NHC Healthcare, Milan

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF689Aug 27, 2025

  Based on policy review, job description review, medical record review, observation, and interview, the facility failed to ensure the environment was free from accident hazards when hot water temperatures ranging from 120 degrees Fahrenheit (F) to 138 degrees F were found in 23 of 92 (Resident #2, #11, #13, #23, #27, #28, #33, #46, #58, #63, #65, #66, #71, #76, #77, #82, #84, #87, #88, #90, #95, #105 and #106) Residents' bathrooms. Eleven Residents who were physically and/or cognitively impaired (Residents #11, #27, #28, #33, #46, #63, #65, #66, #71, #77, and #95) resided in a room with elevated hot water temperatures and nine of the cognitively impaired residents were able to access the hot water in their rooms. The findings include: 1. […]

• No harm, potential for more than minimal, patternF550Jun 30, 2021

  Based on review of the Partner Handbook and Social Work Services Manual, observation, and interview, the facility failed to maintain or enhance resident dignity and respect when 4 of 18 staff members (Certified Nursing Assistant (CNA) #1, #5, #6, and #7) failed to knock before entering a resident's room and did not use courtesy titles to address residents. The findings include: Review of the facility's undated handbook titled, [Named company] Partner Handbook, revealed .CARING IN A BETTER WAY DAY BY DAY .combines the best clinical care with the best customer satisfaction for patients .Respect your privacy, dignity . […]

• No harm, potential for more than minimal, patternF812Jun 30, 2021

  Based on review of the Centers for Disease Control (CDC) and Prevention guidance, policy review, observation, and interview, the facility failed to food was served under sanitary conditions when 6 of 18 staff members (Certified Nursing Assistant (CNA) #1, #2, #3, #5, #6, and #7) failed to don appropriate personal protective equipment (PPE) when entering a contact isolation room, failed to perform hand hygiene after touching potentially contaminated objects before serving residents meals, used their bare hands to handle a resident's food, failed to perform hand hygiene before and after glove use, failed to perform hand hygiene between serving residents, and used long acrylic nails to open a carton of milk. […]

• No harm, potential for more than minimal, isolatedF569Aug 27, 2025

  Based on policy review, resident trust account review, medical record review, and interview, the facility failed to refund the residents' funds within 30 days of death or discharge for 2 of 52 sampled residents (Resident #109 and #110) reviewed for trust fund account statements. The findings include: 1. Review of the facility policy titled, Patient Trust, dated 10/2010, revealed .The balance remaining for a patient's trust fund account should be refunded as soon as all transactions are fully accounted for after a patient is discharged or deceased .the funds should be refunded within 30 days of death or discharge. 2. Review of the medical record revealed Resident #109 was admitted to the facility on [DATE], with diagnoses including Hemiplegia, Pneumonia, Dysphagia, and Dementia. […]

• No harm, potential for more than minimal, isolatedF693Aug 27, 2025

  Based on policy review, record review, observation, and interview, the facility failed to provide care and services for residents with a percutaneous enteral gastrostomy (PEG) tube (a tube inserted through the skin and into the stomach to administer medications and supplements) when staff failed to administer the ordered enteral feeding and failed to check the residual volume for 2 of 2 residents (Resident #4 and #97) reviewed for tube feedings. The findings include: 1. Review of the facility policy titled, Peg tube medication administration, dated 12/2019, revealed .Check to see if the exit of the tube [PEG tube] was marked upon initial insertion. If tube was not marked check gastric residual volume unless the patient is able to verbalize discomfort such as nausea/vomiting, bloating. 2. […]