All citations for McPherson Operator, LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to McPherson Operator, LLC

Last standard health inspection on record

July 14, 2026

Showing 1 to 25 of 26 citations

  1. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  2. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  3. No harm, with potential for more than minimal harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Widespread (many residents). CMS level F.

    Health citation F-0925, Environmental Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  4. No harm, with potential for more than minimal harm

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  5. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  6. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  7. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  8. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    A waiver was granted (February 9, 2022).

  9. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  10. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  11. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  12. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  13. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  14. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  16. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  17. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  18. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  19. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  20. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  21. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  22. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  23. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of August 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

  24. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

  25. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.