Health inspection·March 6, 2025

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to establish and maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of six (Resident #5) residents reviewed for infection control. Residents Affected - Few 1. The facility failed to ensure CNA B changed her gloves and performed hand hygiene while providing incontinent care to Resident #5 on 03/06/2025. This failure could place residents at risk of cross-contamination and development of infections. The findings included: 1. Record review of Resident #5's Face Sheet, dated 03/06/2025, reflected the resident was a [AGE] year-old female who was admitted to the facility on [DATE]. Resident #5 had diagnoses which included urinary tract infection (infection in any part of the urinary system) and the need for assistance with personal care. Record review of Resident #5's Quarterly MDS (assessment used to determine functional capabilities and health needs) Assessment, dated 03/02/2025, reflected a BIMS (screening tool used to assess cognitive status) assessment was not completed for the resident. Section H reflected Resident #5 was always incontinent of bowel and bladder. Record review of Resident #5's Comprehensive Care Plan, dated 02/26/2025, reflected a potential for pressure ulcer development related to hypertension (high blood pressure), the use of pain medication, and the need for assistance with ADLs (collective term for all the basic skills needed in regular daily life) and personal care. One intervention was notify nurse immediately of any new areas of skin breakdown: Redness, Blisters, Bruises, discoloration noted during bath or daily care. On 03/06/2025 at 1:40 PM, CNA B was observed providing incontinence care for Resident #5. There were wipes, gloves, and a clean brief on Resident #5's bedside table. CNA B washed her hands in the resident's restroom. CNA B pulled the privacy curtain around Resident #5's bed and told the resident she was going to change her brief. CNA B put on clean gloves, pulled back the sheet and blanket to uncover Resident #5, and unfastened the tabs on the sides of the brief. CNA B used wipes to clean the (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 2 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 03/06/2025 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)