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 5 of 5 citations

  1. No harm, with potential for more than minimal harm

    Establish policies and procedures for medical documentation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of November 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2021).

  2. No harm, with potential for more than minimal harm

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of November 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2021).

  3. No harm, with potential for more than minimal harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of November 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2021).

  4. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2021).

  5. 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 November 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2021).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.