North Central Health Care

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 10, 2024

  Based on interview and record review, the facility failed to ensure a resident utilizing a Hoyer lift for transfers received adequate supervision and assistance devices to prevent accidents for 1 of 3 residents (R) (R1.) On [DATE], staff transferred R1 utilizing the incorrect sling type during a Hoyer lift transfer from chair to bed. As a result, R1 fell out of the incorrect Hoyer sling, hitting the right side of her face on the leg of the Hoyer lift. R1 had injuries of a nosebleed, and bruising to both eyes, forehead, and cheekbone. R1 expired on [DATE]. […]

• Actual harm, isolatedF689Aug 21, 2025

  The facility did not provide adequate supervision to prevent accidents for 2 of 4 sampled residents (R51 and R3).R51 sustained four falls without adequate supervision or a root cause being determined, the last fall resulted in R51 suffering major injury, causing R51's overall decline and admission to hospice services. This is being cited at actual harm. R3 had multiple falls, the care plan was not updated with the interventions to prevent falls. Findings include: The facility's policy, titled Nursing Home Falls Prevention and Management, revision dates 09/21/23 and 07/31/25, read in part, Fall Huddle is a brief meeting immediately after the fall that includes staff caring for the individual who fell and their family, if able to participate. […]

• No harm, potential for more than minimal, widespreadF657Aug 21, 2025

  Based on record review and interview, the facility did not ensure each resident (R), or their representative had the right to participate in the care planning process after each Minimum Data Set (MDS) assessment for 4 of 4 residents (R6, R2, R3, and R48) reviewed for care conferences.This is evidenced by:The facility's policy titled Person centered Service Policy dated 04/01/24, read in part. 2. Definitions, Care Plan: An individual plan for each resident describing goals, interventions, approaches built by the Interdisciplinary team (IDT) with input from the resident or resident representative.Resident's Goal: The resident's desired outcomes and preferences for admission, which guide decision making during care planning. […]

• No harm, potential for more than minimal, widespreadF880Aug 21, 2025

  Based on observation, interview and record review, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable disease and infections. This had the potential to affect all 119 residents in the facility.-Clean linens were not covered in the facility's laundry room where dirty fans were blowing on the linens. Findings:The facility's policy titled Processing of Laundry and Linens, reads in part, . Linens stored in the laundry will be on covered carts. Clean linens will not be stored in areas that contain environmental contamination (air conditioners, chairs, etc.) . […]

• No harm, potential for more than minimal, widespreadF812Jun 6, 2024

  Based on observation, interview and record review, the facility did not store, prepare and distribute foods in a sanitary manner. The facility's practices have the potential to affect 111 residents who eat orally. Cook F's facial hair/mustache was observed uncovered in the facility's kitchen where foods are prepared and stored. Equipment in the kitchen was observed uncovered while not in use in areas where food is prepared which has the potential for contamination of the equipment. […]