Smiths Mill Health Campus

In the surveyor’s words

From the most serious findings on record at Smiths Mill Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761Apr 30, 2026

  Based on medical record review, observation, staff interview, and review of facility policy, the facility failed to properly store drugs and biologicals in the medication storage rooms and ensure all medications were properly stored in a secured location. This affected two of two medication rooms reviewed for medication storage. This affected Resident #31 and had the potential to affect all 49 residents in the facility.Findings include:1. An observation on [DATE] at 10:49 A.M. revealed in both of the facility's medication storage rooms, in the cabinets, multiple boxes containing 100 three milliliter (ml) syringes with expiration date of [DATE]. The medication storage areas also revealed multiple boxes containing tuberculin syringes with an expiration date of [DATE]. […]

• No harm, potential for more than minimal, widespreadF727Feb 25, 2025

  Based on record review and staff interviews, the facility failed to staff a registered nurse eight hours a day, seven days a week. The facility census was 42. Findings include: Review of staffing sheets and the staffing tool from 02/11/25 to 02/17/25, there was no registered nurse scheduled for 02/16/25. Interview on 02/24/25 at 10:30 A.M. with the Administrator confirmed there was no registered nurse on the assignment sheet for Saturday 02/16/25.

• No harm, potential for more than minimal, widespreadF725Aug 7, 2024

  Based on observation, medical record review, staffing schedule review, review of the facility assessment, and family, resident, and staff interviews, the facility failed to ensure there was adequate staffing to provide activities of daily living (ADL) care for Residents #5, #12, #19, and #39. This affected four residents (#5, #12, #19, and #39) of seven residents reviewed for ADL care with the potential to affect all 46 residents. The facility census was 46. Findings include: 1. On 08/05/24 at 5:40 A.M., observation of staff revealed there were three licensed nurses, four State tested Nursing Assistants (STNAs) and two STNAs in training on duty to provide care for 46 residents currently residing in the facility. […]

• No harm, potential for more than minimal, widespreadF725Jul 6, 2023

  Based on observation, medical record, review, staffing schedule review, review of the Centers for Medicare and Medicaid Census and Condition (CMS) Form 672, review of the facility assessment, and interviews, the facility failed to ensure there was adequate staffing to provide bathing for residents. This affected five residents (Residents #3, #23, #26, #87, and #187) of six residents reviewed for bathing with the potential to affect all 36 residents. The facility census was 36. Findings include: 1. On 07/03/23 at 7:30 A.M. three surveyors entered the facility to conduct an annual and complaint investigation. […]

• No harm, potential for more than minimal, widespreadF725Mar 31, 2023

  Based on observation, medical record review, staffing schedule review, review of the Centers for Medicare and Medicaid Census and Condition (CMS) Form 672, review of the facility assessment, and interviews, the facility failed to ensure there was adequate staffing to provide bathing for residents. This affected six residents (Residents #12, #13, #15, #18, #28, and #29) of six residents reviewed for bathing with the potential to affect all 40 residents. The facility census was 40. Findings include: 1. On 03/31/23 at 5:01 A.M. the surveyor entered the facility to conduct the complaint investigation. […]