Holmes County Long Term Care Center - Durant

In the surveyor’s words

From the most serious findings on record at Holmes County Long Term Care Center - Durant, in the surveyor’s own words.

• Actual harm, isolatedF656Jan 13, 2025

  Based on interviews, facility policy review, and record reviews, the facility failed to implement the care plan for a two (2) person assist with the use of a full body mechanical lift for all transfers of Resident #4. Resident #4 sustained a head injury and received medical treatment at the emergency room (ER) as a result of the misuse of the full body mechanical lift. Resident #4 was one (1) of four (4) sampled residents in the facility identified as dependent upon the full body mechanical lift with two (2) persons assistance for transfers. […]

• Actual harm, isolatedF689Jan 13, 2025

  Based on interviews, facility policy reviews, and record reviews, the facility failed to prevent an injury of a resident by not following the established facility policies and procedures for the use of two (2) person assistance with a full body mechanical lift for all transfers. Resident #4 had to seek medical care at the emergency room (ER) for a laceration to her head which required closure with staples. Resident #4 was one (1) of four (4) sampled residents dependent upon full body mechanical lifts for all transfers. […]

• No harm, potential for more than minimal, widespreadF812Jul 9, 2026

  Based on observations, staff interviews, and facility policy review, the facility failed to ensure food was reheated and held in accordance with safe food handling standards for one (1) of 1 meal service observed.Findings include:Review of the facility policy titled Monitoring Temperatures of Cooked Foods with review date 3/24, revealed, 1 .cooked foods, after being cooked to the required minimum internal temperature, will be held on hot holding equipment that will keep the food at a minimum 135 degrees Fahrenheit or higher .2 .b. When the food is placed in the hot holding equipment. The temperature of the food should be 135 degrees Fahrenheit or higher. […]

• No harm, potential for more than minimal, widespreadF880Jul 9, 2026

  Based on observations, interviews, and facility policy review, the facility failed to implement and maintain an effective infection prevention and control program by failing to ensure staff disinfected multi-use glucometers using the manufacturer's required two-minute wet contact time and handled blood-contaminated soiled linens in accordance with facility policy. Specifically, staff failed to properly disinfect multi-use glucometers between resident use for three (3) of four (4) finger-stick blood glucose observations and failed to properly contain and remove blood-contaminated linens for one (1) resident observed on two (2) of three (3) survey days, creating the potential for the transmission of infectious organisms.Findings Include: Review of facility policy titled Handling Soiled Linen… […]

• No harm, potential for more than minimal, isolatedF604Jul 9, 2026

  Based on observation, record review, facility policy review, and staff interviews, the facility failed to ensure the residents' right to be free from physical restraints for one (1) of nineteen (19) sampled residents. Resident #35 Findings Include: Review of the facility policy titled Physical Restraints revealed, Restraints shall only be used for the safety and well-being of the residents and only after alternatives have been tried unsuccessfully. Record review of Resident #35's Order Summary Report did not reveal a physician order for the use of a seat belt and lack of quarterly assessments for restraints. Record review did not reveal a Care Plan addressing Resident #35s use of the seat belt. […]