Mitchell's Nursing Home, Inc.

In the surveyor’s words

From the most serious findings on record at Mitchell's Nursing Home, Inc., in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 31, 2024

  Based on observations, interviews, and facility document review, it was determined the facility failed to ensure the dishwasher machine temperature gauge was in working order. Findings include: During an observation on 05/30/2024 at 08:28 AM, Dietary Aide #7 was observed spraying dishes and then pushing dishes into the dish machine for washing. Once the dish machine started the temperature gauge was not moving. The glass covering over the gauge was cracked/broken. During an observation on 05/30/2024 at 08:36 AM, Dietary Manager #6 took a manual temperature of the water inside the dish machine. Temperature readings for the dish machine were as follows: Washing cycle was 163 degrees Fahrenheit; Rinse cycle 176.9 degrees Fahrenheit. […]

• No harm, potential for more than minimal, widespreadF812Apr 28, 2023

  Based on observation and interview, the facility failed to ensure meal trays were served in a manner to prevent cross contamination, food was obtained from approved vendors, food was used or discarded prior to use by date, and contaminated biohazard bags were disposed of properly. This failed practice had the ability to effect 78 residents who received meals from 1 of 1 kitchen according to a list provided by the Administrator on [DATE] at 4:00 PM. The findings are: a. On [DATE] at 11:55 AM, the Dietary Manager passed out trays in the Main Dining Room. She did not sanitize her hands between providing trays for the 40 residents in the Main Dining Room and the 5 residents in the Assist Dining Room. b. […]

• No harm, potential for more than minimal, widespreadF803Nov 5, 2021

  Based on observation, record review and interview, the facility failed to ensure meals were prepared and served in accordance with the planned, written menu to meet the nutritional needs of the residents for 2 of 2 meals observed. The findings are: 1. On 11/2/21 at 12:14 PM, an unidentified Certified Nursing Assistant (CNA) presented at the dietary serving window and requested butter for a resident. Dietary Employee #1 provided 2 individual pats of margarine. Dietary Employee #1 was asked if margarine typically was placed on the meal trays or must be requested. She stated, .butter is an option. It doesn't come with the meal . The Spring/Summer menu 2021 for the 11/2/21 lunch meal documented, margarine spread - 1 each for all diets. 2. […]

• No harm, potential for more than minimal, widespreadF812Nov 5, 2021

  Based on observation and interview, the facility failed to ensure foods were dated, sealed, and discarded before the 'use by' date and scoops were stored separately from the contents of the cornmeal bin to prevent potential contamination and food borne illness for residents who received meals from 1 of 1 kitchen. The findings are: 1. On 11/01/21 at 10:56 AM, during the kitchen tour, the following was observed: a. Five packages, containing 8 hotdog buns each were located on a shelf on the bread rack. The use by date located on the bag was 10/25/21. The Dietary Manager stated, These have mold on them . these should be thrown away . b. A package containing 4 flour tortillas had a use by date of 10/23/21. c. […]

• No harm, potential for more than minimal, patternF567Sep 18, 2025

  Based on patient trust fund account review and interviews, the facility failed to provide separate accounting of interest to ensure 18 residents with trust fund accounts in the pooled account received all interest earned. The findings include: A review of the Patient Trust Fund individual journals indicated interest deposits of the following: On 08/29/2025 documented interest deposits of .37 cents interest were deposited into each resident's individual account. On 07/31/2025 documented interest deposits of .31 cents interest were deposited into each resident's individual account. On 06/30/2025 individual ledger accounts documented .25 cents interest was deposited into all individual accounts, except one had .23 cents deposited. […]