Mid-Del Skilled Nursing and Therapy

In the surveyor’s words

From the most serious findings on record at Mid-Del Skilled Nursing and Therapy, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 13, 2026

  Based on observation and interview, the facility failed to ensure: a. food products were stored below 41 degrees F for 1 (milk cooler) of 2 coolers observed, and b. the low temperature dish machine was dispensing the correct concentration of sanitizer for 1 of 1 kitchen observation. [NAME] #1 identified 45 residents received services from the kitchen.Findings: On 08/11/26 at 10:18 a.m., during an initial tour of the kitchen, the thermometer in the two-door milk cooler read 60 degrees F. The internal temperature of a gallon of 2% milk was 50 degrees F, a plastic bag of ready to eat hot dogs was 50 degrees F, and a plastic bag of ready to eat ground sausage was 49 degrees F. […]

• No harm, potential for more than minimal, widespreadF847Mar 20, 2025

  Based on record review and interview, the facility failed to ensure residents were instructed arbitration agreements were voluntary for 3 (# 5, 34, and #43) of 5 sampled residents reviewed for arbitration agreements The administrator identified 40 residents who had entered into a binding arbitration agreement. Findings: An undated document titled An Explanation to the Resident/Family, read in part, By signing our admission contract your electronic signature will be placed on the following forms, which you will receive copies of after signing. […]

• No harm, potential for more than minimal, patternF677Aug 13, 2026

  Based on observation, record review, and interview, the facility failed to ensure showers were provided to 1 (#41) of 2 sampled residents reviewed for activities of daily living. The administrator identified 45 residents resided in the facility.Findings: A policy titled Nursing Skills Guideline, revised 03/2025, read in part, Final Steps .Document the procedure per facility standards .Shower, 7. Complete Final Steps.An undated shower schedule for Resident #41 showed showers were to be given three times a week and as needed (Monday, Wednesday, and Friday).Documentation Survey Report sheets for Resident #41, dated 07/2026 and 08/2026, showed showers were not given on the following dates:a. 07/10/26 (Friday),b. 07/17/26 (Friday),c. 07/20/26 (Monday),d. 07/22/26 (Wednesday),e. […]

• No harm, potential for more than minimal, patternF695Oct 25, 2022

  Based on record review, observation, and interview, the facility failed to ensure a physician's order had been obtained for oxygen for one (#43) of one sampled resident reviewed for oxygen services. The administrator identified six residents with orders for oxygen. Findings: A Respiratory Therapy policy, dated 08/10/04, documented oxygen therapy would be administered as needed and directed by the ordering physician. It documented to obtain an order from a physician. Resident #43 readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Baseline care plan, dated 10/21/22, documented the resident used oxygen at four LPM. On 10/23/22 at 1:58 p.m., Resident #43 was observed in his room lying in bed. […]

• No harm, potential for more than minimal, patternF698Oct 25, 2022

  Based on record review and interview, the facility failed to ensure a [CONDITION(S)] resident was assessed before and after [CONDITION(S)] for one (#43) of one sampled resident reviewed for [CONDITION(S)]. The Resident Census and Conditions of Residents report, dated 10/24/22, documented four residents received [CONDITION(S)] services. Findings: Resident #43 readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A facility calendar documented the resident received [CONDITION(S)] services three times weekly on Mondays, Wednesdays, and Fridays. […]