Mohun Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 3, 2025

  Based on observations, staff interviews, review of facility policies and review of food safety guidelines recommended by the Centers for Disease Control and Prevention, the facility failed to serve and store food in a safe and sanitary manner. This had the potential to affect all 68 residents in the facility that ate food from the kitchen and 35 residents who ate in the dining room on 04/01/25 (Residents #58, #4, #53, #36, #29, #271, #60, #64, #45, #59, #39, #66, #68, #54, #56, #55, #57, #2, #27, #42, #12, #15, #25, #44, #51, #46, #50, #62, #67, #23, #34, #6, #16, #52, and #28) . The facility census was 68 residents. Findings include: 1. Observations on 04/01/25 at 12:17 P.M. […]

• No harm, potential for more than minimal, patternF567Apr 3, 2025

  Based on medical record review, financial record review, resident interview, staff interview, facility/resident handbook review, and facility policy review, the facility failed to ensure residents/representatives were aware and agreed to the donation of money from their resident fund accounts. This affected two (Residents #21 and #37) of five resident financial accounts reviewed. The census was 68. Findings Include: 1. Resident #21 was admitted to the facility on [DATE]. Her diagnoses were encephalopathy, Parkinson's disease, sciatica, congestive heart failure, muscle weakness, vitamin D deficiency, polyneuropathy, chronic kidney disease, GERD, hypertension, hyperlipidemia, Alzheimer's disease, hypothyroidism, dysphagia, hypokalemia, Parkinsonism, cognitive communication deficit, lack of… […]

• No harm, potential for more than minimal, patternF602Apr 3, 2025

  Based on medical record review, financial record review, resident interview, staff interview, facility/resident handbook review, and facility policy review, the facility failed to ensure residents/representatives were aware and agreed to the donation of money from their resident fund accounts. This affected four (Residents #9, #21, #37, and #39) of five resident financial accounts reviewed. The census was 68. Findings Include: 1. Resident #9 was admitted to the facility on [DATE]. Her diagnoses were Type II Diabetes Mellitus, hyperglycemia, Gastro Esophageal Reflux Disease (GERD), hypothyroidism, hypertension, morbid obesity, mild cervical dysplasia, hyperlipidemia, lack of coordination, osteoarthritis, muscle weakness, and difficulty walking. […]

• No harm, potential for more than minimal, patternF656Apr 3, 2025

  Based on medical record review, staff interview, and facility policy review, the facility failed to initiate care plans as needed. This affected five residents (#44, #67, #65, #9, and #4) of 18 resident care plans reviewed. The census was 68. Findings Include: 1. Resident #44 was admitted to the facility on [DATE]. Her diagnoses were Type II Diabetes Mellitus, functional urinary incontinence, blepharitis, hypothyroidism, hyperlipidemia, osteoporosis, vitamin D deficiency, anemia, dysphagia, venous insufficiency, kyphosis, hypo-osmolality and hyponatremia, anxiety disorder, cognitive communication deficit, lack of coordination, depression, shortness of breath, diarrhea, and GERD. […]

• No harm, potential for more than minimal, patternF757Apr 3, 2025

  Based on medical record review, staff interview, and facility policy review, the facility failed to have proper pain parameters for residents using as needed pain medication. This affected two (Residents #67 and #3) of three residents reviewed for pain management. Also, the facility failed to monitor medication side effects for residents prescribed psychotropic medications. This affected two (Resident #4 and #40) of five residents reviewed for unnecessary medications. The census was 68. Findings Include: Resident #67 was admitted to the facility on [DATE]. Her diagnoses were hemiparesis and hemiplegia, acromegaly and pituitary gigantism, morbid obesity, hyperlipidemia, hypertension, dysphagia, muscle weakness, need for assistance with personal care, dysarthria, and edema. […]