Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Mitchell Care Center

Mitchell, NE · 50 certified beds · Last Life Safety survey August 13, 2024

CMS Certification Number 285287 · first certified February 2014

Ownership

Operated by RURAL HEALTH DEVELOPMENT · Government - City/county

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NE

14 citations — more than 44% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (August 2025 to October 2025), and past the point by which nine in ten NE facilities have been surveyed. This facility’s last Life Safety survey was August 2024. Facilities in NE are typically surveyed 12–14 months after the last one (median 13), measured over 271 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 14 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

E-0041

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0923 Have enough outside ventilation via a window or mechanical ventilation, or both.

How that compares

Citations on file over three years

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	14
Median facility in NE	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
July 26, 2022	6
September 26, 2023	3
August 13, 2024	5

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	3	2024-08-13
K-0222	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.	2	2024-08-13
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	2	2024-08-13
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	1	2024-08-13
K-0161	Use approved construction type or materials.	1	2022-07-26
K-0923	Have proper medical gas storage and administration areas.	1	2022-07-26
K-0353	Inspect, test, and maintain automatic sprinkler systems.	1	2022-07-26
E-0041	Implement emergency and standby power systems.	1	2024-08-13

What the citations cover

Citations by CMS category

Gas, Vacuum, and Electrical Systems Deficiencies 5
Miscellaneous Deficiencies 4
Egress Deficiencies 2
Emergency Preparedness Deficiencies 1
Other 2

Citations by CMS category
Category	Citations
Gas, Vacuum, and Electrical Systems Deficiencies	5
Miscellaneous Deficiencies	4
Egress Deficiencies	2
Emergency Preparedness Deficiencies	1
Construction Deficiencies	1
Smoke Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 13, 2024 — 5 citations

Citations issued on August 13, 2024
Tag	What the surveyor checks	Status
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (August 22, 2024)
K-0222	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.	Deficient, Provider has date of correction (September 13, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (September 12, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 22, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (September 20, 2024)

September 26, 2023 — 3 citations

Citations issued on September 26, 2023
Tag	What the surveyor checks	Status
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (October 26, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 26, 2023)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (October 26, 2023)

July 26, 2022 — 6 citations

Citations issued on July 26, 2022
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (August 26, 2022)
K-0222	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.	Deficient, Provider has date of correction (August 25, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 19, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 18, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 26, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (August 18, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.