Emerald Care Center Midwest

In the surveyor’s words

From the most serious findings on record at Emerald Care Center Midwest, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF585Jun 15, 2026

  Based on observation, record review, and interview, the facility failed to ensure residents had access to the grievance procedure and file an anonymous grievance.The DON identified 61 residents resided in the facility.Findings:On 06/10/26 at 4:11 p.m., a tour of the facility was completed. There was no information regarding the facility's grievance procedure or location of grievance forms.On 06/15/26 at 9:44 a.m., CNA #1 with the DON's assistance located grievance forms in the copier room in an open cabinet on the wall by the DON's office.On 06/15/26 at 9:54 a.m., grievance forms were located in a file cabinet at the nurse's station. The cabinet had other facility forms. There was no information to show the grievance forms were located in the file cabinet. […]

• No harm, potential for more than minimal, patternF573Jul 16, 2026

  Based on interview, record review, and facility document and policy review, the facility failed to release medical records within two working days of the initial written request for 2 (Residents #79 and #81) of 3 residents reviewed for release of medical records. Findings included: An undated facility policy titled, Release of Information, revealed, 10. A resident may obtain photocopies of his or her records by providing the facility with at least a forty-eight (48) hour (excluding weekends and holidays) advance notice of such request. A fee may be charged for copying services. Medical records request [sic] submitted to Ethics and Compliance Committee for prior approval. 1. An admission Record revealed the facility admitted Resident #79 on [DATE]. […]

• No harm, potential for more than minimal, patternF584Jul 16, 2026

  Based on interview, record review, and facility policy review, the facility failed to maintain a clean, comfortable, homelike environment for 1 (300 Hall) of 4 halls reviewed for environment. Specifically, room [ROOM NUMBER] had stained linens and stained privacy curtains, and the 300 Hall was dirty with food particles, paper, and stained, discolored areas on the floor. Findings included: A facility policy titled, Resident Rights, revised 01/2024, indicated, 9. Safe Environment. The resident has a right to a safe, clean, comfortable, and Homelike environment, including but not limited to receiving treatment and support for daily living safely. […]

• No harm, potential for more than minimal, patternF880Jul 16, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to maintain their infection control program to help prevent the development and transmission of infections. Specifically, the facility failed to ensure clean linen was stored separately from dirty linen, which had the potential to affect all residents who had their laundry done at the facility. The facility also failed to follow enhanced barrier precautions (EBP) for 1 (Resident #26) of 6 residents reviewed during infection control and failed to ensure staff performed hand hygiene and followed EBP for 1 (Resident #40) of 3 residents reviewed during medication administration. Findings included: 1. A facility policy titled, Laundry, revised 01/2024, indicated, Transport 6. […]

• No harm, potential for more than minimal, patternF641Apr 10, 2025

  Based on record review and interview, the facility failed to ensure assessments were coded accurately for 4 (#19, 23, 25 and #69) of 17 sampled residents whose assessments were reviewed. The administrator reported 68 residents resided in the facility. Findings: 1. On 04/09/25 at 1:02 p.m., Resident #23 was observed outside smoking without difficulty. Staff supervision was observed during smoke time. Resident #23 admitted to the facility on [DATE]. An undated medical diagnoses list showed diagnoses which included alcohol dependence, HTN, and aphasia. Resident #23's annual assessment, dated 3/15/25, showed the resident's cognition was intact. The assessment showed the resident did not use tobacco. […]