MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU
BELOIT, KS · 36 beds · Government - County
Red Flags
No red flags identified.
Green Flags
- ✓ 5-star health inspection rating
- ✓ 5-star staffing rating
- ✓ Below-average deficiency count (2 vs 10 state avg)
- ✓ No fines or penalties on record
- ✓ Above-average RN staffing (1.26 hrs vs 0.80 state avg)
Quick Facts
Violation Timeline
February 5, 2025
6 deficiencyiesQuality of Life and Care Deficiencies
Show details
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Infection Control Deficiencies
Show details
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Quality of Life and Care Deficiencies
Show details
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Infection Control Deficiencies
Show details
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Quality of Life and Care Deficiencies
Show details
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Infection Control Deficiencies
Show details
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
May 30, 2023
14 deficiencyiesFreedom from Abuse, Neglect, and Exploitation Deficiencies
Show details
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Show details
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Show details
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Show details
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Show details
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Show details
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Pharmacy Service Deficiencies
Show details
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Show details
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show details
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Show details
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Show details
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Show details
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Show details
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Show details
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Staffing
A nurse checks on each resident roughly every 4.5 hours on average.
Fines & Penalties
No fines or penalties on record.
Ownership
-
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 07/01/2005
100% Organization -
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS
OPERATIONAL/MANAGERIAL CONTROL
Since since 07/01/2005
Organization -
CLEVELAND, NICKI
OPERATIONAL/MANAGERIAL CONTROL
Since since 06/02/2015
Individual -
EILERT, LEANNE
OPERATIONAL/MANAGERIAL CONTROL
Since since 10/07/1999
Individual -
GAVINO, LUIGI
OPERATIONAL/MANAGERIAL CONTROL
Since since 06/26/2023
Individual -
KIRCHER, JANELLE
OPERATIONAL/MANAGERIAL CONTROL
Since since 02/07/2023
Individual -
MAROZAS, CHRISTINE
OPERATIONAL/MANAGERIAL CONTROL
Since since 01/01/2021
Individual -
SIMMONS, STEPHANIE
OPERATIONAL/MANAGERIAL CONTROL
Since since 11/18/2010
Individual
Questions about a facility? Explore your options.
Free resources for families navigating nursing home concerns.
NurseCheck is not a law firm. This is a free informational resource.