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Establishment profile

MACLAY HEALTHCARE CENTER

12831 MACLAY STREET, SYLMAR, CA, 91342
Operated by SERRANO GROUP · 1 of 10 establishments
EIN 475319988

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OSHA inspections
0
Violations
0
Penalties
$0
Context
No OSHA inspections on record. This does not mean the employer is violation-free — OSHA inspects a small fraction of workplaces annually.

Summary

MACLAY HEALTHCARE CENTER has no OSHA inspection history on file. Federal records covering wage, environmental, labor relations, and other agencies are noted below where present.

The most recent federal enforcement activity was recorded 0 days ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

MACLAY HEALTHCARE CENTER appears in CMS nursing home enforcement record only. No matching records were found in OSHA workplace safety, WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls. Single-agency enforcement records typically indicate either a discrete incident-based inspection or a low-risk operational profile.

OSHA workplace safety

No OSHA inspections, citations, or accidents on file for MACLAY HEALTHCARE CENTER. Verify directly with Occupational Safety and Health Administration →

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
2.5
vs industry
—
TRIR
3.3
vs industry
—

Reported for 162 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for MACLAY HEALTHCARE CENTER. Verify directly with Occupational Safety and Health Administration →

Activity timeline

Data refreshed
Weekly
First OSHA inspection
—
Most recent activity
0 days ago

Most recent federal enforcement activity recorded 0 days ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for MACLAY HEALTHCARE CENTER. Verify directly with Wage and Hour Division →

Mine safety (MSHA)

No MSHA mine safety violations on file for MACLAY HEALTHCARE CENTER. Verify directly with Mine Safety and Health Administration →

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for MACLAY HEALTHCARE CENTER. Verify directly with National Labor Relations Board →

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for MACLAY HEALTHCARE CENTER. Verify directly with Office of Foreign Labor Certification →

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for MACLAY HEALTHCARE CENTER. Verify directly with Environmental Protection Agency →

CMS nursing-home record

CCN 555583 · Chain: SERRANO GROUP

CMS abuse iconSpecial focus: SFF Candidate
Overall rating
2 of 5 stars
Certified beds
141
Deficiencies (3y)
182
CMS fines
$365,068

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 193 citations across 40 surveys · 7 immediate jeopardy · 5 actual-harm · 101 complaint-triggered.

Survey dateF-TagSeverityDescriptionTypeCorrected
Apr 20260689G (harm)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint—
Apr 20260684E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint—
Apr 20260842E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Apr 20260656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint—
Apr 20260656E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint—
Apr 20260686E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint—
Apr 20260580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint—
Apr 20260755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint—
Apr 20260757D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Complaint—
Mar 20260610E
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Mar 20260842E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Mar 20260656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint—
Jan 20260805K (IJ)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Standard—
Jan 20260583E
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Standard—
Jan 20260584E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Standard—
Jan 20260604E
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard—
Jan 20260605E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard—
Jan 20260658E
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard—
Jan 20260684E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard—
Jan 20260689E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard—
Jan 20260759E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard—
Jan 20260760E
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Standard—
Jan 20260800E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
Standard—
Jan 20260803E
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.
Nutrition and Dietary Deficiencies
Standard—
Jan 20260804E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard—
Jan 20260808E
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies
Standard—
Jan 20260809E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Standard—
Jan 20260812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard—
Jan 20260842E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard—
Jan 20260849E
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies
Standard—
Jan 20260880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard—
Jan 20260881E
Implement a program that monitors antibiotic use.
Infection Control Deficiencies
Standard—
Jan 20260921E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard—
Jan 20260925E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Standard—
Jan 20260550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard—
Jan 20260558D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard—
Jan 20260578D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Standard—
Jan 20260580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Standard—
Jan 20260655D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard—
Jan 20260656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard—
Jan 20260686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard—
Jan 20260693D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Standard—
Jan 20260697D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard—
Jan 20260698D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard—
Jan 20260755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard—
Jan 20260761D
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.
Pharmacy Service Deficiencies
Standard—
Sep 20250600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Aug 20250600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Aug 20250609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Jul 20250580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint—
Jun 20250580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint—
Jun 20250692D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Complaint—
Jun 20250825D
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies
Complaint—
Jun 20250842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Apr 20250880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint—
Mar 20250600J (IJ)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Mar 20250689J (IJ)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint—
Mar 20250583E
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Complaint—
Mar 20250712E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies
Complaint—
Mar 20250842E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Mar 20250610D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Mar 20250644D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Complaint—
Jan 20250755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint—
Jan 20250760D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint—
Jan 20250755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint—
Dec 20240554D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Complaint—
Dec 20240636D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Complaint—
Dec 20240656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint—
Dec 20240684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint—
Dec 20240760D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint—
Dec 20240600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Oct 20240609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Oct 20240842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Oct 20240600G (harm)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Oct 20240584E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Complaint—
Oct 20240806J (IJ)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
Standard—
Oct 20240550E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard—
Oct 20240604E
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard—
Oct 20240655E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20240656E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20240658E
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20240689E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard—
Oct 20240698E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard—
Oct 20240700E
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.
Quality of Life and Care Deficiencies
Standard—
Oct 20240760E
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Standard—
Oct 20240802E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Standard—
Oct 20240803E
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.
Nutrition and Dietary Deficiencies
Standard—
Oct 20240804E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard—
Oct 20240805E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Standard—
Oct 20240812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard—
Oct 20240813E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies
Standard—
Oct 20240814E
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Standard—
Oct 20240880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard—
Oct 20240887E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies
Standard—
Oct 20240925E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Standard—
Oct 20240558D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard—
Oct 20240561D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Standard—
Oct 20240641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20240677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard—
Oct 20240685D
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Standard—
Oct 20240686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard—
Oct 20240755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard—
Oct 20240758D
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.
Pharmacy Service Deficiencies
Standard—
Oct 20240842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20240908D
Keep all essential equipment working safely.
Environmental Deficiencies
Standard—
Sep 20240600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Sep 20240626D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies
Complaint—
Aug 20240600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Aug 20240576D
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
Complaint—
Aug 20240600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Aug 20240610D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Aug 20240880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint—
Jul 20240600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Jun 20240600J (IJ)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Jun 20240712E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies
Complaint—
Jun 20240726E
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.
Nursing and Physician Services Deficiencies
Complaint—
Jun 20240842E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Jun 20240558D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint—
Jun 20240580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint—
Jun 20240610D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Jun 20240656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint—
Jun 20240684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint—
Jun 20240838C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies
Complaint—
Apr 20240656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint—
Apr 20240684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint—
Feb 20240842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Jan 20240880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint—
Jan 20240550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint—
Jan 20240580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint—
Jan 20240697D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint—
Jan 20240755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint—
Jan 20240842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Dec 20230684G (harm)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint—
Nov 20230689G (harm)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint—
Oct 20230656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint—
Oct 20230550E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard—
Oct 20230558E
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard—
Oct 20230576E
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
Standard—
Oct 20230584E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Standard—
Oct 20230656E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20230658E
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20230690E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Standard—
Oct 20230812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard—
Oct 20230849E
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies
Standard—
Oct 20230880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard—
Oct 20230925E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Standard—
Oct 20230554D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Standard—
Oct 20230578D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Standard—
Oct 20230609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Oct 20230641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20230645D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20230655D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20230657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard—
Oct 20230676D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Standard—
Oct 20230677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard—
Oct 20230686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard—
Oct 20230688D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Standard—
Oct 20230689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard—
Oct 20230692D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Standard—
Oct 20230755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard—
Oct 20230757D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Standard—
Oct 20230758D
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.
Pharmacy Service Deficiencies
Standard—
Oct 20230761D
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.
Pharmacy Service Deficiencies
Standard—
Oct 20230804D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard—
Sep 20230760D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint—
Sep 20230600G (harm)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Sep 20230656E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint—
Sep 20230757E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Complaint—
Sep 20230812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint—
Sep 20230607D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Sep 20230658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Complaint—
Sep 20230600J (IJ)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint—
Sep 20230689J (IJ)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint—
Sep 20230842E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Sep 20230880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint—
Sep 20230558D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint—
Sep 20230712D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies
Complaint—
Sep 20230726D
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.
Nursing and Physician Services Deficiencies
Complaint—
Sep 20230880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint—
Aug 20230697E
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint—
Aug 20230684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint—
Aug 20230842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Jul 20230584D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Complaint—
Jul 20230583D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Complaint—
Jul 20230585D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies
Complaint—
Jun 20230842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Jun 20230880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint—
Jun 20230689E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint—
Jun 20230698E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint—
Jun 20230755E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint—
Jun 20230842E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint—
Jun 20230550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint—
Jun 20230838D
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies
Complaint—

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for MACLAY HEALTHCARE CENTER. Verify directly with UVA Corporate Prosecution Registry →

In the news

Part of a larger organization

MACLAY HEALTHCARE CENTER is one of 10 establishments rolled up under the parent organization SERRANO GROUP.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of SERRANO GROUP across all 10 of its tracked locations is viewable on the parent profile.

Other locations under this parent

Other establishments operated by SERRANO GROUP, ordered by federal enforcement volume:

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About this data

This profile aggregates federal enforcement records on MACLAY HEALTHCARE CENTER from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup SERRANO GROUP, which operates 10 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is MACLAY HEALTHCARE CENTER's OSHA violation history?
MACLAY HEALTHCARE CENTER has no OSHA inspections on record.