NHC Healthcare - Garden City

In the surveyor’s words

From the most serious findings on record at NHC Healthcare - Garden City, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF802Apr 13, 2023

  Based on observation, interview, record review, review of Resident Council meeting minutes, facility recipe review, and facility policy review, the facility failed to have sufficient dietary staff to assure resident meals were served as scheduled and standardized recipes were followed to provide properly cooked, well-seasoned and hot food to residents. The facility's failure to have sufficient dietary staff to prepare and serve meals had the potential to affect 127 residents who received meals that were prepared in the kitchen. […]

• No harm, potential for more than minimal, patternF761Jan 9, 2025

  Based on review of the facility policy, observations and interviews, the facility failed to ensure medications and biologicals were properly stored in 3 of 7 medication carts. Findings include: Review of the facility policy titled, Medication Storage In the Facility documented, Policy: Medications and biological's are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. I. […]

• No harm, potential for more than minimal, patternF880Jan 26, 2022

  Based on observation, interview, record review, and review of facility policy, the facility failed to provide adequate infection control measures to four (Resident (R) 16, 86, 94 and 366) of 29 residents reviewed for infection control when they failed to bag soiled laundry for transport through resident care areas and failed to perform hand hygiene during resident cares. Findings include: Review of the facility's undated policy titled 805 Linen Transport stated, . 1. Place soiled linen from patient room in cart to transport to laundry chute or area. Avoid overfilling so line does not hang over sides of cart. 2. Transport laundry from laundry chute or area room. […]

• No harm, potential for more than minimal, isolatedF695Jan 9, 2025

  Based on observations, interviews, and record review, the facility failed to provide respiratory care consistent with professional standards of practice for 1 of 1 residents reviewed for respiratory care, Resident (R)70. Findings include: The facility did not provide a policy related to Oxygen Administration. Review of R70's Face Sheet revealed R70 was admitted to the facility on [DATE], with diagnoses including but not limited to: unspecified dementia, moderate, with mood disturbance Note: SEE PSYCH NOTES, solitary pulmonary nodule, basal cell carcinoma of skin of nose, hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease, chronic kidney disease, stage 3b, hyperlipidemia, hypothyroidism, unspecified osteoarthritis,… […]

• No harm, potential for more than minimal, isolatedF759Jan 9, 2025

  Based on review of facility policy, observations, record review and interviews, the facility failed to ensure a medication administration error rate of less than 5 percent. The facility additionally failed to ensure an ordered medication for Resident (R)526 was administered timely. The medication administration error rate was 12.12 percent. Findings include: Review of the facility policy titled Specific Medication Administration Procedures revised on 01/01/19, documented, Purpose: To administer oral medications in a safe, accurate, and effective manner. Review and confirm medication orders for each individual resident on the Medication Administration Record PRIOR to administering medications to each resident. […]