Accura HealthCare of North Platte

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 21, 2024

  Licensure Reference Number 175 NAC 12-006.11E Based on observation, record review and interviews, the facility failed to ensure food was labeled and dated to prevent the potential of food borne illness. This had the potential to affect all residents who consumed food from the kitchen. The facility census was 60. Findings are: A. An observation on March 18, 2024, at 10:45 AM during the initial walk through of the kitchen walk through revealed: - One open plastic bag of spaghetti with no listed expiration date or open date. The bag of spaghetti was within a box which also did not contain an opened or expiration date. - One open plastic bag of elbow macaroni with no expiration date or open date. […]

• No harm, potential for more than minimal, widespreadF814Mar 21, 2024

  Licensure Reference Number 175 NAC 12.006.18A Based on observations and interviews, the facility failed to ensure garbage was stored in a manner to prevent harborage and feeding of pests by failing to ensure trash receptacles were covered and not open. This had the potential to affect all the facility's residents. The facility identified a census of 60 at the time of survey. An observation on March 18, 2024 at 10:45 AM of the facility outside of the back entry to the kitchen revealed the following: - 1 trash receptable which had the back of the receptable open with no coverings and trash was visible inside, - 1 trash receptable which had the front and the back of the receptable open with no coverings and trash was visible inside. […]

• No harm, potential for more than minimal, widespreadF880Jan 12, 2023

  Licensure Reference Number 175NAC 12-006.17D Licensure Reference Number 175NAC 12-006.18C1 Based on observation, interview, and record review; the facility staff failed to perform hand hygiene (hand washing using soap and water or an alcohol-based hand rub (ABHR) to remove germs for reducing the risk of transmitting infection among patients and health care personnel) and wear face masks during medication administration and while in resident care areas. This had the potential to affect all the facility residents due to the risk of disease transmission. […]

• No harm, potential for more than minimal, patternF923Jun 4, 2026

  Licensure Reference Number 175 NAC 12-006.17(E)(v) Based on observations and interview, the facility failed to ensure resident bathrooms were well-ventilated for resident rooms on the 100 and 200 halls for 14 sampled residents. The facility identified a census of 55 residents. An observation on 6/4/26 at 10:30 AM in the bathroom of resident room [ROOM NUMBER] revealed the ceiling exhaust vent was not moving any air, as evidenced by no movement of a single ply of a toilet tissue square held up to the vent. No residents were assigned to room [ROOM NUMBER] at that time. An observation on 6/2/2026 at 11:00 AM in the bathroom of resident room [ROOM NUMBER] revealed the ceiling exhaust vent was not moving any air. room [ROOM NUMBER] was occupied by Resident 14. […]

• No harm, potential for more than minimal, patternF684Apr 3, 2025

  Licensure Reference Number 175 NAC 12-006.09(H)(iv)(5) Based on record reviews and interviews, the facility failed to follow their bowel protocol to prevent constipation (a condition characterized by infrequent or difficult bowel movements, resulting in hard, dry, and difficult-to-pass stools) for 3 (Residents 9, 11, and 16) of 6 sampled residents. The facility identified a census of 56. Findings are: A record review of the facility's Bowel Movement Needs List with a date of 5/10/2023 revealed that the night shift nurse is to record all residents who have not had a bowel movement in the last 2, 3, 4, or 5 days and give this list to the next shift. Interventions, assessments, and results will be initiated and recorded by the day and night shift nurses. […]