Manistee County Medical Care Facility

In the surveyor’s words

From the most serious findings on record at Manistee County Medical Care Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 12, 2022

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by: A. Dried food stores left open to air and uncovered. B. Spoiled and/or outdated foods left in the walk-in cooler. C. Food items stored in the walk-in cooler undated and unlabeled. This deficient practice has the potential to result in food borne illness among any, most, or all of the 42 residents who resided in the facility. […]

• No harm, potential for more than minimal, widespreadF761Jul 22, 2021

  Based on observation, interview and record review, the facility failed to prevent expired IV medications and supplies from being stored in the medication room. This deficient practice had the potential for expired IV medications and fluids to be administered, and had the potential to affect the entire resident population. Findings include: On 7/22/21 at 7:45 AM, the 2nd floor medication room was observed with Licensed Practical Nurse (LPN) Y. During review of the IV back up medications and fluids stored in the medication room on the second floor, it was discovered there were multiple IV fluid bags and powder form antibiotic medications for reconstitution which were out of date. […]

• No harm, potential for more than minimal, patternF550Oct 9, 2024

  Based on interview and record review, the facility failed to ensure the provision of dignified care and services for five Confidential Residents (C1, C2, C3, C4, and C5)) out of 13 residents reviewed for dgnity. This deficient practice resulted in feelings of intimidation, frustration, and fear of retaliation from facility staff. Findings include: Confidential Resident C2 Review of C2's Minimum Data Set (MDS) assessment, dated 9/23/24, revealed a Brief Interview for Mental Status (BIMS) score of 13 of 15, reflective of intact cognition. During an interview on 10/07/24 at 12:29 p.m., Confidential Resident C2 was asked about the provision of dignified and respectful care and services by facility staff. […]

• No harm, potential for more than minimal, patternF689Nov 15, 2023

  Based on observation, interview, and record review, the facility failed to prevent proper supervision of coffee carts for three of four hallways during an observation of the lunch service meal. This deficient practice resulted in the potential for residents who were deemed unsafe to handle hot liquids independently, to subsequently suffer burns and burn related medical complications. Findings include: An observation was made of the lunch meal service on 11/14/23 at 11:50 a.m. During this time, carts were being delivered to their designated hallways. Observation of the first cart for rooms 101-116 with three staff members assisting in passing the hallway meals. […]

• No harm, potential for more than minimal, patternF761Nov 15, 2023

  Based on observation, interview, and record review, the facility failed to securely store medications, for Resident #6 (R6), two of two medication rooms and one of two medication carts reviewed. This deficient practice resulted in the potential for expired medication use and misappropriation of Resident property. Findings include: On 11/14/23 at 12:35 PM, an observation was made of Resident #6 (R6) in her room. R6 was sitting up in her wheelchair and watching television. R6 had a dresser just to the right of her doorway and on top of the dresser was a plastic container with various items inside. Inside R6's plastic container on her dresser, two tubes of diphenhydramine cream and one tube of hydrocortisone cream were observed. […]