Mineral Point Health Services

Inspectors wroteBased on interview and record review the facility did not ensure that residents received treatment and care in accordance with professional standards of practice for 2 of 3 residents (R6 and R3) reviewed. R6 was taking aspirin, the facility failed to monitor for signs and symptoms of bleeding, failed to notify the physician about their change of condition, and failed to complete an assessment when R6 had a change of condition. R3, who has CHF (Congestive heart failure) was admitted with orders for daily weights and the facility did not conduct these weights to monitor her condition. The facility also did not contact the physician immediately upon a severe weight change. Evidenced by: [...]

Inspectors wroteBased on interview and record review, the facility did not ensure that a resident's medical record included documentation that indicates the resident or resident representative was provided education regarding the benefits and potential side effects of the COVID-19 vaccine, and that the resident (or representative) either accepted, received or declined the COVID-19 vaccine for 2 of 6 residents (R10 and R7) reviewed for COVID-19 vaccinations. R10 was not vaccinated for COVID-19 and became infected with COVID-19 that resulted in a hospitalization. The facility did not have documentation stating that the vaccination was offered, declined/consented to, or that the resident and or POA (Power of Attorney) was provided education on the vaccine. R7 was not vaccinated for COVID-19. [...]

Inspectors wroteBased 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. [...]

Inspectors wroteBased 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. [...]

Inspectors wroteBased on interview and record review, the facility failed to protect a resident's (R) (R2) right to be free from sexual abuse by another resident (R1). On 3/20/26, R2 was found in bed with R1. Staff at the facility did not report this incident to management. On 4/13/26, R1 was found in R2's room and was inappropriately touching R2. On 4/18/26, R2 was found in R1's room being inappropriately touched by R1. The facility's failure to provide adequate supervision and protect R2 from sexual abuse by R1 created a reasonable likelihood for serious psychosocial harm, thus resulting in a finding of immediate jeopardy (IJ) that began on 4/13/26. Surveyor notified NHA A (Nursing Home Administrator) of the immediate jeopardy on 4/28/26 at 2:50 PM. The immediacy was removed and corrected on 4/18/26. The deficient practice is being cited as past noncompliance. [...]

Inspectors wroteBased 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).

Inspectors wroteBased 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: [...]

Inspectors wroteBased 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: [...]

Inspectors wroteBased 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 . [...]

Inspectors wroteBased 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. [...]

Inspectors wroteBased 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.

Inspectors wroteBased 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: [...]