Health inspection·May 1, 2025

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. Based on observations, interviews, and record review, the facility failed to store all drugs and biologicals in a locked cart or under the direct observation of authorized staff in an area where residents could access it for one (Wound Care Cart) of five carts reviewed for pharmacy services The facility failed to ensure that LVN A locked the wound care cart after providing wound care on 05/01/2025. This failure could place the residents at risk of accessing/opening the cart causing accidental overdose or misuse of medications. Findings included: Observation on 05/01/2025 at 8:25 AM revealed a cart was parked in the hallway in front of the nurses' station. The cart was not locked and there were some keys on top of the cart. The drawers of the cart were facing the hallway and several staff and residents were passing in front of the cart. All the drawers of the cart could be easily opened and the contents of each drawer could be easily taken. The drawers of the cart contained different types and sizes of dressings, wound cleansers, normal saline, ointments, creams, iodine, collagen, gauze pads, bandages, tongue depressors, tape measures, and disinfecting wipes. During an observation and interview on 05/01/2025 at 8:29 AM, the ADON stated the carts should be locked everytime they were left unattended. She opened one of the drawers of the unlocked cart to check what was inside and what was the cart for. She said the cart was used for wound care. The ADON said the staff should lock the carts before leaving to prevent unauthorized individuals from opening them. She said residents might open them and access or ingest something to which they were allergic. She said, if the carts were left unlocked, any resident, staff, or visitor could open them and get some medications. She said the keys should not be left on top of the carts because even though the carts were locked, others could take the keys and easily open the carts. She said she did not notice the wound care cart was not locked when she came in that morning. She said she would try to find out who left the cart unlocked and the left the keys on top of the wound care cart to educate them of the significance of locking the carts and securing the keys of the carts. She took the keys from the top of the cart and them and placed them in her pockets. In an interview on 05/01/2025 at 9:57 AM, the DON stated any cart should always be locked when left unattended to prevent any residents from opening it and taking something from it. She said the wound care cart had wound cleanser and ointments that could be accidentally drank or ingested that could (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 05/01/2025 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)