Stanton County Health Care Facility Ltcu

In the surveyor’s words

From the most serious findings on record at Stanton County Health Care Facility Ltcu, in the surveyor’s own words.

• Immediate jeopardy, widespreadF584Feb 3, 2023

  The facility census totaled 24 Residents (R). Based on observation, interview, and record review the facility failed to keep the facility heating unit in working condition to ensure comfortable and safe temperature levels in the facility of greater than 71 degrees Fahrenheit (F) for all 24 residents who resided in the facility. On 12/22/22 the heating unit malfunctioned, and the facility called in a maintenance team for repair. On 02/01/23 the heating unit malfunctioned, and temperatures measured below the 71 degree F minimum safe temperature. Upon entry into the facility on [DATE] at 09:45 PM all resident rooms and resident areas measured below the 71 degrees F. […]

• No harm, potential for more than minimal, widespreadF801Aug 28, 2025

  The facility had a census of 22 residents and one kitchen. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to employ a full-time Certified Dietary Manager for 22 residents who reside in the facility and received their meals from the kitchen. This placed the residents at risk of not receiving adequate nutrition.Findings included:- On 08/25/25 at 10:45 AM, Dietary staff preparing for the noon meal, Dietary Staff (DS) BB present in the kitchen. DS BB identified herself as the Dietary Manager, was enrolled in a Dietary Manager Certification course, but had not yet finished the course. […]

• No harm, potential for more than minimal, widespreadF880Aug 28, 2025

  The facility had a census of 22 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to implement Enhanced Barrier Precautions (EBP- infection control interventions designed to reduce transmission of resistant organisms, which employ targeted gown and glove use during high contact care) for Resident (R) 1, who had an indwelling urinary catheter (tube placed in the bladder to drain urine into a collection bag) and shared use of a full body lift sling. […]

• No harm, potential for more than minimal, widespreadF727Aug 10, 2023

  The facility had a census of 23 residents. Based on observation, record review, and interview, the facility failed to provide Registered Nurse (RN) coverage eight hours a day, seven days a week, that placed all the residents who reside at the facility at risk of lack of assessments and inappropriate care. Findings included: - Upon review of Payroll Based Journal (PBJ- a required detail information submitted by nursing homes of staffing information that is required by the Centers of Medicare and Medicaid Services [CMS]) the facility reported a lack of RN consecutive eight-hour coverage for 20 dates during the months of April 2022, May 2022, June 2022, July 2022, August 2022 and September 2022. […]

• No harm, potential for more than minimal, widespreadF812Aug 10, 2023

  The facility reported a census of 23 residents. The facility identified one central kitchen with one dining area. Based on observation, interview, and record review, the facility failed to provide sanitary food preparation and storage of food to prevent the spread of food borne illness to the residents of the facility. Findings included: - Initial environmental walk through of the kitchen on [DATE] at 12:20 PM with Dietary Staff C identified the following concerns: 1. In the side-by-side refrigerator, a container of strawberry topping labeled with an open date of [DATE]. 2. In the side-by side refrigerator, a container of cream cheese labeled with an open date of [DATE]. 3. In the side-by side refrigerator, a container of pre-sliced potatoes, lacked open or expiration dates. 4. […]