MercyOne Centerville Medical Center

In the surveyor’s words

From the most serious findings on record at MercyOne Centerville Medical Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF552Aug 28, 2025

  Based on clinical record review, policy review, and staff interviews, the facility failed to inform residents/resident representatives in advance of the risks and benefits of psychotropic medications for 5 of 5 residents reviewed for medications (Residents #3, #4, #10, #14, #18). The facility reported a census of 19 residents. Findings include: 1. The Minimum Data Set (MDS) assessment tool, dated 7/11/25, listed diagnoses for Resident #4 which included non-Alzheimer's dementia, anxiety disorder, and diabetes. The MDS stated the resident took antipsychotics and antidepressant medications and listed a Brief Interview for Mental Status (BIMS) score of 9 out of 15, indicating moderately impaired cognition. […]

• No harm, potential for more than minimal, patternF812Aug 28, 2025

  Based on initial kitchen tour observation, facility policy review and staff interview, the facility failed to ensure the removal of out dated nutritional supplement drinks from a dry good storage area in the kitchen in order to prevent the service and resident consumption of an unsafe, expired food product. The facility reported a census of 19 residents. Findings include: On 8/25/25 at 10:51 AM, during an initial tour of the kitchen, observation revealed a total of 13 Glucerna, a type of nutritional shake supplement, creamy strawberry flavor in 8 ounce individual serve cartons an expiration date of July 2025. The expired Glucerna drink was located on a dry storage shelf in kitchen with other supplement drinks, including other non-expired Glucerna flavors. […]

• No harm, potential for more than minimal, patternF812May 16, 2024

  Based on observation, policy review, and staff interview the facility failed to follow infection control measures to prevent cross contamination during food service for 1 of 2 meals observed. The facility reported a census of 18 residents. Finding include: Observation of the noon meal service on 5/13/2024 at 11:50 AM revealed the following concerns: A. Staff D (Cook), did not wear gloves and handled buns with bare hands which she then served to residents. B. Staff D sneezed on her right arm while she held a plate of food in her left hand. She did not wash her hands then served the plate to a resident. […]

• No harm, potential for more than minimal, isolatedF760Apr 16, 2026

  Based on observation, clinical record review and staff interviews, the facility failed to verify the dosage on a bottle of Morphine was correct when received from the pharmacy and failed to administer the correct dose of Morphine as ordered for one of four residents reviewed (Resident #1). The facility reported a census of 18 residents. Findings include:The Minimum Data Set (MDS) dated [DATE] identified Resident #1 as cognitively intact with a BIMS (Brief Interview for Mental Status) score of 12 and had the following diagnoses: Diabetes Mellitus, Anxiety Disorder and COPD (Chronic Obstructive Pulmonary Disease). […]

• No harm, potential for more than minimal, isolatedF550Aug 28, 2025

  Based on clinical record review, policy review, and staff interviews, the facility failed to ensure staff dressed a resident in a dignified manner and utilized incontinent products appropriately for 1 of 2 residents reviewed for dignity (Resident #4). The facility reported a census of 19 residents.Findings include:The Minimum Data Set (MDS) assessment tool, dated 7/11/25, listed diagnoses for Resident #4 which included non-Alzheimer's dementia, anxiety disorder, and diabetes. The MDS stated the resident was dependent on staff for lower body dressing and toileting hygiene and listed her Brief Interview for Mental Status (BIMS) score as 9 out of 15, indicating moderately impaired cognition. […]