Marmet Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Jul 8, 2024

  Based on record review and staff interview the facility failed to ensure one (1) of seven (7) residents did not receive doses of medications that had errors in the dose ordered by the physician assistant. Resident #201 received a larger dose of morphine sulfate than what the physician assistant intended to prescribe. This created an immediate jeopardy situation. Resident identifier: #82. Facility census: 82. Findings included: a) Resident #201 Record review revealed the resident was admitted to the facility on [DATE]. The resident expired at the facility on [DATE] at 9:05 PM. […]

• No harm, potential for more than minimal, widespreadF882Apr 22, 2026

  Based on record review and staff interview, the facility failed to designate a qualified Infection Preventionist. This deficient practice had the potential to affect all residents residing in the building. Facility Census: 88. Findings included:On 04/21/2026 at 1:36 PM, the Director of Nursing (DON) stated the facility's Infection Preventionist had resigned in February. Registered Nurse (RN) #12 provided her certificate of Infection Preventionist Training. RN #12 stated she was available for staff training in Infection Control as needed but was not involved in day-to-day Infection Preventionist activities due to her position as director of the dementia unit. On 04/22/26 at 9:26 AM, the DON stated an Infection Preventionist had been hired and had started yesterday. […]

• No harm, potential for more than minimal, patternF656Apr 22, 2026

  Based on record review, resident interview, and staff interview. The facility failed to develop and implement a comprehensive care plan for activities. This was found during the Long Term Care Annual Survey process. (Facility census 88) (Resident indicators, #2, and #12.) c1) Resident #69 - AIMS The facility's policy titled, Behaviors: Management of Symptoms, with an effective date of 08/01/99 and a revision date of 09/15/25, stated the Abnormal Involuntary Movement Scale (AIMS) would be completed per nursing schedule for patients receiving antipsychotic medications. Review of Resident #69's comprehensive care plan showed the following focus, Resident is at risk for complications related to the use of psychotropic drugs for schizophrenia. Antipsychotic and antidepressant medications. […]

• No harm, potential for more than minimal, patternF684Apr 22, 2026

  Based on record review, staff interviews, and policy review the facility failed to provide care and services within accepted standards of practice. Timely and consistent Abnormal Involuntary Movement scale (AIMS) assessments were not completed, and they failed to monitor peripheral intravenous (IV) access. This deficient practice applied to five (5) four of (5) five residents reviewed for unnecessary medication and (1) one of (1) one residents for antibiotic usage during the Long-Term Care Survey Process. Resident identifiers: #76, #69, #56. Facility Census: 88. […]

• No harm, potential for more than minimal, patternF692Apr 22, 2026

  Based on record review and staff interview, the facility failed to document the percentage of a house supplement a resident consumed when that resident was experiencing weight loss. This deficient practice had the potential to affect one (1) of seven (7) residents reviewed for the care area of nutrition. Resident Identifier: #29. Facility Census: 88. Findings included: a) Resident #29 On 10/14/2025, Resident #29 weighed 106 pounds. On 04/06/2026, the resident weighed 86 lbs. This was an 18 percent weight loss in six (6) months. On 03/25/26, Resident #29 was ordered a house supplement one (1) time a day for weight loss. The amount of supplement the resident consumed was recorded on the medication administration record (MAR). […]