Mercer Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF806Jun 12, 2024

  Based on record review and staff Interviews the facility failed to ensure residents were being served a meal free from allergens. Resident #10 had a fish oil allergy and was served a fish sandwich. This past non-compliance had the potential to affect more than a limited number of residents. The state agency (SA) determined this failed practice put Resident #10 in immediate jeopardy by being served a fish sandwich. Fish oil allergies have the potential to cause stomach pain or diarrhea, swelling in the throat, difficulty breathing, dizziness or fainting, very low blood pressure, and shock. All those symptoms had the potential to severely impair residents' health and lead up to causing death. This also has the potential to cause resident #10 to have emotional and psychological impact. […]

• Immediate jeopardy, isolatedF806May 7, 2024

  Based on document review, staff interview, and resident interview, the facility failed to identify each resident's allergies and provide an appropriate alternative. This resulted in an immediate jeopardy (IJ) for Resident #73, who was allergic to shrimp. This deficient practice was true for one (1) of three (3) residents reviewed for food allergies. Resident Identifier: #73. Facility census: 107. Resident #73 was served pureed Shrimp and Sausage Jambalaya for lunch on 01/19/24 at approximately 1:00 PM, had an allergic reaction, and required physician-prescribed medication to alleviate facial swelling. […]

• Immediate jeopardy, isolatedF600Aug 19, 2021

  Based on record review, staff interview and resident observation the facility failed to ensure nursing staff administered medications and enteral feedings as directed by the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Not receiving her enteral feedings and flushes as ordered by the physician placed Resident #75 in an immediate jeopardy (IJ) situation where likely serious harm or death existed. The facility was notified of the IJ at 6:25 PM on 08/17/21. The facility submitted their first abatement plan of correction (POC) at 6:59 PM on 08/17/21. The state agency requested changes and the second abatement POC was submitted at 7:05 PM on 08/17/21. The abatement POC was accepted by the state agency at 7:05 PM on 08/17/21. […]

• Actual harm, isolatedF686Aug 19, 2021

  Based on staff interview, observation, and record review, the facility failed to ensure three (3) of six (6) residents reviewed for pressure ulcers received care to promote the healing of existing pressure ulcers. For Resident #4 who was identified by the facility as being high risk for the development of pressure ulcers and was not provided treatment or services to prevent the development of two Suspected Deep Tissue Issues (SDTI) in house aquired pressure ulcers. This represents acutal harm for Reisdent #4. Resident identifiers: #4, #54 and #81. Facility census: 89. a) Resident #4 A Record review found the resident was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF600Mar 18, 2021

  Based on record review, resident representative interview, policy and procedure review, and staff interview, the facility failed to ensure Resident #178 and #179 was not neglected. Each resident did not receive timely and necessary medical treatment. Resident #179 had bruising to the face, shoulder and hip which the facility failed to adequately assess and treat in a timely manner. Once Resident #179 was transferred to the hospital per the request of her representative, the resident was found to have a bilateral brain bleed, a fractured shoulder, fractured collarbone and a fractured hip. This failure resulted in actual harm for Resident #179 due to increased pain and delayed treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] Resident #178 was admitted to the facility 12/14/20. […]