Mineral Point Health Services

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility did not ensure that a resident who is unable to carry out activities of daily living (ADLs) receives the necessary services to maintain good nutrition, grooming, personal and oral hygiene for 1 of 12 sampled Residents (R6).R6 has facial hair that is approximately 1/4- 1/2 long and fingernails that are long with a black substance underneath them.Evidenced by:The facility's policy titled Activities of Daily Living (ADLS) last reviewed on 7/26/22 states in part .Care and services will be provided for the following activities of daily living: 1. Bathing, dressing, grooming and oral care.3. A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene.R6 was admitted to the facility on [DATE] with diagnoses that include heart disease, type 2 diabetes mellitus, squamous cell carcinoma of skin and neck (skin cancer), and long-term aspirin use.R6's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility did not offer each resident influenza immunization, and the resident's medical record does not include documentation the resident either received, refused, or was educated on the risks and benefits of the influenza immunization for 1 of 5 residents (R7) reviewed for immunizations. R7 did not receive the influenza vaccine. The facility did not have documentation stating that the vaccination was offered, declined/consented to, or that the resident or their Guardian was provided education on the influenza vaccine. Evidenced by:The facility's policy titled Influenza Vaccination last reviewed on 9/5/25 states in part .2. Influenza vaccinations will be routinely offered annually when it becomes available to the facility, unless such immunization is medically contraindicated, the individual has already been immunized during the time period or refuses to receive the vaccine.9. The resident's medical record will include documentation that the resident and/or the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and policy review, the facility failed to protect the resident's right to be free from verbal abuse by a staff member for one of four residents (R3). Findings include:Review of the facility provided investigative file revealed on 08/13/25 R3 reported to the Administrator and Social Worker that Licensed Practical Nurse 1 (LPN) yelled and swore at R3. R3 was agitated and in pain when LPN1 entered the room to administer evening medications. R3 requested a pain medication and LPN1 attended to another resident's medications and when LPN 1 returned to R3's room, R3 had grown impatient and yelled at LPN1 using vulgar language. LPN1 requested R3 not to use that language and when more vulgar language was used, LPN1, who was frustrated, yelled and swore back at R3. Review of R3's admission Record, located in the EMR under the Profile tab, revealed an admission date of 08/12/24 and readmitted on [DATE] with medical diagnoses that included alcoholic cirrhosis of the liver with ascites and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not assure drugs and biological's used in the facility were stored and labeled in accordance with currently accepted professional practices and include the expiration date when applicable in 1 of 1 medication rooms. This has the potential to affect more than a minimal number of Residents. Surveyor observed the following in the medication storage room: - 4 bottles of Enema Saline Laxative with expiration dates of 2/25. - 6 boxes of Bisacodyl Suppositories with 12 suppositories in each box with expiration dates of 1/25. - 1 Bottle of Major Cough DM Dextromethorphan Polistirex Extended-Release Oral Suspension with an expiration date of 3/25. - 2 bottles of melatonin 1 mg (milligrams) with 180 caplets in each bottle with expiration dates of 3/25. Evidenced by: The facility policy entitled, Storage of Medication, dated 1/23, states, in part: .Policy: Medications and biologicals are stored properly, following manufacturers or provider pharmacy…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment, are reported immediately to the administrator of the facility and to other officials, including the State Survey Agency, in accordance with State law through established procedures for 1 of 14 residents (R26) reviewed for abuse. Facility did not report an abuse allegation involving R26 within the required two hours to the state agency (SA). Evidenced by: The facility policy entitled, Abuse, Neglect, and Exploitation, dated 7/15/22, states, in part: .Policy: It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. Definitions: .Abuse means the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not ensure each resident received the necessary care and treatment for pressure injuries (PI) to promote healing consistent with professional standards of practice (SOP) for 1 of 2 residents (R11) reviewed for pressure injuries. Staff did not perform hand hygiene and did not treat each pressure injury separately when performing wound care for R11. This is evidenced by: The facility's policy title Clean Dressing Change, dated 7/20/22, states in part: .It is the policy of this facility to provide wound care in a manner to decrease potential for infection and/or cross-contamination. Each wound will be treated individually . R11 admitted to the facility on [DATE] with diagnoses including hemiplegia and hemiparesis affecting right dominant side (paralysis and weakness), stage 2 pressure injury to left buttock, and stage 2 pressure injury to right buttock. R11's physician orders include: Enhanced barrier precautions d/t (Due To) wound. Cleanse left…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not ensure its medication error rates are not 5% or greater. There were 2 errors in 28 opportunities which affected 2 out of 5 residents (R26 and R16) included in the medication pass task, which resulted in an error rate of 7.14%. Staff did not administer R16's nasal spray per facility policy and standards of practice. R26 did not receive ordered Senna S with her morning medications. Evidenced by: The facility policy titled Nasal Administration, dated 1/23, states in part: . Policy: To administer nasal medications in a safe, accurate, and effective manner . Procedure: . 9. Administer medication to a resident or help resident to do so if capable, using the following directions: a. Have resident keep head upright. Keep mouth closed, insert tip of pump, spray or inhaler into the nostril. Point the spray tip in the nose toward the back and outer side of the nose. Press a finger against the side of the nose to close one nostril and lean the head…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure residents are free of any significant medication errors for 1 of 6 reviewed for medications (R30). R30 was prescribed an antibiotic that the facility did not administer to her. Findings include R30 was admitted to the facility on [DATE] and has diagnoses that include acquired absence of left foot and infection of skin and subcutaneous tissue. R30's discharge orders, dated and printed on 2/13/25 at 12:32 PM, from the hospital state, Start taking these medications .ciprofloxacin 750 mg (milligrams), take 1 tablet every 12 hours for 19 days. (of note: this order is for twice a day) R30's MAR (Medication Administration Record) shows this medication was never given, and R30 has a skin infection. On 4/02/25 at 10:27 AM, Surveyor interviewed DON B (Director of Nursing) who stated that there was a mix-up with the paperwork that was sent over by the hospital and the ciprofloxacin was not on the orders in the paperwork the facility received. DON B stated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 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 and to help prevent the development and transmission of communicable diseases and infection for 1 of 3 residents (R11) reviewed for enhanced barrier precautions and hand hygiene concerns during medication administration. Staff did not follow Enhanced Barrier Precautions (EBP) of wearing personal protective equipment (PPE) when providing wound care for R11. RN C (Registered Nurse) did not perform hand hygiene at the appropriate times. This is evidenced by: The facility's policy titled Enhanced Barrier Precautions, dated 8/8/24, states in part: It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms (MDROs). Enhanced barrier precautions (EBP) refer to an infection control intervention designed to reduce transmission of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.