Inspection visit
Health inspection
2 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 2 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0755
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a
licensed pharmacist.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review the facility failed to provide pharmaceutical services (including
procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and
biologicals) to meet the needs of each resident for 1 of 2 residents (Resident #1) reviewed for pharmacy
services in that:
The facility administered expired intravenous antibiotics.
This deficient practice could affect residents who received medications and place them at risk for not
receiving a therapeutic effect and could result in a decline in health.
The findings included:
Record review of Resident #1's face sheet, dated [DATE], revealed a [AGE] year-old male who admitted to
the facility on [DATE]. His diagnosis included congestive heart failure, resistance to multiple antimicrobial
drugs, asthma, muscle weakness, unspecified lack of coordination, cognitive communication deficit,
dysphagia pharyngeal phase (difficulty swallowing), constipation, urinary tract infection, acute
posthemorrhagic anemia (blood loss), vitamin deficiency, rheumatic mitral valve disease (heart valve
damage), essential hypertension, allergic rhinitis (inflammation of the nose), chronic kidney disease, benign
prostatic hyperplasia without [NAME] urinary tract symptoms(enlarged prostate gland), long term use of
anticoagulants (blood thinners), presence of cardiac pacemaker, acute cystitis with hematuria (bladder
infection with blood in the urine), and gastroesophageal reflux disease without esophagitis (inflammation of
the esophagus).
Record review of a physician's order, dated [DATE], revealed the following:
Cefiderocol sulfate tosylate intravenous solution reconstituted. Use 750 MG intravenously two times a day
for UTI for 7 days.
Protect from light.
Record review of a video, dated Wednesday [DATE], with a time of 9:57 PM, revealed Resident #1 in his
room, as he received the intravenous antibiotics. The Surveyor observed the same intravenous antibiotics
hanging that had an expiration date of [DATE] on the main label of the antibiotics, as well as a red sticker on
the bag that reflected, DO NOT USE AFTER: [DATE].
In an interview on [DATE] at 12:47 PM, RN A stated she was familiar with Resident #1. She stated
(continued on next page)
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
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 5
Event ID:
675004
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675004
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
05/15/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
McKinney Healthcare and Rehabilitation Center
253 Enterprise Dr
McKinney, TX 75069
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0755
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
she was at work on [DATE] and assisted Resident #1. RN A stated she remembered removing one IV bag
and putting another up for Resident #1. She stated that she did not remember the new bags being expired.
She stated that the bag she removed was expired. because it was used the night before. She stated she
could not remember what date was on the bag she removed. She stated she couldn't remember the exact
time she removed the bag. She stated she would usually check the expiration dates on IV medications. RN
A stated it was the responsibility of the nurse giving the medication to check the expiration dates. RN A
stated she remembered the IV antibiotic Resident #1 had expired quickly and had to be used as soon as it
was removed from the refrigerator. RN A stated that if she had noticed expired IV antibiotics, she would not
have given the antibiotics to the resident. She stated that one risk would be that Resident #1 could have
gotten sick.
In an interview on [DATE] at 6:27 PM, Director of Nursing stated he did not hear that Resident #1 was given
expired IV antibiotics. She stated the pharmacy delivered the antibiotics the same day they were used. She
stated at one point in the residents stay, the pharmacy advised they were out of the IV antibiotics, but they
were able to fill the prescription before Resident #1 ran out. She stated the IV antibiotics would have been
delivered to the nurses' station, and a nurse would have taken them to the medication room and put them in
the refrigerator. Director of Nursing stated the nurse who administered the IV antibiotics should have
checked the expiration date. She stated RN A was the person who hung the IV antibiotics on [DATE] that
morning. Director of Nursing stated she expected expiration dates to be checked by any nurse that
administered IV antibiotics. She stated if the IV antibiotics were expired, the nurse should not have
administered it, should have contacted her, and they would have contacted the pharmacy. She stated if she
was aware that Resident #1 received expired IV medication, she would have contacted his responsible
party, contacted the physician, and she would have monitored the resident for any adverse reactions. She
stated the risks just depended on several things, but she just knows the IV antibiotics are expensive.
Director of Nursing stated she wasn't really sure about specific side effects, that's why she would contact
the doctor for more information.
In an interview on [DATE] at 7:17 PM, Administrator stated the nurses were responsible for checking the
expiration date on IV antibiotics. He stated if the facility did receive expired IV antibiotics, they would have
been returned to the pharmacy. Administrator stated he was not a doctor but figured giving expired IV
antibiotics to a resident could negatively affect their health.
Record review of the facility's policy titled, Policy/Procedure- Nursing Clinical, dated [DATE] revealed the
following:
Section: Medication Administration
Subject: Administration of Drugs
Policy Number: NCMA 1
Policy:
It is the policy of this facility that medication shall be administered as prescribed by the attending physician.
Procedures:
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675004
If continuation sheet
Page 2 of 5
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675004
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
05/15/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
McKinney Healthcare and Rehabilitation Center
253 Enterprise Dr
McKinney, TX 75069
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0755
Note: Expired meds are removed from the cart and placed in the med room for destruction. Nurse notifies
pharmacy for new supply.
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675004
If continuation sheet
Page 3 of 5
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675004
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
05/15/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
McKinney Healthcare and Rehabilitation Center
253 Enterprise Dr
McKinney, TX 75069
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to ensure all drugs and biological were properly
stored or covered for one of one medication reviewed for storage, in that:
The facility failed to ensure IV antibiotics were protected from light.
This deficient practice could affect residents by placing them at risk for not receiving a therapeutic effect
and could result in a decline in health.
The findings included:
Record review of Resident #1's face sheet, dated 05/15/23, revealed a [AGE] year-old male who admitted
to the facility on [DATE]. His diagnosis included congestive heart failure, resistance to multiple antimicrobial
drugs, asthma, muscle weakness, unspecified lack of coordination, cognitive communication deficit,
dysphagia pharyngeal phase (difficulty swallowing), constipation, urinary tract infection, acute
posthemorrhagic anemia (blood loss), vitamin deficiency, rheumatic mitral valve disease (heart valve
damage), essential hypertension, allergic rhinitis (inflammation of the nose), chronic kidney disease, benign
prostatic hyperplasia without [NAME] urinary tract symptoms(enlarged prostate gland), long term use of
anticoagulants (blood thinners), presence of cardiac pacemaker, acute cystitis with hematuria (bladder
infection with blood in the urine), and gastroesophageal reflux disease without esophagitis (inflammation of
the esophagus).
Record review of a physician's order for Resident #1, dated 05/06/23, revealed the following:
Cefiderocol sulfate tosylate intravenous solution reconstituted. Use 750 MG intravenously two times a day
for UTI for 7 days.
Protect from light.
Record review of a video, dated Wednesday 05/10/23, with a time of 9:57 PM, revealed Resident #1 in his
room, as he received the intravenous antibiotics. In the video, the resident's lights were on, and the IV
antibiotics did not have any type of covering. The Surveyor observed a yellow sticker on the IV antibiotics
bag that reflected, Protect from light.
In an interview on 05/15/23 at 6:27 PM, Director of Nursing stated the facility usually would have protected
the IV antibiotics from light. She stated they would have usually used the bag the IV antibiotics came in
from the pharmacy. She stated most of the time she thought Resident #1's room was dark. Director of
Nursing stated she was not sure if the facility had their own supply of bag coverings. She stated one risk of
the IV antibiotics not protected from the light is it may have altered the contents of the bag. Director of
Nursing stated all nursing staff had been trained to cover the bags if it was required.
In an interview on 05/15/23 at 7:17 PM, Administrator stated he personally had not seen a protect from light
sticker on IV bags. He stated he would not really know the risks of not protecting IV antibiotics from the
light.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675004
If continuation sheet
Page 4 of 5
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675004
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
05/15/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
McKinney Healthcare and Rehabilitation Center
253 Enterprise Dr
McKinney, TX 75069
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0761
Record review of the facility's policy titled, Policy/Procedure- Nursing Clinical, dated 08/03/2021 revealed
the following:
Level of Harm - Minimal harm
or potential for actual harm
Section: Medication Administration
Residents Affected - Few
Subject: Administration of Drugs
Policy Number: NCMA 1
Policy:
It is the policy of this facility that medication shall be administered as prescribed by the attending physician.
Record review of the manufactuer's prescribing information on the manufactuer's website revealed the
following:
2.5 Storage of Reconstituted Solutions:
The diluted FETROJA infusion solution in the infusion bag may also be refrigerated at 2°C to 8°C
(36°F to
46°F) for up to 24 hours, protected from light; and then the infusion should be completed within 6
hours at room temperature.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675004
If continuation sheet
Page 5 of 5
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Back to topCitations
2 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F755 - Pharmacy Services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F761 - Labeling of Drugs and Biologicals
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.
FAQ · About this visit
Common questions about this visit
What happened during the May 15, 2023 survey of MCKINNEY HEALTHCARE AND REHABILITATION CENTER?
This was a inspection survey of MCKINNEY HEALTHCARE AND REHABILITATION CENTER on May 15, 2023. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at MCKINNEY HEALTHCARE AND REHABILITATION CENTER on May 15, 2023?
Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharm..."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.