Scott County Nursing Center

In the surveyor’s words

From the most serious findings on record at Scott County Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 23, 2026

  Based on interview and record review, the facility failed to protect the resident's right to be free from verbal abuse by another resident for 1 of 2 residents (R41) reviewed for abuse in the sample of 24. This failure resulted in R41 feeling scared and threatened.Findings Include:On 4/22/26 at 9:20 AM, R41 stated she was in the dining room talking with some of the other ladies, when R22 propelled himself in his wheelchair over to her and ran into her with his foot pedals, backed up, and did it two more times. R41 stated R22 then said to her get out, she wasn't needed, and he was going to go out and get a corn stalk out of the field and wrap it around her neck. R41 stated she was scared, felt threated, and reported it to the nurse and V1 (Administrator). […]

• Actual harm, isolatedF692Apr 23, 2026

  Based on observation, interview and record review the facility failed to follow physician's orders for weight loss supplements to prevent weight loss for 1 (R5) of 2 residents reviewed for weight loss in the sample of 24. This failure resulted in R5 losing 12 pounds which is 10.34% of weight in less than 30 days.Findings include:R5's Undated Face Sheet documents she was initially admitted to the facility on [DATE]. R5's admission Minimum Data Set (MDS) dated [DATE] documents R5 is severely cognitively impaired. Independent with eating. Height 63 inches and 113 pounds. […]

• Actual harm, isolatedF684Sep 29, 2025

  Based on record review and interview the facility failed to assess and notify the physician after R2 experienced choking incident on 9/13/2025 for 1 of 3 residents reviewed for choking (R2) in the sample of 4. This failure resulted in R2 developing pneumonia which required antibiotic treatment and experiencing an additional choking episode on 9/18/2025 with R2 requiring Heimlich maneuver both times.Findings Include: R2's video swallow study dated 9/5/2025 at 13:23 documents multiple consistencies of food and liquids mixed with barium were fed to R2 by the speech pathologist and the swallowing mechanism was observed under fluoroscopy. The study documents penetration with spontaneous clearing of thin and mildly thick liquids. […]

• Actual harm, isolatedF684Jan 25, 2024

  Based on interview and record review, the facility failed to provide assessment or timely treatment for 1 of 3 residents (R9) reviewed for change of condition in the sample of 34. This failure resulted in R9 being in pain for 3 days without physician notification. R9 sustained a right fractured clavicle. Findings include: R9's Face Sheet, undated, documents that R9 was admitted on [DATE], and has diagnoses of a history of a stroke and heart failure. R9's Minimum Data Set, dated dated [DATE], documents that R9 is severely cognitively impaired, requires limited assistance of 1 staff member for bed mobility, eating and hygiene, extensive assistance of 2 staff members for transfer, and extensive assistance of 1 staff member for dressing. […]

• No harm, potential for more than minimal, widespreadF727Feb 27, 2023

  Based on record review an interview the facility failed to employ a Registered Nurse, (RN), in the facility for 8 hours a day, 7 days a week. This has the potential to affect all 34 residents at the facility. Findings include: 1. The facility nursing schedule dated 01/29/2023-02/21/2023 documents the facility did not have an RN 8 hours a day on 01/29/2023, 02/11/2023, 02/12/2023 and 02/20/2023. On 02/22/2023 at 9:51AM V2, Director of Nursing, (DON), stated, the facility did not have an RN on duty at the facility on 01/29/2023, 02/11/2023, 02/12/2023 and 02/20/2023. On 02/22/2023 at 11:20AM, V1 Administrator stated, the facility does not have a specific staffing policy, but is documented in the resident admission packet. […]