Dermott City Nursing Home

In the surveyor’s words

From the most serious findings on record at Dermott City Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jul 8, 2026

  Based on record review and interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. This failed practice resulted in actual harm for one (Resident #1) of three sampled residents reviewed for neglect. It was determined the facility's noncompliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• Immediate jeopardy, isolatedF689Dec 23, 2025

  Based on record review, interview, and facility policy review, the facility failed to ensure Certified Nursing Assistants (CNAs) #1 and #2 demonstrated competency in the care of a resident by moving a resident prior to a nurse assessment following a fall, and by not following the resident's care plan, which indicated the use of a mechanical stand-up lift with two-person assist for transfers, for one (Resident #1) of three residents reviewed for falls. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, 483.35 (Nursing Services) at a scope and severity of J. […]

• Immediate jeopardy, isolatedF689Jun 9, 2022

  Based on record review and interview, the facility failed to ensure 2 persons were utilized when using a mechanical lift to prevent the potential for injury for 1 (Resident #3) of 3 (Residents #3, #4 and #5) sampled residents who were dependent on staff for lift transfers. The failed practice caused or was likely to cause serious harm, injury or death to Resident #3 who was being transferred by Certified Nursing Assistant (CNA) #1 and the resident was hanging upside down within 2 feet of the floor and had the potential to cause more than minimal harm to 13 residents who required a lift for transfers according to a list provided by the Director of Nursing (DON) on 6/8/22 at 8:43 AM. The Administrator and the DON were informed of the Immediate Jeopardy (IJ) situation on 6/7/22 at 4:35 p.m. […]

• Actual harm, isolatedF689Oct 23, 2024

  Based on Observation, Interview, Record Review and Facility Policy Review; the facility failed to transfer one (Resident #1) of five (Resident #1, #2, #3, #4 and #5) sampled residents safely and in accordance to the care plan, resulting in a major injury. The findings are: Review of Resident #1's Medical Diagnosis record revealed the resident had diagnoses of renal osteodystrophy (a complication of chronic kidney disease that weakens the bones), cerebral infarction, hemiplegia affecting the right dominant side, and osteoporosis. The quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/10/2024 noted a Brief Interview for Mental Status (BIMS) of 15, (cognitively intact). […]

• No harm, potential for more than minimal, widespreadF835Dec 23, 2025

  Based on record review, interview and facility policy review, the facility failed to ensure a Licensed Administrator was hired to oversee the day-to-day functions of the facility in accordance with current federal, state and local standards, guidelines and regulations that govern nursing facilities for one of one facility reviewed for administrative duties. The findings include: Review of a facility Administrator Job Description, with a revision date of October 2022, indicated that the primary purpose of the position is to direct the day-to-day functions of the facility in accordance with current, federal, state and local standards, guidelines and regulations that govern the nursing facilities to assure the highest degree of quality care can be provided to residents at all times. […]