Accura HealthCare of Hartington

In the surveyor’s words

From the most serious findings on record at Accura HealthCare of Hartington, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Jan 31, 2024

  Licensure Reference Number: 175 NAC 12-006.04D2a Based on record review and interview; the facility failed to ensure the Dietary Manager (DM) had the credentialing to meet the requirements for the position. This had the potential to affect all residents who consumed food from the kitchen. The facility census was 33 with a total sample size of 15. Findings are: Review of the facility Job Description for the role of Dietary Service Manager revealed necessary qualifications included the completion of a Dietary Manager certification course. During an interview on 01/28/24 at 11:38 AM, the DM confirmed staff did not have the required training to meet the qualification for the DM position. The DM reported being enrolled in the DM course, however, has not completed the course.

• No harm, potential for more than minimal, widespreadF812Jan 31, 2024

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observation, record review and interview; the facility staff failed to: 1) utilize handwashing and gloving techniques to prevent potential food contamination during food service; and 2) clean and disinfect equipment between uses to assure food safety. These practices had the potential to affect all residents who consumed food from the kitchen. The facility census was 33 with a total sample size of 15. Findings are: A. Drug Administration Food Code and used as an authoritative reference for food service sanitation practices, revealed the following: -2-301.14 Food employees shall wash hands and exposed portions of their arms immediately before engaging in food preparation: -after handling soiled equipment; and -before donning gloves to… […]

• No harm, potential for more than minimal, isolatedF881Feb 23, 2026

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.18Based on observation, record review and interview; the facility failed to ensure antibiotics ordered for 2 (Resident 9 and 14) of 12 sampled residents had an order for duration for use. The facility census was 34.Findings are:A.Review of the facility policy Antibiotic Stewardship updated 11/13/2024 revealed the following:-Accura HealthCare antibiotic stewardship program promoted the appropriate use of antibiotics and included a system of surveillance, monitoring and preventative measures to improve resident outcomes and reduce antibiotic resistance. Antibiotics would be prescribed for the correct indication, dose, and duration to appropriately treat the resident while also attempting to reduce the development of antibiotic-resistant organisms. […]

• No harm, potential for more than minimal, isolatedF757Feb 3, 2025

  Licensure Reference Number 175 NAC 12-006.09(H)(vi) Based on record review and interview; the facility failed to ensure that Resident 5 was free from use of unnecessary medications as a psychotropic medication (medication that affects the mind, emotions, and behavior) had been initiated without an indication for use. The sample size was 5 and the facility census was 32. Findings are: A. A record review of the facility policy Use of Psychotropic Drugs with a review date of 2/2020 revealed the following: -Residents were not given psychotropic drugs unless the medication was necessary to treat a specific condition, as diagnosed and documented in the medical record, -the indication for initiating psychotropic medication's would be determined by the resident's actions and behaviors, -the… […]

• No harm, potential for more than minimal, isolatedF761Feb 3, 2025

  Licensure Reference Number 175 NAC 12.006.12(D)(vi) Based on observation, record review, and interview; the facility failed to ensure insulin pens were dated when opened for Residents 25 and 26. The sample size was 2 and the facility census was 32. Findings are: A record review of the undated facility policy Administering Medications revealed the following: -medications are administered in a safe and timely manner, and -when opening a multi-dose container, the date opened is recorded on the container. A. A record review of Resident 26's January 2025 medication administration record (MAR) revealed an order for Tresiba (a long-acting insulin) 6 units to be given 2 times daily. […]