All citations for Mitchell County Hospital Health Systems Ltcu

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Mitchell County Hospital Health Systems Ltcu

Last standard health inspection on record

February 6, 2025

Showing 1 to 18 of 18 citations

No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 8, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 8, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 8, 2023).
No harm, with potential for more than minimal harm
Have restrictions on the use of highly flammable decorations.
Widespread (many residents). CMS level F.
Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 8, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 8, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 8, 2023).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 8, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 8, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 8, 2023).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Isolated (one or a few residents). CMS level D.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2023).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Isolated (one or a few residents). CMS level D.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2023).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Isolated (one or a few residents). CMS level D.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2023).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level D.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2023).
No harm, with potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Isolated (one or a few residents). CMS level D.
Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2023).
No harm, with potential for more than minimal harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Isolated (one or a few residents). CMS level D.
Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2023).
No harm, with potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Isolated (one or a few residents). CMS level D.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2023).
No harm, with potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Isolated (one or a few residents). CMS level D.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 29, 2023).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 8, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.