Mayo Healthcare Inc.

In the surveyor’s words

From the most serious findings on record at Mayo Healthcare Inc., in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801May 13, 2026

  Based upon interview and record review, the facility failed to ensure that the director of food and nutrition services meets minimum qualification if a qualified dietitian is not employed full-time. Findings include:Per interview with the Dietary Manager on 5/12/26 at 10:30 AM, she stated she has been in the position for 6 months and confirmed she is not certified as a dietary or food service manager and does not meet the educational and experience requirements in the absence of a certification.Per interview with the facility dietician on 5/12/26 at 10:30 AM, she stated she does not work full time. […]

• No harm, potential for more than minimal, widespreadF812May 7, 2025

  Based on observation and interview, it was determined that the facility failed to store food in accordance with professional standards for food service safety and failed to maintain a sanitary kitchen. Findings include: Per observation of the kitchen on [DATE] at 6:20 AM, the floor was observed to be coated with a sticky substance. There was a food serving station that had dried peas and onions on it. Per observation of the walk-in freezer on [DATE] at approximately 6:30 AM, a container of frozen pesto was dated to be used by [DATE]. Per observation of the walk-in refrigerator there was a bag of pepperoni that had a use by date of [DATE]. There was a bowl of chocolate pudding that had an expiration date of [DATE]. There was a hot dog placed on a plate that had an expiration date of [DATE]. […]

• No harm, potential for more than minimal, widespreadF851May 7, 2025

  Based on interview and record review the facility failed to meet the requirement for Payroll Based Journal (PBJ) data submission for the first quarter of the facility's fiscal year 2025, October-December 2024. Findings include: Per record review of the PBJ Data Report for the first quarter of the fiscal year 2025 provided by Centers for Medicare & Medicaid Services (CMS), the report identifies areas of concern specific to the facility. The concerns reported for the first quarter of the 2025 fiscal year were: failure to submit data for the first quarter, a one-star rating for staffing, excessively low weekend staffing, no registered nurse hours, and failure to have Licensed Nursing Coverage 24 Hours/Day. […]

• No harm, potential for more than minimal, widespreadF880Mar 13, 2024

  Per observation, interview, and record review, the facility failed to maintain an Infection, Prevention, and Control Program (IPCP) that reduces the risk of Residents contracting communicable diseases to the greatest extent possible as evidenced by an IPCP that is not updated annually, a lack of transmission-based precaution signage, and a lack of a water management program for Legionella. Findings include: 1. Per review of the provided IPCP polices and procedures, all policies and procedures had a last revised date in the year 2022. Per interview on 3/13/24 at approximately 12:00 PM, the Administrator confirmed that the facility's IPCP has not been reviewed or updated within the last year as required. 2. […]

• No harm, potential for more than minimal, widespreadF812Feb 8, 2023

  Based on record review, observation and interview the facility failed to clean dishes and utensils under sanitary conditions as evidenced by: A review of the dish machine temperature record from December 6, 2022 through February 6, 2023, reveals that on 33 occasions, the wash temperature was recorded as less than 150 degrees. Per observation on February 7, 2023, at 2:15 pm the dishwasher was viewed and noted to be a one-level machine with 2 hoses connected to it, one of which was connected to a container marked Heavy Duty Plus Dish Machine Detergent, the second connected to a container labeled Special Rinse Aid, there are no additional sanitizing agents. […]