Miller County Care and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Miller County Care and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Apr 24, 2025

  Based on interview and record review, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services (DFNS) with the appropriate qualifications, when the facility did not employ a qualified dietitian or other clinically qualified nutrition professional full-time. This failure has the potential to affect all residents. The facility census was 60. 1. Review of the facility's Dietitian policy, revised November 2022, showed: -If a dietician is not employed full time (35 or more hours per week) a director of food and nutrition services will be designated. The individual will: a. be a certified dietary manager; or b. be a certified food service manager; or c. be nationally certified in food service management and safety; or d. […]

• No harm, potential for more than minimal, widespreadF812Apr 24, 2025

  Based on observation, interview and record review, the facility staff failed to thaw frozen meat in a manner to prevent the growth of food-borne pathogens. This failure has the potential to affect all residents. The facility census was 60 . 1. Review of the 2022 United States Food and Drug Administration Food Code, section 3-501.13 Thawing, showed: -Except as specified in paragraph (D) of this section, time/temperature control for safety food shall be thawed: (A) Under refrigeration that maintains the food temperature at 41 degrees Fahrenheit (dF) or less; or (B) Completely submerged under running water: (1) At a water temperature of 70 dF or below, (2) With sufficient water velocity to agitate and float off loose particles in an overflow, and (3) For a period of time that does not allow… […]

• No harm, potential for more than minimal, widespreadF880Feb 23, 2024

  Based on observation, interview and record review, the facility staff failed to perform hand hygiene as often as necessary using approved techniques to prevent cross-contamination and reduce the risk of infection during the provision of perineal care for two residents (Resident #2 and Resident #8) and during food preparation and service. Facility staff also failed to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility's water systems to inhibit the growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (LD). The facility census was 62. 1. […]

• No harm, potential for more than minimal, widespreadF812Nov 17, 2022

  Based on observation, interviews, and record review, the facility staff failed perform hand hygiene as often as necessary and to wash, rinse, and sanitize the food preparation sink between uses to prevent cross-contamination and the growth of food-borne pathogens. Facility staff also failed to to store dishes in a safe and sanitary manner, utilize hair restraints while in the kitchen, store the sanitation rag submerged in the sanitation liquid, ensure the ice bin drained through an air gap, and properly store open food to prevent outdated usage. This had the potential to affect all facility residents. The census was 61. 1. […]

• No harm, potential for more than minimal, patternF561Nov 17, 2022

  Based on observation, interview and record review, facility staff failed to create an environment in which residents could make choices in regard to significant aspects of their lives when staff implemented a new smoking policy, and did not allow four residents (Resident #23, #48, #54 and #62) to smoke as they previously could. The facility census was 61. 1. Review of the facility's Smoking Policy, revised 11/14/22, showed staff were directed when the outside temperatures are below 32 degrees and/or above 100 degrees, residents will not be allowed to go outside and smoke. 2. […]