Community Pride Care Center
Community Pride Care Center in Battle Creek, NE — inspection on December 31, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the facility policy titled Labeling of Medication Containers revised [DATE], revealed all drugs and medications maintained in the facility would be properly labeled in accordance with state and federal regulations.The Policy interpretation and implementation revealed that labels for individual drug containers must include the expiration date.B. An observation on [DATE] at 7:20 AM revealed Registered Nurse (RN)-G, prepared Resident 2's Ozempic (anti-diabetic agent) 0.25 milligrams(mg).
The Ozempic syringe was not dated when opened or when expired and there were 2 doses that had been administered out of the syringe.
Review of Resident 2's [DATE] Medication Administration Record (MAR) revealed an order for Ozempic 0.25 mg 1 time per week on Tuesday. An observation on [DATE] at 11:30 AM revealed Resident 21's Ozempic syringe was not dated when opened or expired and there were 3 doses that had been administered out of the syringe.
Review of Resident 21's [DATE] MAR revealed an order for Ozempic 1 mg 1 time per week on Thursday. On [DATE] at 11:30 AM the Director of Nursing (DON) confirmed that the Ozempic syringe for Resident 2 and Resident 21 should have an expiration date on them after the first dose was administered.
Review of the facility policy Covid-19 Testing last revised 6/24/25 revealed the purpose was to prevent Covid-19 from entering the nursing home, detecting cases quickly, and stopping transmission.
The procedure included the following: -Residents with signs and symptoms must be tested.
C.
An observation on 12/29/25 at 10:15 AM revealed that Resident 6 had sinus congestion.
An observation on 12/30/25 at 7:45 AM revealed that Resident 6 had clear sinus drainage and dry cough.
Review of Resident 6's Physician's Order fax form dated 12/30/25 revealed that the physician was notified of the resident being congested. An order was received for Claritin (antihistamine)10 milligrams daily as needed for allergy symptoms and Mucinex (relieves cough) 2 times daily for 10 days.
There was no order to complete a Covid-19 test.
Review of nursing documentation for Resident 6 from 12/25/25 to 12/31/25 revealed no documentation of congestion, cough or sinus drainage.
An interview with the DON on 12/31/25 at 2:00 PM confirmed that when a resident had symptoms of Covid the physician was to be notified, and an order was to be received to test the resident for Covid. Resident 6's physician was not asked to complete a Covid test when the resident was showing potential symptoms of Covid.
285208 12/31/2025
Community Pride Care Center 901 South 4th Street Battle Creek, NE 68715
Review of the current medication orders for Resident 31 dated 6/16/25 revealed an order for Nitrofurantoin/Macrodantin (antibiotic medication) 100 mg capsule take one capsule by mouth twice daily for recurrent urinary tract infection.
There was no ordered duration of use for the Antibiotic medication.
Review of Resident 31's Care Plan with a revision date of 7/15/25 revealed the resident had incontinence and decreased bladder capacity, took medication for an overactive bladder and the antibiotic medication for prevention of urinary tract infections.
There was no evidence the facility was monitoring for adverse effects of continuous use of antibiotics or a clinical rationale to continue antibiotics indefinitely.
Review of Resident 31's physician documentations revealed no evidence of a documented clinical rationale for continuous use of an antibiotic.
During an interview on 12/30/25 at 2:28 PM The DON confirmed Resident 31's antibiotic medication Macrodantin had been given daily since May 2025 without an ordered duration for use or documented clinical indication for continued use.
E.
Review of Resident 37's Physician's orders revealed an order for Azithromycin (antibiotic) 250 mg 3 times per week dated 10/31/25 with a clinical indication for use of Chronic Obstructive Pulmonary Disease (COPD)(lung disease that makes it hard to breathe). No evidence of how long the resident was to continue taking the medication.
Review of Resident 37's Care Plan dated 10/31/25 revealed the resident had COPD with a cough, low energy level and shortness of breath but no indication the resident was taking an antibiotic medication or no clinical indication for the use of a continuous antibiotic.
During an interview on 12/31/25 at 1:00 PM with Registered Nurse (RN)-N confirmed Resident 37's antibiotic Azithromycin had been given 3 times weekly since 10/31/25 without an ordered duration for use or documented clinical indication for continued use.
285208 12/31/2025
Community Pride Care Center 901 South 4th Street Battle Creek, NE 68715