Mineral Point Health Services

In the surveyor’s words

From the most serious findings on record at Mineral Point Health Services, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600May 7, 2026

  Based on interview and record review, the facility failed to protect a resident's (R) (R2) right to be free from sexual abuse by another resident (R1).On 3/20/26, R2 was found in bed with R1. Staff at the facility did not report this incident to management. On 4/13/26, R1 was found in R2's room and was inappropriately touching R2. On 4/18/26, R2 was found in R1's room being inappropriately touched by R1.The facility's failure to provide adequate supervision and protect R2 from sexual abuse by R1 created a reasonable likelihood for serious psychosocial harm, thus resulting in a finding of immediate jeopardy (IJ) that began on 4/13/26. Surveyor notified NHA A (Nursing Home Administrator) of the immediate jeopardy on 4/28/26 at 2:50 PM. The immediacy was removed and corrected on 4/18/26. […]

• Actual harm, isolatedF684May 28, 2026

  Based on interview and record review the facility did not ensure that residents received treatment and care in accordance with professional standards of practice for 2 of 3 residents (R6 and R3) reviewed. R6 was taking aspirin, the facility failed to monitor for signs and symptoms of bleeding, failed to notify the physician about their change of condition, and failed to complete an assessment when R6 had a change of condition. R3, who has CHF (Congestive heart failure) was admitted with orders for daily weights and the facility did not conduct these weights to monitor her condition. The facility also did not contact the physician immediately upon a severe weight change. […]

• Actual harm, isolatedF887May 28, 2026

  Based on interview and record review, the facility did not ensure that a resident's medical record included documentation that indicates the resident or resident representative was provided education regarding the benefits and potential side effects of the COVID-19 vaccine, and that the resident (or representative) either accepted, received or declined the COVID-19 vaccine for 2 of 6 residents (R10 and R7) reviewed for COVID-19 vaccinations. R10 was not vaccinated for COVID-19 and became infected with COVID-19 that resulted in a hospitalization. The facility did not have documentation stating that the vaccination was offered, declined/consented to, or that the resident and or POA (Power of Attorney) was provided education on the vaccine. R7 was not vaccinated for COVID-19. […]

• No harm, potential for more than minimal, widespreadF812Nov 10, 2021

  Based on observation and interview the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has the potential to affect 25 residents who reside in the facility. -Kitchen staff were not logging final food internal temperatures. -Kitchen staff were not logging internal dishwashing temperatures. -Surveyor observed staff cleaning food thermometer in the same sanitizing solution used to clean surfaces. Evidenced by: Facility Policy and Procedure titled, Cleaning Dishes/Dish Machine, with an effective date of May 2020, states in part: Policy .The dish machines will be checked prior to meals to assure proper functioning and appropriate temperatures for cleaning and sanitizing .Procedure: Staff will follow these procedures for washing… […]

• No harm, potential for more than minimal, patternF761Apr 3, 2025

  Based on observation, interview, and record review, the facility did not assure drugs and biological's used in the facility were stored and labeled in accordance with currently accepted professional practices and include the expiration date when applicable in 1 of 1 medication rooms. This has the potential to affect more than a minimal number of Residents. Surveyor observed the following in the medication storage room: - 4 bottles of Enema Saline Laxative with expiration dates of 2/25. - 6 boxes of Bisacodyl Suppositories with 12 suppositories in each box with expiration dates of 1/25. - 1 Bottle of Major Cough DM Dextromethorphan Polistirex Extended-Release Oral Suspension with an expiration date of 3/25. […]