Mitchell County Hospital Health Systems Ltcu

In the surveyor’s words

From the most serious findings on record at Mitchell County Hospital Health Systems Ltcu, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF882Feb 6, 2025

  The facility had a census of 33 residents. Based on record review and interview, the facility failed to ensure the staff person designated as the Infection Preventionist, who was responsible for the facility's Infection Prevention and Control Program, completed the specialized training in infection prevention and control. This placed the residents at risk for lack of identification and treatment of infections. Findings included: - On 02/07 /25 at 01:30 PM, Administrative Nurse F stated she was responsible for the Infection Prevention and Control Program and lacked certification as an Infection Preventionist. Administrative Nurse E stated she had enrolled in the program, and completed the training modules, but had not received the certification. […]

• No harm, potential for more than minimal, isolatedF700Feb 6, 2025

  The facility had a census of 33 residents. The sample included 12 residents with two reviewed for bed rail use. Based on observation, interview, and record review the facility failed to provide bed rails with gaps less than four and three-quarters inches per Food and Drug Administration (FDA) guidelines for safety. This deficient practice placed Resident (R) 2 and R13 at risk for injury. Findings included: - R2's Electronic Medical Record documented diagnoses of dementia (a progressive mental disorder characterized by failing memory, and confusion), osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk), delusional disorders (untrue persistent beliefs held by a person although evidence shows it was untrue), anxiety disorder (a mental… […]

• No harm, potential for more than minimal, isolatedF610May 31, 2023

  The facility had a census of 31 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to thoroughly investigate two separate incidents of resident-to-resident incident between three sampled residents, Resident (R)26 and R8; R26 and R22 in another incident. This placed the residents at risk for further injury and unidentified abuse or mistreatment. Findings included: - The Electronic Medical Record (EMR) for R26 documented diagnoses of dementia without behavioral disturbance, and delusional disorder (untrue persistent belief or perception healed by a person although evidence shows it was untrue). […]

• No harm, potential for more than minimal, isolatedF656May 31, 2023

  The facility had a census of 31 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to develop a comprehensive care plan that included Resident (R)17's history of bowel obstruction (a gastrointestinal condition in which digested material is prevented from passing normally through the bowel) and interventions to prevent constipation (difficulty passing stool). This placed the resident at risk for impaction (the condition of being or process of becoming impacted, especially of feces in the intestine) and bowel obstruction. […]

• No harm, potential for more than minimal, isolatedF657May 31, 2023

  The facility had a census of 31 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to revise, with person centered interventions for falls, the care plan for two sampled residents, Resident (R) 17 and R26, and lacked direction in the plan of care to staff for anticoagulant (blood thinner) medication for R8. This placed the residents at risk for uncommunicated and unmet care needs. Findings included: - The Electronic Medical Record (EMR) for R17 documented diagnoses of Alzheimer's disease (progressive mental deterioration due to generalized deterioration of the brain), anxiety (feeling of worry, nervousness, or unease), depression (persistent sadness and lack of interest or pleasure in previously rewarding or enjoyable… […]