Mineral Springs

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684May 30, 2024

  Based on record review and interview, it was determined that the facility failed to ensure that a resident receiving anticoagulant (blood thinner) therapy received the necessary care and services for anticoagulation treatment for 5 days for 1 of 3 residents reviewed for anticoagulation therapy (Resident Identifier #1). Findings include: Record review on 5/30/24 of Resident #1's electronic medical record revealed a nurses note, dated 5/1/24 at 6:47 p.m. that stated Resident #1 was noted to have lips slightly cyanotic with vital signs as follows: Blood pressure of 124/87, heart rate of 163, respirations of 40, O2 [oxygen] saturation of 83% on 3 liters of oxygen and a temperature of 97.7 degrees Fahrenheit. […]

• Actual harm, isolatedF684Sep 13, 2023

  Based on interview and record review, it was determined that the facility failed to monitor for side effects of hypothyroidism after discontinuing hypothyroid medication, which resulted in severe symptoms of hypothyroidism requiring multiple nights of hospitalization for 1 of 1 residents reviewed for hospitalization in a final sample of 20 residents (Resident identifier is #59). Findings include: Interview on 9/11/23 at approximately 9:22 a.m. with Resident #59 revealed that they had been sent to the hospital in July for multiple nights because he/she had an arrhythmia. Resident #59 also stated that while at the hospital it was discovered that he/she had not received their thyroid medication for several months. […]

• No harm, potential for more than minimal, widespreadF812Jul 30, 2026

  Based on observation, interview and record review, the facility failed to ensure that food was stored and dishwares were sanitized in accordance with professional standards for food service safety for 1 of 1 kitchen and 1 of 2 kitchenettes observed. Findings include: Observation on 7/28/26 at 9:35 a.m. with Staff A (Dietary Manager) of the facility's dishwashing machine (Model XL-HT) in the kitchen revealed the breakfast dishes were being cleaned and the final rinse temperature of 160 F (degrees Fahrenheit). Further observation of the next run of the machine a few minutes later revealed a final rinse temperature of 175 F. Interview on 7/28/26 at 9:35 a.m. […]

• No harm, potential for more than minimal, widespreadF725Sep 12, 2024

  Based on record review and interview, it was determined that the facility failed to provide sufficient nursing staff, as determined by their facility assessment, to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in a census of 48 residents. Interview on 9/10/24 at approximately 1:40 p.m. with Resident #26 revealed that he/she was frequently told that staff were too busy and it caused delays in the care that he/she needed, and medications administered were frequently late. Interview on 9/10/24 at approximately 1:00 p.m. with Resident #45 revealed that the facility was short staffed, and it caused longer responses to call lights and getting the assistance he/she needed. […]

• No harm, potential for more than minimal, widespreadF880Sep 12, 2024

  Based on interview and record review, it was determined that the facility failed to follow established infection control guidelines for facility water management by not having a system to monitor control measures to minimize the risk of Legionella and other opportunistic pathogens that has the potential to effect the facility census of 48 residents who resided at the facility. Findings include: Interview on 9/11/24 at approximately 10:30 a.m. with Staff D (Infection Preventionist) revealed they did not know if the facility had a system to monitor control measures in place to prevent the introduction and spread of Legionella. […]