Mitchell County Nursing And Rehabilitation Center

Inspection findings

1. Apr 28, 2026 Health · 9 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected May 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0553 Resident Rights Deficiencies

     Allow resident to participate in the development and implementation of his or her person-centered plan of care.

     Corrected May 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected May 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected May 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

     Corrected May 20, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected May 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected May 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected May 18, 2026 · CMS fire safety

2. Feb 20, 2025 Health · 10 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Mar 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Mar 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Mar 20, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Mar 20, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Mar 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Mar 20, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Mar 20, 2025 · CMS health inspection

3. Jan 18, 2024 Health · 5 findings
   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Feb 18, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Feb 18, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Feb 18, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Feb 18, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0343 Smoke Deficiencies

     Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

     Corrected Feb 18, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• EDWARDS, HELEN — corporate director, NOT APPLICABLE, since 01/09/2020
• GAFFORD, SUZANNE — managing control - governing body, NOT APPLICABLE, since 02/03/2023
• GAFFORD, SUZANNE — corporate director, NOT APPLICABLE, since 12/01/2022
• GAFFORD, SUZANNE — adp of the snf, NOT APPLICABLE, since 02/03/2023
• GAFFORD, SUZANNE — operational/managerial control, NOT APPLICABLE, since 02/03/2023
• GOEBEL, DONNA — corporate director, NOT APPLICABLE, since 10/29/2024
• HALL, ROBERT — managing control - governing body, NOT APPLICABLE, since 02/03/2023
• HALL, ROBERT — corporate director, NOT APPLICABLE, since 01/01/2022
• HALL, ROBERT — operational/managerial control, NOT APPLICABLE, since 02/03/2023
• HALL, ROBERT — adp of the snf, NOT APPLICABLE, since 02/03/2023
• JACKSON, KALEB — corporate director, NOT APPLICABLE, since 05/23/2023
• MOORE, DIANE — adp of the snf, NOT APPLICABLE, since 04/03/2023
• MOORE, DIANE — corporate director, NOT APPLICABLE, since 04/24/2023
• MOORE, DIANE — managing control - governing body, NOT APPLICABLE, since 04/24/2023
• OLSTOWSKI, HENRYK — corporate director, NOT APPLICABLE, since 03/22/2022
• PEREIDA, RUTH — operational/managerial control, NOT APPLICABLE, since 08/25/2025
• PEREIDA, RUTH — adp of the snf, NOT APPLICABLE, since 08/21/2025
• RICKARD, MARSHA — corporate director, NOT APPLICABLE, since 04/21/2016
• ROACH, DEE — adp of the snf, NOT APPLICABLE, since 01/01/2024
• RUBIO, MARIA — corporate director, NOT APPLICABLE, since 07/24/2018
• WOMACK, RICHY — corporate director, NOT APPLICABLE, since 02/08/2024
• MITCHELL COUNTY HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 12/30/2024
• MITCHELL COUNTY HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 01/14/2025
• MITCHELL COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 01/01/1967
• RURAL HOSPITAL MANAGEMENT — adp of the snf, NOT APPLICABLE, since 01/14/2025
• RURAL HOSPITAL MANAGEMENT — operational/managerial control, NOT APPLICABLE, since 06/02/2012