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.

• No harm, potential for more than minimal, widespreadF761May 12, 2025

  Based on observation, staff interview, and review of the facility policy, the facility failed to ensure medications in the medication cart were labeled and stored in proper containers. This affected all of the residents residing in the facility. The facility census was 38 residents. Findings include: Observation on 05/12/25 at 9:00 A.M of the nurse two medication cart on the skilled care hallway revealed there were 19 loose pills of various shapes and colors in the bottom of the medication cart. Interview on 05/12/25 at 9:00 A.M. with Registered Nurse (RN) #221 confirmed there were 19 loose pills of various shapes and colors in the bottom of the nurse two medication cart on the skilled care hallway. […]

• No harm, potential for more than minimal, widespreadF880Jun 1, 2023

  Based on record reviews, staff interviews, observations and policy reviews, the facility failed to ensure infection control logs were completed for tracking trends and patterns, complete tuberculous testing for newly hired employees, develop and follow a Legionella water management policy, and ensure hand sanitation was followed during resident care. This had the potential to affect all 31 residents. The facility census was 31. Findings include: 1. Review of the Infection Control Logs dated January, February, and [DATE] revealed the logs lacked tracking of the disease organism isolation type identification, and culture dates. For months January, March and [DATE], there was no organism mapping of the organism location in the facility. […]

• No harm, potential for more than minimal, widespreadF881Jun 1, 2023

  Based on record reviews, staff interview, and policy review, the facility failed to monitor antibiotic use appropriately as part of an antibiotic stewardship plan. This had the potential to affect all 31 residents. The facility census was 31. Findings include: Review of documents dated January, February, March, April, and May 2023, provided by the Director of Nursing, (DON), revealed there was no documentation and analysis of appropriate indications for the use of antibiotics. Interview on 06/01/23 at 1:20 P.M., the Director of Nursing, (DON) stated the facility uses the McGeer monitoring criteria for the antibiotic stewardship program. The DON had no evidence of how the facility was monitoring antibiotic medications using the McGeer criteria. […]

• No harm, potential for more than minimal, widespreadF880Oct 22, 2021

  Based on observation, staff interview, review of online resources per the Centers for Disease Control (CDC) and the Center for Medicare and Medicaid Services (CMS), and review of facility policy, the facility failed to ensure staff wore eye protection in resident areas to potentially prevent the spread of Coronavirus Disease 2019 (COVID-19). This had the potential to affect all 35 residents residing in the facility. The census was 35. Findings include: Observation on 10/22/21 at 9:21 A.M. of Registered Nurse (RN) #200, at 9:35 A.M. of State tested Nursing Assistant (STNA) #300, at 9:40 A.M. of Licensed Practical Nurse (LPN) #400, at 9:55 A.M. of STNA #350 revealed the staff were working in resident areas and were not wearing eye protection. Interviews on 10/22/21 at 9:21 A.M. […]

• No harm, potential for more than minimal, widespreadF885Jan 20, 2021

  Based on review of staff and resident Coronavirus Disease 2019 (COVID-19) testing logs, review of an email communication to residents' families/representative, and staff interview, the facility failed to provide cumulative updates for residents and their representatives/families regarding staff and resident COVID-19 infections. This had the potential to affect 33 of 33 residents who reside in the facility. Findings include: Interview with the Administrator and Director of Nursing (DON) during the entrance conference on 01/20/21 at 3:07 P.M., revealed there were no current cases of residents with COVID-19, however, there were currently two staff off work at the time related to recently testing positive for COVID-19 infection. […]