6, 2023
Tag 0657 E Aug 31, 2022

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: Sep 1, 2022
Tag 0686 D Aug 31, 2022

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

βœ“ Corrected: Sep 1, 2022
Tag 0727 E Aug 31, 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: Sep 10, 2022
Tag 0755 D Aug 31, 2022

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

βœ“ Corrected: Sep 1, 2022
Tag 0761 D Aug 31, 2022

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: Sep 1, 2022
Tag 0812 D Aug 31, 2022

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

βœ“ Corrected: Sep 1, 2022
Tag 0883 E Aug 31, 2022

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

βœ“ Corrected: Sep 1, 2022
Tag 0921 D Aug 31, 2022

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

βœ“ Corrected: Sep 6, 2022
Tag 0552 B Aug 3, 2022

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Aug 4, 2022

2021 6 violations

Tag 0609 D Jun 11, 2021

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

βœ“ Corrected: Jul 15, 2021
Tag 0658 D Jun 11, 2021

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jul 15, 2021
Tag 0690 D Jun 11, 2021

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: Jul 15, 2021
Tag 0810 D Jun 11, 2021

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

βœ“ Corrected: Jul 15, 2021
Tag 0880 E Jun 11, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 15, 2021
Tag 0678 D Feb 12, 2021

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

βœ“ Corrected: Mar 5, 2021

2020 11 violations

Tag 0609 D Aug 17, 2020

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

βœ“ Corrected: Aug 19, 2020
Tag 0656 E Mar 6, 2020

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

βœ“ Corrected: Mar 30, 2020
Tag 0684 D Mar 6, 2020

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

βœ“ Corrected: Mar 30, 2020
Tag 0689 D Mar 6, 2020

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

βœ“ Corrected: Mar 30, 2020
Tag 0690 D Mar 6, 2020

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: Mar 30, 2020
Tag 0695 D Mar 6, 2020

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

βœ“ Corrected: Mar 30, 2020
Tag 0758 D Mar 6, 2020

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: Mar 30, 2020
Tag 0800 E Mar 6, 2020

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

βœ“ Corrected: Mar 30, 2020
Tag 0803 E Mar 6, 2020

Ensure 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.

βœ“ Corrected: Mar 30, 2020
Tag 0806 D Mar 6, 2020

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

βœ“ Corrected: Mar 30, 2020
Tag 0812 D Mar 6, 2020

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

βœ“ Corrected: Mar 30, 2020

2019 1 violations

Tag 0812 E Mar 22, 2019

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

βœ“ Corrected: Apr 25, 2019

2018 5 violations

Tag 0641 B Apr 6, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Apr 16, 2018
Tag 0695 E Apr 6, 2018

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

βœ“ Corrected: Apr 25, 2018
Tag 0726 E Apr 6, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: May 11, 2018
Tag 0761 E Apr 6, 2018

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: May 18, 2018
Tag 0880 E Apr 6, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 25, 2018

2017 4 violations

Tag 0278 E Mar 9, 2017

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

βœ“ Corrected: Mar 15, 2017
Tag 0279 E Mar 9, 2017

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

βœ“ Corrected: Mar 16, 2017
Tag 0285 C Mar 9, 2017

Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

βœ“ Corrected: Mar 16, 2017
Tag 0371 F Mar 9, 2017

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

βœ“ Corrected: Mar 20, 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

2021 17 penalties totaling $20,498

$4,225
Fine
September 27, 2021
$4,225
Fine
September 20, 2021
$4,225
Fine
September 13, 2021
$4,225
Fine
September 6, 2021
$4,225
Fine
August 16, 2021
$4,225
Fine
August 9, 2021
$4,225
Fine
August 2, 2021
$4,225
Fine
July 26, 2021
$4,225
Fine
July 19, 2021
$4,225
Fine
July 12, 2021
$4,225
Fine
July 5, 2021
$4,225
Fine
February 8, 2021
$3,900
Fine
February 1, 2021
$3,575
Fine
January 25, 2021
$3,250
Fine
January 18, 2021
$2,948
Fine
January 11, 2021
$2,600
Fine
January 4, 2021
Average: $3,416 | Range: $2,600 - $4,225

2020 6 penalties totaling $8,798

$2,275
Fine
December 28, 2020
$1,950
Fine
December 21, 2020
$1,625
Fine
December 14, 2020
$1,310
Fine
December 7, 2020
$983
Fine
September 7, 2020
$655
Fine
August 31, 2020
Average: $1,466 | Range: $655 - $2,275

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

August 29, 2024
0.00

Health

October 5, 2023
0.00

Health

December 1, 2022
0.00

Health

August 31, 2022
0.00

Health

August 3, 2022
0.00

Health

June 11, 2021
0.00

Health

February 12, 2021
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
675176
675176
2104357711
Bexar