Minnie Hamilton Health Care

In the surveyor’s words

From the most serious findings on record at Minnie Hamilton Health Care, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 27, 2024

  Based on record review and staff interview, the facility failed to ensure a resident was not neglected. The facility failed to provide services to a resident that was necessary to avoid physical harm. This was true for 1 (one) of 1 (one) resident's reviewed during the Long Term Survey Process. Resident #8 had an area on her breast that had not been identifeid by the facility. The resident suffered actual physical harm. The facility had not identified this as an area that needed assessed despite showering and dressing the resident daily. The area on the resident's breast was biopsied by a determatorly group and diagnosed as melanoma. Facility census: 24. […]

• Actual harm, isolatedF684Jun 27, 2024

  Based on record review and staff interview, the facility failed to provide services to a resident that was necessary to avoid physical harm. This was true for 1 (one) of 1 (one) resident's reviewed during the Long Term Survey Process. Resident #8 had an area on her breast that had not been identifeid by the facility. The resident suffered actual physical harm. The area on the resident's breast was biopsied by a determatorly group and diagnosed as melanoma. Facility census: 24. Resident identifier: #8. Findings included: a) Resident #8 A medical record review for Resident #8 revealed Resident #8 and Resident #8's MPOA had attended a dermatology appointment on 03/21/24. The appointment was for skin irritations on Resident #8's face. […]

• Actual harm, isolatedF686Jun 27, 2024

  Based on record review and staff interview the facility failed prevent the development of pressure ulcers/injuries (PU/PI's) unless clinically unavoidable and that the facility provides care and services consistent with professional standards of practice to promote the prevention of pressure ulcer/injury development and promote the healing of existing pressure ulcers/injuries. The physician elected This was true for 1 (one) of 2 (two) residents reviewed for the Long Term Survey Process. Facility census: 24. Resident identifier: #11. Findings include: a) Resident #11 During the review, Resident #11's record a care plan was noted with a start date of 01/31/24. The care plan revealed the resident was at high risk for skin breakdown. […]

• No harm, potential for more than minimal, widespreadF867Jun 27, 2024

  Based on facility record and staff interview, the facility failed to implement adverse event monitoring, and failed to implement performance improvement program activities that focus on quality of care. This was discovered during the long term care survey process and had the potential to affect all of the residents. Census 24. Findings included: a) Resident #8 - Adverse Event Monitoring 06/24/24 at approximately 1:15 PM a review was completed of a facility complaint. During the interview process of this complaint, the Medical Power of Attorney (MPOA) of Resident #8 was interviewed and the following letter was provided that the MPOA had received from the Director of Quality Assurance (DOQA) dated 04/01/24. […]

• No harm, potential for more than minimal, widespreadF868Jun 27, 2024

  The facility failed to maintain a quality assessment and assurance committee. This was discovered during the review of the facilities Quality Assurance Assessment committee during the Long Term Care survey Process. The Medical Director/designee and the Administrator did not attend the meetings. has the potential to affect all of the residents. Identifiers: Medical Director, Administrator. Facility Census: 24 Findings included: a) Medical Director/designee On 06/26/24 at 10:45 AM during an interview with the DON regarding the attending signatures for the Quality Assurance Meetings, the DON stated the Chief Nurse Officer (CNO) was the medical director designee. […]