NHC Healthcare, Sparta

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 24, 2026

  Based on facility policy review, manufacturer's guidelines review, medical record review, facility investigation review, and interviews, the facility failed to provide adequate assistance and supervision to prevent falls for 1 of 3 (Resident #87) residents reviewed for accident hazards. Resident #87, who was dependent on staff for bed mobility, fell from her bed on 5/24/2026 when her bed malfunctioned and was in the highest position. Resident #87 sustained a right wrist fracture and 3 sutures to her right forehead which resulted in actual HARM to the resident. The findings include: Review of the facility policy titled, Patient Care Policies, revised 3/2026, .Safety precautions are taken to prevent .patient accidents . […]

• No harm, potential for more than minimal, widespreadF812Jun 11, 2025

  Based on review of the facility policy, review of the United Stated Department of Agricultures' website, observation and interview the facility failed to maintain a sanitary kitchen, failed to ensure kitchen equipment was maintained in a sanitary condition, and failed to ensure food was served at the appropriate temperature during the pre-plating temperature check. Review of the facility policy titled, Cleaning Equipment, revised 11/2017, revealed .Equipment must be cleaned and/or sanitized after every use and according to manufacturers' recommendations .The physical facilities shall be cleaned as often as necessary to keep them clean. […]

• No harm, potential for more than minimal, isolatedF578Jun 11, 2025

  Based on facility policy review, medical record review, and interview, the facility failed to document if residents had an advanced directive and residents advance directive decisions in the medical record for 5 residents (Residents #5, #33, #57, #67, and #76) of 24 residents reviewed for advanced directives. The findings include: Review of the facility policy titled, Social Work Services Manual revised 11/2017, revealed .Included in the Patient Rights booklet is the Patient's Right to Form Advanced Directives .All information regarding advance directives is to be included directly in the Patient Rights booklet . […]

• No harm, potential for more than minimal, isolatedF600Jun 11, 2025

  Based on facility policy review, medical record review, review of facility documents, and interview, the facility failed to protect the resident's right to be free from physical abuse by a resident for 1 resident (Resident #200) of 24 residents reviewed for abuse. Findings include: Review of the facility's policy titled, Patient Protection and Response Policy for Allegations/Incidents of Abuse, Neglect, Misappropriation of Property and Exploitation, revised 2/1/2023 revealed, .Abuse .will not be tolerated by anyone, including staff, patients, consultants, volunteers, family members or legal guardians, friends, visitor or any other individual in this center. The patient has the right to be free from abuse .Definitions. […]

• No harm, potential for more than minimal, isolatedF695Jun 11, 2025

  Based on facility policy review, medical record review, observation, and interview, the facility failed to date and properly store a nebulizer with mask (a drug delivery device used to administer medication in the form of a mist inhaled into the lungs) for 1 resident (Resident #63) of 8 sampled residents reviewed. The findings include: Review of the facility policy titled, Infection Control Manual Volume 1, updated and reviewed February 2025, revealed, .306 .Respiratory Therapy Equipment .1. Equipment associated with machines such as oxygen, nebulizers, IPPB (Intermittent Positive Pressure Breathing) machines and suction machines are not shared among patients .2. Respiratory equipment is dated when placed at bedside and replaced on schedule .3. Respiratory equipment (i.e. […]