Decatur County Healthcare

In the surveyor’s words

From the most serious findings on record at Decatur County Healthcare, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 17, 2022

  Based on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions when expired, opened, and undated food items were found in the dry food storage area. The facility had a census of 70, with 68 of those residents receiving a meal tray from the Kitchen. The findings include: Review of the facility's policy titled, Dietary: Food Storage, dated [DATE], revealed .Product will be used or discarded within the appropriate time frame .spices should be dated with the delivery date and discarded after one year . Observation in the Kitchen on [DATE] beginning at 8:52 AM, revealed the following: a. a 16 ounce (oz) plastic container of ground mustard seasoning opened and dated [DATE] b. […]

• No harm, potential for more than minimal, patternF812Oct 31, 2024

  Based on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions when the ice machine was found with black slimy residue on the inside trim of the ice machine and white residue running down the inside of the door. The facility had a census of 74 residents with 74 of those residents receiving a tray from the kitchen. The findings include: Review of the facility policy titled, Dietary: Ice Storage, dated 11/30/2022, revealed .Ice is to be maintained and served to patients in a sanitary manner . Review of the Named Company's invoice dated 4/15/2024, revealed the last time the ice machine was clean/sanitized was on 4/15/2024. […]

• No harm, potential for more than minimal, isolatedF695Dec 10, 2025

  Based on policy review, medical record review, observation, and interview, the facility failed to document oxygen administration and failed to follow physician's orders for oxygen administration for 3 of 3 (Resident #28, Resident #29 and Resident #45) sampled residents reviewed for respiratory care. The findings include: 1. Review of the facility policy titled, PRN [As Needed] Medication Administration, dated 9/2022, revealed .It is the policy of this facility that medications shall be administered as prescribed by the attending physician.Medications must be administered in accordance with the written orders of the attending physician.When PRN medications are administered, the nurse must record.The date and time administered.Any results achieved from administering the drug and the time… […]

• No harm, potential for more than minimal, isolatedF761Dec 10, 2025

  Based on policy review, observation, and interview, the facility failed to ensure medications were properly stored when expired medications were found in 1 of 7 (400 Hall Medication Cart) medication storage areas. The findings included: 1. Review of the facility policy titled, Medication Administration: Medication, Controlled and Biological Storage, Night/Emergency Box and Backup Pharmacy, dated 4/25/2025, revealed .Whenever a seal of a multidose vial is broken it must be initialed and dated by the Nurse with an open date and expiration date. These shall expire 28 days after opening unless otherwise specified by the manufacturer. Review of the facility policy titled, Medication Administration, dated 4/25/2025, revealed .Check the expiration date of each medication. […]

• No harm, potential for more than minimal, isolatedF761Oct 31, 2024

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored and secured for 1 of 1 sampled residents (Resident #277) when medications were found unattended and unsecured in the Resident's room. The findings include: Review of the facility policy titled, Medication Administration: Medication, Controlled and Biological Storage, Night/ Emergency Box and Backup Pharmacy Storage, dated 9/25/2024, revealed .It is the policy of this facility to ensure all medications housed on our premises will be stored .in locked compartments .medications must be under the direct observation of the person administering medications of locked in the medication storage area/cart . […]