Mount Olive Center

In the surveyor’s words

From the most serious findings on record at Mount Olive Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 1, 2025

  Based on observations, record review, and resident, staff, Nurse Practitioner, (NP) Psychiatric NP and Medical Director interviews, the facility failed to assess a resident for self-administration of her enteral feedings (a method of delivering nutrition directly into the gastrointestinal tract, typically through a feeding tube, for individuals who cannot consume food orally) and to put effective interventions in place after Resident #13 was repeatedly observed by staff putting unidentified liquids in her gastronomy tube (g-tube [provides nutrition via a liquid formula delivered through a flexible tube that is surgically placed through the abdomen into the stomach]); rummaging through the trash for food /liquids; chewing and spitting out food items into the trash can; obtaining food as a… […]

• Immediate jeopardy, isolatedF580Oct 3, 2024

  Based on record review, and interviews with staff, medical physician, responsible party, nurse practitioner and paramedic, the facility failed to ensure staff notified the physician when a resident (Resident # 13) was observed by nurse aides to be zonked, talking out of his head, not eating any of his supper meal and complaining of being tired in conjunction with a new rash observed on multiple areas of his body by multiple staff members. Additionally, one staff member referenced the rash as a death rash and thought the physician had already been notified. The resident was transferred to the hospital by emergency services when staff called 911 the following day. The resident was identified to be in septic shock and expired while hospitalized . […]

• Immediate jeopardy, isolatedF684Oct 3, 2024

  Based on record review, and interviews with staff, physician, and paramedic, the facility failed to ensure staff recognized the need for communication amongst themselves and with the physician to ensure a resident received medical services to address an emergency situation (Resident # 13). Resident # 13 reportedly had a death rash in conjunction with nurse aides' observations of him being zonked, talking out of his head, not eating any of his supper meal and complaining of being tired. […]

• Immediate jeopardy, isolatedF600May 6, 2022

  Based on record review, observation, psychiatric Nurse Practitioner, staff, and resident interviews, the facility failed to protect Resident #1 from physical abuse by Resident #2 who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . She asked Resident #1 for a light for her cigarette and when he refused, she attacked him punching him in the face causing both residents to fall to the ground. Resident #2 continued hitting Resident #1 while both residents were on the ground. Resident #1 sustained 3 scratches to his face with bleeding and an abrasion to his left knee. This abuse affected 1 of 2 residents reviewed for resident-to-resident altercations. […]

• Immediate jeopardy, isolatedF689Mar 18, 2022

  Based on observation, record review, police interview, and staff interviews the facility failed to prevent a resident with cognitive impairment and exit seeking behaviors from exiting the facility unsupervised on two occasions. On 1/30/21 Resident #125 exited the building from a first floor window and was found in a bush. This second incident on 5/21/21 resulted in Resident #125 being brought back to the facility by law enforcement after being found approximately a quarter of a mile from the facility. The facility also failed to implement the fall risk intervention of a fall mat at bedside (Resident #112), and to assess a resident (Resident #108) for safe smoking prior to allowing independent smoking and keeping smoking materials in her room. […]