Midwestern Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF607Jun 6, 2025

  Based on observation, interview, and record review, the facility failed to implement written policies and procedures that prohibit and prevent abuse, for 1 (Resident #1) of 16 residents reviewed. As a result of the failure to implement the facility policy, the resident was not free from abuse, staff did not report the abuse, residents were not protected from further abuse, and the facility administration was unaware of the verbal abuse and police intervention on 05/04/2025 between LVN B and Resident #1 until surveyor intervention on 05/18/2025 This failure resulted in the identification of Immediate Jeopardy (IJ) on 6/04/25 at 2:09 pm. […]

• Immediate jeopardy, patternF609Jun 6, 2025

  Based on observation, interview and record review, the facility failed to report all allegations of abuse, neglect exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately to the administrator of the facility and to other officials in accordance with State law through established procedures for 1 (Resident #1) of 16 residents reviewed. CNA B, CNA C, CNA E, and CNA D failed to report verbal abuse of Resident #1 to the administrator or the DON. There was police intervention between the staff and resident. As a result of not reporting, the administrative staff were not aware until surveyor intervention. […]

• Immediate jeopardy, isolatedF600Jun 6, 2025

  Based on observation, interview, and record review, the facility failed to keep the residents free from abuse, neglect, misappropriation of resident property, and exploitation for 1 (Resident #1) of 16 residents reviewed. The facility failed to prevent verbal abuse to Resident #1 by LVN B. This failure resulted in the identification of Immediate Jeopardy (IJ) on 6/04/25 at 2:09 pm. While the immediacy was removed on 6/06/25 at 1:02 pm, the facility remained out of compliance at scope of pattern and severity no actual harm due to the facility's need to monitor the implementation of the plan of removal. This failure could place the residents at risk of serious emotional, psychological, and physical anguish. […]

• No harm, potential for more than minimal, widespreadF812Jul 12, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen, in that: 1. Appliance surfaces were soiled with dried food, grease and burned food. 2. Bulk storage container lids were soiled with food particles and dust. 3. Opened food item packages in the refrigerator, freezer, and dry food storage room were not placed in sealed containers, were not labeled with the contents, and were not dated when opened. 4. Expired milk was stored on the shelves in the refrigerator. 5. Cartons of expired prune juice was stored on a shelf in the dry food storage room. 6. […]

• No harm, potential for more than minimal, widespreadF803May 24, 2023

  Based on observation, interview and record review, the facility failed to follow the menu for all residents reviewed for food preferences. The facility failed to provide an acceptable substitute for dessert at lunch when they served whipped cream with graham cracker crumbs instead of the scheduled Key Lime pie. This failure could place residents at risk of feeling that their preferences are not being met. Findings include: Observation on 05/22/2023 at 12:00 PM revealed residents, sitting in the dining room, were served small, clear plastic bowls filled with whipped cream, sprinkled with graham cracker crumbs. […]