Carl T Curtis Health Education Center Nursing Home

In the surveyor’s words

From the most serious findings on record at Carl T Curtis Health Education Center Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF881Jan 29, 2026

  Based on record review and interview, the facility failed to conduct ongoing reviews for antibiotic stewardship and ensure that medical criteria was used for infection surveillance. This had the potential to affect all residents that resided in the facility. The facility census was 23.Findings are:Review of a facility policy Infection Prevention and Control Program with a revised date of October 2018, Section 8 revealed: Antibiotic Stewardship a. Culture reports, sensitivity data, and antibiotic usage reviews are included in surveillance activities. b. Medical Criteria and standardized definitions of infections are used to help recognize and manage infections. c. Antibiotic usage is evaluated and practitioners are provided feedback on reviews. […]

• No harm, potential for more than minimal, widespreadF923Oct 31, 2024

  Licensure Reference Number 175 12-007.04 D Based on observation and interview, the facility failed to ensure that ventilation systems were operational in resident bathrooms in 21 (Rooms 1, 3, 4, 5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 21, 22, 23, 24, 25) of 21 occupied resident bathrooms. The facility census was 21. Findings are: An observation on 10/30/24 between 8:30 AM to 9:00 AM with the facility Maintenance Director revealed that the ventilation system was not functional and would not draw a 1 ply square of toilet paper to the surface of the ventilation cover in resident bathrooms in resident rooms 1, 3, 4, 5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 21, 22, 23, 24, and 25. […]

• No harm, potential for more than minimal, widespreadF923Jul 15, 2021

  Licensure Reference Number 12-007.04D Based on observation and interview, the facility failed to ensure that the ventilation exhaust systems were working in Resident bathrooms in 10 ( Rooms 8, 9, 10, 11, 12, 13, 14, 22, 23 and 24) of 14 occupied resident rooms. This had the potential to affect 10 residents that resided in those rooms. The facility census was 14. Findings are: Observation on 07/14/21 between 10:30 AM and 10:45 AM with the Maintenance Director revealed no working ventilation systems in the bathrooms of resident rooms rooms 8, 9, 10, 11, 12, 13, 14, 16, 17, 22, 23 and 24. A one ply square of toilet paper was held flat against the ventilation system cover in the bathrooms of those rooms. […]

• No harm, potential for more than minimal, isolatedF605Jan 29, 2026

  Licensure Reference Number 175 NAC 12-006.05(G) Based on record review and interview, the facility failed to identify and monitor specific target behaviors for the use of antipsychotic medications [a group of medications used to treat symptoms of psychosis, such as hallucinations and delusions] for 2 (Residents 4 and 20) of 5 residents reviewed for unnecessary medications. The facility census was 23. Findings are:A.Record review of a facility policy entitled Behavioral assessment, Intervention and Monitoring dated 2001 revealed the following information: Policy statement: Behavioral symptoms will be identified using facility approved behavioral screening tools and the comprehensive assessment. General Guidelines:1.Behavior is the response of an individual to a wide variety of factors. […]

• No harm, potential for more than minimal, isolatedF628Jan 29, 2026

  Based on record review and interviews, the facility failed to provide a written reason for the transfer to the hospital for Resident 24. The facility census was 23. Findings are:Record review of Resident 24's Discharge Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a residents functional capabilities and helps nursing home staff identify health problems) dated 12/19/25 identified the facility re-admitted Resident 24 on 12/9/25 with diagnoses of Peripheral Vascular Disease (PVD), Diabetes Mellitus (DM), acquired absence of right leg above knee, pressure-induced deep tissue damage of sacral region, infection following a procedure, unspecified, initial; acquired absence of left leg below knee. […]