Mercy Hospital Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at Mercy Hospital Skilled Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF700Jul 24, 2025

  Based on observation, interview, and record review conducted during the Standard survey completed on 7/24/25, the facility did not ensure: they assessed all residents for risk of entrapment from bed rails prior to installation, they reviewed the risks and benefits of bed rails with the resident or resident representative, obtain informed consent prior to installation, or provide documentation that preventive maintenance was conducted for all bed rails for four (4) (Residents #7, 9, 27, and 50) of four (4) residents reviewed. Specifically, the U Rails were loose and not secure (Resident's #27 and #50); lacked evidence of consent and risks verses benefits; and there was no routine preventative maintenance (Resident #7, 9, 27, & 50). […]

• No harm, potential for more than minimal, isolatedF604Jul 24, 2025

  Based on interview, observation, and record review conducted during a Standard survey completed on 7/24/25, the facility did not ensure that residents have a right to be treated with respect and dignity, including the right to be free from any physical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms for one (1) (#30) of three (3) residents reviewed. Specifically, there was a lack of risk versus benefit assessments and informed consents for the alarm; the alarm sounded in the room, and Resident #30 was bothered by the use of the alarm and felt undignified.The findings are: The policy and procedure titled Resident Rights dated 5/20/24 documented that each resident's rights are protected and promoted; that each resident… […]

• No harm, potential for more than minimal, isolatedF658Jul 24, 2025

  Based on observation, interview, and record review conducted during the Standard survey completed on 7/25/25, the facility did not provide services consistent with professional standards of care during medication administration for three (3) (#1, #20, and #77) of seven (7) residents observed. Specifically, Registered Nurse #2 administered medications that they had not personally prepared to Resident #1, #20, and #77. The findings are: The policy and procedure titled Medication Administration dated 10/24/24 documented nurses must only administer medications that they have personally prepared. Nurses must remain with the resident until the medication has been taken. The nurse will document administration of each medication in the medication administration record (MAR).1. […]

• No harm, potential for more than minimal, isolatedF757Jul 29, 2022

  Based on interview and record review conducted during the Standard survey started on 7/25/22 completed 7/29/22, the facility did not ensure that each resident's drug regimen is free from unnecessary drugs. An unnecessary drug is any drug when used for excessive duration and without adequate indication for its use. Specifically, one (Resident #29) of five residents reviewed for unnecessary medications was treated with an antibiotic for an excessive duration, without adequate indication for its continued use. The finding is: Review of facility policy and procedure (P&P) titled Antibiotic Stewardship, effective 10/2017, documented the Antibiotic Stewardship Program (ASP) will guide safe, appropriate, effective and responsible use of antibiotic agents. […]