Mitchell County Hospital Health Systems

• Have properly located and lighted "Exit" signs.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 11, 2025

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 11, 2025

• Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 11, 2025

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 11, 2025

• Have properly installed electrical wiring and gas equipment.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 11, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 11, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 11, 2025

• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 25, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 11, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 8, 2023

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 8, 2023

• Have restrictions on the use of highly flammable decorations.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 8, 2023

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 8, 2023

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 8, 2023

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 8, 2023

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 8, 2023

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 8, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 8, 2023

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2023

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2023

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2023

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2023

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2023

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2023

• Meet requirements for the installation and maintenance of electrical systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 8, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2023

• Establish policies and procedures for volunteers.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 22, 2021

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 22, 2021

• Establish policies and procedures for medical documentation.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 22, 2021

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 22, 2021

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 22, 2021

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 16, 2021

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 16, 2021

• Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 16, 2021

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 16, 2021

Mitchell County Hospital Health Systems offers Skilled Nursing / Long Term Care.

Mitchell County Hospital Health Systems is located at 400 W 8th Street in Beloit, Kansas.

Mitchell County Hospital Health Systems had 3 government inspection visits in the last three years, with 38 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page, or contact Mitchell County Hospital Health Systems directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.