Mason Health Care Center

In the surveyor’s words

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

• Actual harm, isolatedF686Sep 26, 2022

  Based on interview, record review and observation the facility failed to implement pressure relieving interventions to prevent an unstageable pressure wound from developing for 1 of 3 residents reviewed for pressure ulcers. ( Resident 33) Finding includes: During an interview, on 9/19/2022 at 10:35 A.M., Resident 33 indicated his right heel was not healing. A clinical record review was completed on 9/20/2022 at 2:37 P.M. Resident 33's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . An Admission Assessment, dated 7/13/2022, indicated he had a surgical wound to the Right hip. […]

• No harm, potential for more than minimal, widespreadF812Aug 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure foods were stored, prepared and served in a sanitary manner in 1 of 1 kitchens reviewed. This deficient practice had the potential to affect 75 of 75 residents who received meals from the kitchen.Findings include: 1. During an observation of the kitchen, with the Dietary Manager on 8/18/2025 at 9:53 A.M., the following was observed:In the Walk in cooler:-1 cream cheese box not sealed.-an opened container of apple juice with a use by date of 8/17/2025. During an interview on 8/18/2025 at 10:00 A.M., the dietary manager indicated the foods should have been sealed appropriately and the juice should have been removed from the cooler. 2. […]

• No harm, potential for more than minimal, widespreadF812Sep 22, 2023

  Based on observation, interview, and record review the facility failed to ensure kitchen sanitation for 76 of 79 residents currently residing in the facility who consume food prepared in the kitchen. Findings include: During a kitchen observation, with the Dietary Manager (DM) on 9/18/23 at 9:52 AM, two baking pans were observed with several 3-5 centimeter-sized brown debris stuck to the inner walls of each pan. Two additional pans were observed with liquid dripping from the inside of the pan upon separation. […]

• No harm, potential for more than minimal, patternF812Aug 30, 2024

  Based on observation, interview and record review, the facility failed to store, prepare and serve food in a sanitary manner in 1 of 1 kitchens observed and 2 of 2 nutrition pantries observed. This deficient practice had the potential to affect 72 of 72 who consumed food from the kitchen and nutrition pantries. Findings include: 1. During an initial tour of the kitchen, on [DATE] at 11:59 A.M., with the Dietary Manager, the following was observed: - black specs of a substance on a shelf in the walk-in cooler. - an opened, undated bag of tater tots not sealed in the freezer. - an opened bag of diced pepperoni with a used by date of [DATE] in the freezer. […]

• No harm, potential for more than minimal, patternF755Dec 28, 2023

  Based on observation, interview, and record review, the facility failed to have a process of accountability for medications awaiting final disposition for 4 of 8 residents whose medications were reviewed for disposition. (Resident H, Resident J, Resident K, and Resident L). Findings include: On 12/28/2023 at 10:40 A.M., an observation of the medication storage room on the front hall with the Director of Nursing (DON) was completed. A yellow bin identified as the medication disposition bin by the DON contained packets of medication that were not labeled for disposition. The following single dose medication packets were observed in the yellow bin without a disposition reason: a. […]