Mercy Circle

In the surveyor’s words

From the most serious findings on record at Mercy Circle, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF732Apr 30, 2026

  Based on observation, interviews and record review, facility failed to follow their policy and federal regulation and failed to ensure that the Daily Nursing Staffing Posting was completed appropriately. These failures have the potential to affect all 23 residents residing at the facility.Findings include:On 4/27/2026 at 9:45 AM, facility presented a census of 23 residents living at the 3rd floor unit.On 4/28/2026 at 12:12 PM, on the 3rd floor unit, observed Daily Nursing Staffing Posting displayed in the hallway by the first nursing station in the glass covered posting cabinet. […]

• No harm, potential for more than minimal, widespreadF761Apr 30, 2026

  Based on observation, interview and record review, the facility failed to ensure that the medication carts were kept clean and free of loose pills, failed to ensure multi-use medications were labeled with an open date, failed to discard expired medications and failed to discard expired medication supplies. These failures have the potential to affect all 23 residents assigned to the medication cart.Findings include:On 04/28/26 at 12:38pm during medication storage and labeling task with V4 (Registered Nurse/RN) of 3rd floor medication cart, there were 12 loose unidentified pills observed in the medication drawers, an opened tube of Diclofenac sodium topical gel 1% with no open date, an open tube if bacitracin zinc antibiotic ointment with no open date, Vitamin B1 100mg (milligram) with… […]

• No harm, potential for more than minimal, widespreadF812Apr 30, 2026

  Based on observations, interviews and record review, facility failed to follow their policy and federal regulation; failed to ensure that food safety is maintained during lunch serving from a steam table by staff touching ready to eat food with bare hands, wearing only one glove and not washing hands before glove applying or after glove removal; failed to follow proper sanitation practices to ensure that the dishwasher machine sanitized dishes at the proper temperature; and failed to properly contain and label open food in the freezer. […]

• No harm, potential for more than minimal, widespreadF812Jan 26, 2024

  Based on observations, interviews, and record reviews the facility failed to ensure kitchen staff wearing hair restraint while in the kitchen and failed to ensure frozen meats were stored six inches above the floor in the freezer. These failures have the potential to affect 22 residents in the facility who are receiving oral diet. Findings Include: On 1/23/24 at around 9:36 AM, during the initial tour in the kitchen, V15 (Utility Worker) was observed handling the dishes in the dishwashing machine area. V15 had short length hair on V15's head and was not wearing any hair restraint. At 9:49 AM, the main freezer was inspected with V14 (Director of Dining) and observed a frozen packed beef brisket and a frozen packed beef eye round on the floor under the shelving unit. […]

• No harm, potential for more than minimal, widespreadF880Jan 26, 2024

  Based on observation, interview and record review, the facility failed to follow their policies and procedures to ensure proper infection control guideline practices are followed related to Personal Protective Equipment (PPE) was not worn prior to entering a contact/droplet isolation room for 1 (R20) out 4 residents reviewed for transmission-based precautions in sample of 12. This failure has the potential to affect all 22 residents residing in the facility. Findings Include: On 01/23/24 at 10:42 AM, surveyor noticed R20's door was closed with droplet/contact isolation sign for staff and visitor was posted on the front of R20's door. […]