Martin Health Center, INC

In the surveyor’s words

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

• Actual harm, isolatedF689Dec 17, 2024

  Based on record review, resident and staff interviews the facility failed to provide a safe mechanical lift (Hoyer) transfer for 1 of 3 residents reviews (Resident #1). The Hoyer strap came unhooked on the right upper side of the sling and Resident #1 fell from the Hoyer. The fall resulted in a right femur fracture and left rib fractures of the 3rd, 4th and 5th ribs. The facility reported a census of 46 residents. Findings include: Resident #1's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. Resident #1 listed as dependent (Helper does all the effort. Resident does none of the effort to complete the activity. […]

• No harm, potential for more than minimal, patternF812May 15, 2025

  Based on observation, clinical record review, policy review and staff interview the facility failed to properly store food according to manufacturer's directions, ensure staff contain hair in hairnets when in the kitchen, and failed to ensure hot food is held at 135 degrees Fahrenheit (F) for safety. The facility reported a census of 48 residents. Findings include: The initial kitchen observation completed on 5/12/25 at 9:48 AM on the second floor kitchen revealed the following: a. One 3/4 full carton of Ready Care thickened orange juice dated 4/18/25. The Manufacturer Directions on the side of the carton directed to discard 7 days after opening. b. One 1/4 full bottle of Thick It Clear Advantage Thickened Water, level 2, mildly thick, dated 4/15/25. […]

• No harm, potential for more than minimal, patternF637Jul 11, 2024

  Based on record review, staff interview, and Resident Assessment Instrument (RAI) Manual the facility failed to complete Significant Change Minimum Data Set (MDS) assessment for 4 of 4 residents (Residents #14, #32, #35, and #37) within 14 days of identifying a significant change occurred. The facility reported a census of 46 residents. Findings include: 1. Resident #14's MDS assessment dated [DATE] indicated he didn't receive hospice care while a resident. The Hospice Certification and Plan of Care dated 4/12/24 identified Resident #14 elected to receive Hospice services. The Hospice Medicare Benefit Revocation dated 4/16/24 indicated Resident #14 choose to revoke hospice services. […]

• No harm, potential for more than minimal, patternF812Jan 6, 2022

  Based on observation, facility policy review and staff interview, the facility failed to label and date food items in order to reduce the risk of contamination and food-borne illness. The facility reported a census of 47 residents. Findings include: Observation on 1/3/22 at 9:38 AM during the initial tour of the 1st and 2nd floor kitchen freezers with Staff A, Hospitality Mentor, revealed the following: a. 5 frozen waffles not labeled or dated when opened. b. 18 mini pancakes not labeled or dated when opened. c. 1/2 of a 2 gallon bag of biscuits not labeled or dated when opened. d. Approximately 4 pounds of sausages not labeled or dated when opened. e. 2 1/2 pounds of chicken strips not labeled or dated when opened. f. 1 pound of broccoli not labeled or dated when opened. g. […]

• No harm, potential for more than minimal, isolatedF880Jul 9, 2026

  Based on observation, clinical record review, facility policy and staff interviews, the facility staff failed to implement Enhanced Barrier Precautions when administering intravenous medication for 1 of 2 residents (Resident # 45) review for infection control. The facility reported a census of 45 residents.Findings include:Resident #45's Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. The MDS listed diagnoses of cancer, heart failure, and toxic encephalopathy (brain dysfunction from toxins). […]