Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mallard Creek Therapy And Living Center during CMS and state inspections, most recent first.
Surveyors found medications for discharged residents stored in the medication room refrigerator, including Tylenol suppositories and a bisacodyl suppository, and observed acidophilus that required refrigeration stored unrefrigerated on a nurses’ cart. RN staff stated they were unaware of the storage requirements, and the DON stated nurses were responsible for proper medication storage and removal of discharged residents’ medications.
Improper Food Storage and Labeling in Kitchen: A dietary review found an opened container of BBQ sauce stored at room temperature despite label instructions to refrigerate after opening. In the freezer, multiple items were unlabeled, unsecured, or improperly sealed, and several frozen foods showed signs of leakage or contamination, including ice cream cups with residue, peas with an unknown red liquid substance, and chicken fritters with an unknown red liquid substance. The DM acknowledged the storage and labeling issues.
A facility failed to maintain infection control when an MA did not sanitize a BP cuff between use on three residents with HTN, including one resident with severe cognitive impairment, and a hospice aide transported clean linen by methods that did not ensure cleanliness. Two residents had care plans addressing HTN monitoring, while one resident’s care plan did not include BP-related interventions.
A mechanical lift was observed stored near the entrance of the Day Room with its brakes unlocked while a resident was attempting to enter the area. The ADON confirmed the lift was unlocked and stated lifts should be locked and stored in the designated charging station, and CNA D and CNA E gave the same account. Record review showed the facility’s Mechanical Lift and Slings policy did not address proper lift storage, and the Administrator stated there were no additional policies related to lift storage or safety.
Improper Storage of Nebulizer Equipment: Two residents receiving respiratory treatments had nebulizer equipment left unbagged and stored on a bed and nightstand instead of being placed in plastic bags when not in use. One resident had COPD and OSA with an active PRN DuoNeb order, and the other had COPD with an active arformoterol nebulization order; the DON-in-Training confirmed the equipment was not stored properly.
A resident with severe cognitive impairment had an active PRN order for lorazepam 0.5 mg for anxiety or agitation, but his blister pack was found in the nurses' cart with a broken seal and taped closed. RN B said nurses checked controlled meds during shift-change counts and was unaware the narcotic was taped, while the DON stated narcotics should not be taped and should be properly secured.
Improper Storage of Discharged Residents’ Medications and Refrigerated Supplement
Penalty
Summary
The facility failed to store and label drugs and biologicals in accordance with accepted professional principles after surveyors found medications for discharged residents stored in the medication room refrigerator and an acidophilus supplement that required refrigeration stored unrefrigerated on the 400 hall nurses’ cart. The surveyor observed medication labeled for Resident #100, Resident #102, and Resident #103 in the medication room refrigerator, including Tylenol suppository 650 mg for Resident #100, Tylenol suppository 650 mg for Resident #102, and Tylenol suppository 650 mg and Bisacodyl 10 mg suppository for Resident #103. The surveyor was unable to review the medical records for these residents because the records were not available at the time of the survey. During interview, the Administrator and DON stated the current ownership assumed operations after 05/01/2026 and did not have access to the medical records of residents discharged before that time. RN A stated she was unaware that the discharged residents’ medications were still in the refrigerator and said nurses were responsible for removing discharged residents’ medications as soon as the resident was discharged. RN A also stated she had been in-serviced on medication labeling and storage. The surveyor also observed acidophilus 1 billion on the 400 hall nurses’ cart without refrigeration, despite the manufacturer’s requirement for refrigerated storage. RN B stated she was unaware the acidophilus required refrigeration and acknowledged that nurses were responsible for proper storage and disposal of medications. The DON stated nurses were responsible for ensuring medications were properly stored, that refrigerated medications should be refrigerated, and that discharged residents’ medications should be removed from the medication carts and medication room.
Improper Food Storage and Labeling in Kitchen
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards in its only kitchen reviewed for food and nutrition services. During observation of the dry pantry, a 1-gallon plastic container of barbecue sauce was found more than half used with an open date label of 06/24/26 and was sitting at room temperature even though the manufacturer label stated it should be refrigerated after opening. During observation of the freezer, multiple food items were found improperly labeled, including a plastic bag of frozen hamburger patties and a plastic bag of chicken wings that did not have contents or an open date. Several frozen items were also found not properly sealed or secured, including cookie dough, mixed vegetables, cut okra, southern style biscuit dough, peas, vegetable enchiladas, fish fillets, and hamburger patties. In addition, a box of individual-serving chocolate ice cream cups had leaked, leaving chocolate residue on surrounding containers, a bag of frozen peas had an unknown red liquid substance on it and within the contents, and a box of chicken fritters stored in a plastic bag had an unknown red liquid substance dripping down one side. The Dietary Manager stated she did not know what the red liquid substance was or how long it had been there, said the items would be thrown away, and acknowledged that all frozen items should be labeled and stored securely.
Infection Control Lapses With Blood Pressure Cuff Use and Clean Linen Transport
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 6 residents reviewed for infection control. During observation, MA C checked the blood pressure of Resident #18, Resident #50, and Resident #55 but did not sanitize the blood pressure cuff between residents. Resident #18 had severe cognitive impairment, hypertension, and an order for hydrochlorothiazide with parameters to hold for low blood pressure; Resident #50 had hypertension and an order for metoprolol with hold parameters for low blood pressure and low pulse; Resident #55 had hypertension and an order for amlodipine with hold parameters for low blood pressure and low pulse. The report also states that a hospice aide transported clean linen by methods that did not ensure cleanliness. In addition, Resident #55's care plan did not identify any focus areas, goals, or interventions related to blood pressure, while the other two residents' care plans included interventions for hypertension and monitoring for side effects such as orthostatic hypotension and increased heart rate. The observations and record review showed that the blood pressure cuff was not sanitized between resident uses and that clean linen was not transported in a manner that maintained cleanliness.
Unlocked Mechanical Lift Left in Day Room Entrance
Penalty
Summary
The facility failed to ensure the resident environment remained as free of accident hazards as possible in the Day Room. During observation, a mechanical lift was stored toward the entrance of the Day Room with its brakes unlocked, and one resident was observed attempting to enter the room at that time. The ADON verified that the lift brakes were unlocked and stated that mechanical lifts should be locked and stored away from residents in their designated location, identified as the charging station in the corner of the Day Room. CNA D and CNA E also stated that mechanical lifts should be locked and stored away from residents in their designated location. Record review of the facility’s Mechanical Lift and Slings policy showed no information about the appropriate storage of mechanical lifts, and the Administrator stated the facility did not have any additional policies related to mechanical lift storage or safety.
Improper Storage of Nebulizer Equipment
Penalty
Summary
The facility failed to ensure that two residents receiving respiratory therapy had their nebulizer equipment stored in a manner consistent with professional standards of practice and the facility’s oxygen equipment policy. Resident #16, a cognitively intact female with diagnoses including COPD and obstructive sleep apnea, had an active PRN DuoNeb inhalation order and a care plan reflecting oxygen therapy. During observation, her nebulizer mouthpiece was found lying on her bed, unbagged, while she was not in the room. Resident #47, a female with COPD, had an active order for arformoterol tartrate inhalation nebulization solution for shortness of breath. Her care plan did not reflect the nebulizer treatment order. During observation, her nebulizer mask was found lying on her nightstand, unbagged. The DON-in-Training verified that both residents’ nebulizer equipment was not stored properly and stated nursing staff were responsible for storing nebulizer equipment in plastic bags when not in use.
Controlled Medication Stored With Broken Seal and Tape
Penalty
Summary
The facility failed to establish a system of records for the receipt and disposition of all controlled drugs in sufficient detail to allow accurate reconciliation for one resident. Resident #52 was a male with severe cognitive impairment, a BIMS score of 4, and diagnoses including non-Alzheimer's disease. His care plan addressed anxiety and included giving anti-anxiety medications as ordered and monitoring/documenting side effects and effectiveness. His active physician order included Lorazepam 0.5 mg by mouth every 6 hours as needed for anxiety or agitation. During observation of the 400-hall nurses' cart, Resident #52's Lorazepam blister pack was found with one broken seal and the pack secured with tape, with the pills still inside. RN B stated nurses were responsible for checking medication blister packs for broken seals during narcotic counts at shift change and said she was not aware the narcotics were taped. The DON stated nurses were responsible for ensuring medication carts were clean and that narcotic medication was properly secured, and that no narcotics should be taped; she also stated the nurses had been in-serviced on medication administration and narcotic count to include no taping medication but disposing the medication witnessed by another nurse. The facility policy stated that outdated, contaminated, or deteriorated medications and those in containers that are cracked, soiled, or without secure closures are to be immediately removed from stock and disposed of according to medication destruction procedures.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| North Pointe Nursing And Rehabilitation | 3.1 mi | ★★★★★ | 7 | 0 |
| Life Care Center Of Haltom | 3.8 mi | ★★★★★ | 17 | 1 |
| Green Valley Healthcare And Rehabilitation Center | 4 mi | ★★★★★ | 12 | 0 |
| The Lodge Of Saginaw Health And Wellness | 4.5 mi | ★★★★★ | 18 | 0 |
| The Harrison At Heritage | 4.7 mi | ★★★★★ | 11 | 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 October 2026) and official state health department websites.