Martin County Health Care Facility

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF755Nov 20, 2025

  Based on observation, interview, record review, and review of facility policy, the facility failed to provide pharmaceutical services to ensure the accurate administration of drugs to meet the needs of each resident for one of 26 sampled medication observations. The finding include:Review of the facility's policy titled, Medication Administration, effective date 07/01/2024, last reviewed on 08/20/2025, revealed, Prior to administration, review and confirm medication orders for each individual resident on the Medication Administration Record and compare the medication and dosage schedule on the resident's MAR with the label. The policy also stated, Verify medication is correct three times before administering the medication. […]

• No harm, potential for more than minimal, isolatedF600Jan 6, 2023

  Based on interview, record review, facility document policy review, it was determined the facility failed to maintain an environment which protected residents from physical abuse by another resident for one (1) out of three (3) residents, Resident #32. Resident #49, who had a history of wandering and aggressive behaviors, wandered into Resident #32's room and hit the resident on the right arm with a grabber (a grabber or a reacher is an assistive device used to pick up items from the floor/shelves, turn off lights, etc.). […]

• No harm, potential for more than minimal, isolatedF606Jan 6, 2023

  Based on interview, and facility document and policy review, it was determined the facility failed to ensure a criminal background check was completed prior to employment for one (1) of five (5) sampled employees whose files were reviewed for background checks, State Registered Nurse Aide (SRNA) #11. The findings include: Review of the facility policy titled, Background Screening Investigations, dated 11/02/2017, revealed, It was the policy of this facility to conduct employment background screening checks, reference checks, screening and criminal conviction investigation checks on individuals who applied for employment with the facility. […]

• No harm, potential for more than minimal, isolatedF880Jan 6, 2023

  Based on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure nebulizer equipment was sanitized after each use to prevent the possible spread of infection for one (1) of three (3) residents, Resident #50. Observation on 01/03/2023 at 2:25 PM, revealed Registered Nurse (RN) #1 opened the nebulizer cup, which contained drops of an unknown liquid around the inner wall of the cup. The RN opened the Ipratropium (an inhalation medication used to treat breathing problems) solution vial and emptied the contents of the vial into the nebulizer cup and turned the nebulizer machine on. […]

• No harm, potential for more than minimal, isolatedF888Jan 6, 2023

  Based on interview, and facility document and policy review, it was determined the facility failed to ensure staff members received a COVID-19 vaccination or an exemption for two (2) of seventy-eight (78) employees, Dietary Aide (DA) #20 and Maintenance Assistant (MA) #21. The facility failed to ensure DA #20 and MA #21 received the second dose of their two (2) dose series of the COVID-19 vaccination. The findings include: Review of the facility's policy titled, COVID-19 Policy and Procedures, undated, revealed where COVID-19 vaccination required multiple doses, the staff member should be provided with current information regarding those additional does, including any changes in the benefits or risks and potential side effects, associated with the COVID-19 vaccine to that individual as… […]