Calhoun County Medical Care Facility

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 4/22/26 at 9:42 AM, observation of the main ice scoop holder found the bottom with white and brown crusted debris. An interview with Dietary Manager (DM) J found that it should get cleaned weekly. When asked why the inside bottom was roughed up, DM J stated they replaced the scoop and the old one had some rough edges, we will replace it. On 4/22/26 at 9:43 AM, observation of the underside of the tabletop mixer found some white accumulation of debris in the crevices of the under arm of the unit. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), resulting in the potential for increased risk of respiratory infection among all residents in the facility.

Inspectors wroteBased on observation, interviews and record review, the facility failed to protect the resident's (R1) right to be free from mental and physical abuse by facility staff. This citation pertains to intake number 2672519. Findings Included:Per the facility face sheet Resident #1 (R1) was a [AGE] year-old female with diagnoses of cognitive communication deficit, dementia, muscle weakness, and need for assistance with personal care. Review of R1 Minimum Data Set, dated [DATE], revealed R1 had a Brief Assessment of Mental Status or BIMS score of nine out of 15 which indicated R1 had a moderate impairment with her cognition. The MDS also revealed R1 was on a scheduled pain medication but did not routinely have pain. [...]

Inspectors wroteDuring a tour of the kitchen, at 10:35 AM on 2/18/25, an interview with CDM K found that the facility does not regularly test their sanitizer buckets. When asked about the availability of test strips, it was found that the only test strips available had manufacture expiration date of [DATE]. Further review found that the test strips were for bleach based sanitizer and the facility uses quaternary ammonium. According to the 2022 FDA Food Code section 4-302.14 Sanitizing Solutions, Testing Devices. A test kit or other device that accurately measures the concentration in MG/L of SANITIZING solutions shall be provided. During an evaluation of the kitchen, at 11:00 AM on 2/18/25, an interview with CDM K found that the large floor mixer is used approximately five times per week. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of Legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in water borne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among any or all the residents in the facility.

Inspectors wroteBased observation, interview, and record review the facility failed to ensure proper storage of medication in three of three medication carts and one medication room of three reviewed for medication storage.

Inspectors wroteBased on interview and record review the facility failed to perform a Minimum Data Set (MDS) significant change in condition assessment for one of 19 residents (Resident #87) resulting in the potential for care needs to be unmet. Findings Included: Per the facility census R87 was admitted to the facility on [DATE]. Review of a, Supportive Care Goals Worksheet document dated 1/21/2025, revealed 87's family consented for R87 to have no measures to sustain life, a do not resuscitate (DNR) order, no hospitalization, no routine testing, no routine weights, only essential medication and vital signs were to be given. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure three out of 19 residents (Resident 26, 57, and 87) received care and services that met their care needs resulting in the potential for unmet care needs. Findings Included: Resident #87 (R87): Per the facility census R87 was admitted to the facility on [DATE]. During the entrance conference on 2/18/2025 at 10:04 AM Administrator A stated that the facility did not offer outside contracted Hospice services, but did offer services provided by the facility to residents. Review of the facility, Supportive Care Protocol policy dated 12/20/2022 and revised on 5/10/2023, revealed that the facility provided, .comfort, dignity, and support, as residents enter the last stages of their life. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure proper storage, cleaning and labeling of oxygen/respiratory equipment for two Resident (R57 and R61), of four residents reviewed for oxygen and respiratory care, resulting in the likelihood for cross contamination, respiratory illnesses/disease.

Inspectors wroteBased on observation, interview, and record review the facility failed to insure that one resident (R57) was free from significant medications errors out of one resident reviewed for significant medication errors resulting in the potential for adverse physical reactions/outcomes to residents. Findings Included: Resident #57 (R57) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R57 was a [AGE] year old female admitted to the facility on [DATE], with diagnoses that included acute and chronic respiratory failure, congestive heart failure(CHF), chronic obstructive pulmonary disease, history of lung cancer with lung removal, diabetes mellitus, history pneumonia, anxiety and depression. The MDS reflected R57 had a BIM (assessment tool) score of 15 which indicated her ability to make daily decisions was cognitively intact, and she required set up dressing, hygiene; [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and/or implement a comprehensive care plan for 1 (Resident #25) of 19 residents reviewed, resulting in the potential for unmet care needs.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide restorative services for two of two residents reviewed for limited mobility (Resident #17 & #40), resulting in unmet needs and goals.