Mt Macrina Manor

Inspection history (18)

• January 29, 2026 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2026-01-29 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-29.GOV

• August 14, 2025 · B

  Citation F0636

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0636 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · E

  Citation F0945

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0945 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · B

  Citation F0944

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0944 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · B

  Citation F0628

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0628 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · F

  Citation F0727

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · D

  Citation F0868

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0868 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · E

  Citation F0943

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0943 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · C

  Citation F0941

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0941 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · B

  Citation F0949

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0949 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide behavior health training consistent with the requirements and as determined by a facility assessment. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · B

  Citation F0638

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0638 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Assure that each resident’s assessment is updated at least once every 3 months. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · F

  Citation F0881

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0881 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 14, 2025 · B

  Citation F0942

  Federal surveyors cited this nursing home on 2025-08-14 under CMS tag F0942 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-14.GOV

• August 30, 2024 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2024-08-30 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-30.GOV

• August 18, 2023 · D

  Citation F0698

  Federal surveyors cited this nursing home on 2023-08-18 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2023-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-18.GOV

• August 18, 2023 · F

  Citation F0658

  Federal surveyors cited this nursing home on 2023-08-18 under CMS tag F0658 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-18.GOV

• August 18, 2023 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2023-08-18 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-18.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.48 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Corporation

1. Parent organization: The Order Of The Sisters Of St. Basil The Great

   parent · PAC 5597078428