Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mcgivney Health Care Center during CMS and state inspections, most recent first.
The facility failed to create comprehensive care plans for two residents, neglecting to address specific medical conditions such as constipation, hyperlipidemia, insomnia, and pain. Despite having physician orders for medications like Linzess, Miralax, Lipitor, Melatonin, and Tramadol, the care plans were not developed, as confirmed by the MDS Nurse. This oversight contravened the facility's policy requiring individualized care plans based on diagnoses and physician's orders.
A facility failed to monitor the effectiveness of a cholesterol medication for a resident with mixed hyperlipidemia. The resident was prescribed Lipitor, but no lipid profile tests were conducted after February 2022 to assess cholesterol levels. Interviews revealed the absence of a policy for monitoring lab results related to medications, and a nurse practitioner indicated that cholesterol levels should be checked annually.
A facility failed to monitor and document a resident's delusions related to antipsychotic medication use. Despite being prescribed Zyprexa for a psychotic disorder, there was no documentation of delusions in the behavior notes from May to October 2024. Interviews with staff confirmed awareness of the delusions, but the facility's policy on behavior tracking was not followed, leading to the deficiency.
The facility failed to properly store food in the kitchen refrigerator, with thawing meat placed above milk and next to unlabeled resident-owned green bell peppers. The Kitchen Manager confirmed the improper storage and noted that residents' food should be stored in a designated refrigerator. The facility's policy requires raw animal products to be stored separately and below ready-to-eat foods, and residents' food to be labeled, which was not followed.
A room in the facility failed to meet the required 80 square feet per resident, providing only 76.9 square feet per resident. Despite the shortfall, both residents expressed satisfaction with their space. The Executive Director confirmed the room should meet the 80 square feet requirement.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for two residents, addressing their specific medical conditions and treatment needs. Resident 11, who suffered from chronic idiopathic constipation, had physician orders for Linzess and Miralax to manage this condition. However, there was no care plan in place to address the resident's constipation or the use of these medications. The MDS Nurse acknowledged the absence of a care plan for constipation, indicating a lapse in the facility's care planning process. Similarly, Resident 26, diagnosed with hyperlipidemia, insomnia, and joint pain, had physician orders for Lipitor, Melatonin, and Tramadol to manage these conditions. Despite these orders, there were no care plans addressing the use of these medications for the resident's conditions. The MDS Nurse confirmed that care plans should have been developed for these issues. The facility's policy on care plans emphasized the need for collaboration among the care plan team to develop individualized care plans based on the resident's diagnosis and physician's orders, which was not adhered to in these cases.
Failure to Monitor Cholesterol Medication Effectiveness
Penalty
Summary
The facility failed to obtain necessary laboratory results to monitor the effectiveness of a cholesterol medication for a resident diagnosed with mixed hyperlipidemia, among other conditions. The resident had been prescribed Lipitor, a medication for high cholesterol, with a physician's order dating back to August 2021. The last recorded laboratory result was from February 2022, which showed a high triglyceride level, but no subsequent lipid profile tests were conducted to monitor the resident's cholesterol levels. Interviews with facility staff revealed that there was no policy in place for monitoring laboratory results related to medications, and the facility was unable to provide any current laboratory results or pending orders for such monitoring. A nurse practitioner confirmed that cholesterol levels should be checked at least annually, highlighting the oversight in the resident's care.
Failure to Monitor and Document Resident's Delusions
Penalty
Summary
The facility failed to adequately monitor and document a resident's delusions related to the use of an antipsychotic medication. Resident 28, who had diagnoses including unspecified dementia and psychotic disorder with delusions, was prescribed Zyprexa to manage his psychotic disorder. Despite the presence of delusions, as confirmed by interviews with the Director of Nursing (DON) and a Licensed Practical Nurse (LPN), there was no documentation of these delusions in the resident's behavior notes from May to October 2024. The facility's policy required behavior tracking through the Point of Care (POC) system, but this was not adhered to in the case of Resident 28. Interviews with facility staff, including the Minimum Data Set (MDS) Coordinator and the DON, revealed that although they were aware of the resident's delusions, there was a lack of documentation in the clinical notes. The facility's policy on the use of antipsychotic medications and behavior tracking was not followed, as evidenced by the absence of recorded delusions in the POC response history. This oversight in monitoring and documenting the resident's condition led to the deficiency identified by the surveyors.
Improper Food Storage in Kitchen Refrigerator
Penalty
Summary
The facility failed to ensure proper food storage in the kitchen refrigerator, as observed during a survey. Thawing meat was stored above a gallon of milk and next to yogurt and a grocery sack of green bell peppers, which belonged to a resident and were unlabeled. The Kitchen Manager acknowledged that the milk should not be stored under thawing meat and that residents' food should not be stored in the kitchen refrigerator, as there is a designated refrigerator for residents' food in storage downstairs. The facility's current Food and Nutrition Policy, last revised in 2017, states that uncooked and raw animal products should be stored separately in drip-proof containers and below fruits, vegetables, and other ready-to-eat foods. Additionally, all foods belonging to residents must be labeled with the resident's name, the item, and the use-by date. This policy was not adhered to, leading to the deficiency noted by the surveyors.
Deficiency in Resident Living Space
Penalty
Summary
The facility failed to provide the required minimum living space of 80 square feet per resident in one of the rooms reviewed. Room [ROOM NUMBER] was observed to contain two beds and two free-standing wardrobes for the personal items of its two occupants. The room measured 153.83 square feet, which allowed only 76.9 square feet per resident, falling short of the required space according to the Life Safety code. Despite this, both residents occupying the room expressed satisfaction with the space available to them during interviews. The Executive Director acknowledged that the room should provide 80 square feet per resident. The room was certified for two resident beds under Title 18/19 SNF/NF (Medicare and Medicaid).
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Carmel
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Restoracy Of Carmel | 2.4 mi | — | 8 | 0 |
| Bridgewater Healthcare Center | 2.4 mi | — | 3 | 0 |
| Carmel Health & Living Community | 2.7 mi | — | 17 | 0 |
| Allisonville Meadows | 3 mi | — | 25 | 0 |
| Barrington Of Carmel, The | 3.3 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.