Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

September 10, 2025 Complaint Investigation

Fines and Penalties by Year

2022 4 penalties totaling $7,272

$2,302
Apr 18, 2022

Fine

$1,988
Mar 28, 2022

Fine

$1,657
Mar 14, 2022

Fine

$1,325
Feb 28, 2022

Fine

2021 1 penalties totaling $983

$983
Nov 29, 2021

Fine

2020 1 penalties totaling $655

$655
Nov 2, 2020

Fine

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Health Violations by Year

2024 6 violations

Tag 0684 D Aug 13, 2024

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

✓ Corrected: Sep 5, 2024
Tag 0756 D Aug 13, 2024

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

✓ Corrected: Sep 5, 2024
Tag 0758 D Aug 13, 2024

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.

✓ Corrected: Sep 5, 2024
Tag 0812 F Aug 13, 2024

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

✓ Corrected: Aug 15, 2024
Tag 0880 E Aug 13, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 12, 2024
Tag 0923 F Aug 13, 2024

Have enough outside ventilation via a window or mechanical ventilation, or both.

✓ Corrected: Aug 30, 2024

2023 8 violations

Tag 0585 D Sep 26, 2023

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: Nov 10, 2023
Tag 0604 D Sep 26, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Nov 10, 2023
Tag 0623 D Sep 26, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Nov 10, 2023
Tag 0625 E Sep 26, 2023

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.

✓ Corrected: Nov 10, 2023
Tag 0657 C Sep 26, 2023

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

✓ Corrected: Nov 10, 2023
Tag 0812 F Sep 26, 2023

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

✓ Corrected: Nov 10, 2023
Tag 0880 D Sep 26, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 10, 2023
Tag 0880 E Mar 1, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 1, 2023

2022 2 violations

Tag 0561 D Jul 26, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Aug 26, 2022
Tag 0880 D Jul 26, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 26, 2022

2021 7 violations

Tag 0582 D Apr 21, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jun 2, 2021
Tag 0657 D Apr 21, 2021

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

✓ Corrected: Jun 2, 2021
Tag 0688 D Apr 21, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jun 2, 2021
Tag 0725 E Apr 21, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jun 2, 2021
Tag 0732 C Apr 21, 2021

Post nurse staffing information every day.

✓ Corrected: Jun 2, 2021
Tag 0761 E Apr 21, 2021

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: Jun 2, 2021
Tag 0923 E Apr 21, 2021

Have enough outside ventilation via a window or mechanical ventilation, or both.

✓ Corrected: Jun 2, 2021

2020 17 violations

Tag 0880 F Dec 8, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 18, 2020
Tag 0885 C Dec 8, 2020

Report COVID19 data to residents and families.

✓ Corrected: Dec 14, 2020
Tag 0609 E Jul 20, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 12, 2020
Tag 0610 G Jul 20, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Aug 12, 2020
Tag 0580 D Mar 12, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 30, 2020
Tag 0583 D Mar 12, 2020

Keep residents' personal and medical records private and confidential.

✓ Corrected: Apr 30, 2020
Tag 0584 D Mar 12, 2020

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Apr 30, 2020
Tag 0600 E Mar 12, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Apr 30, 2020
Tag 0609 E Mar 12, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 30, 2020
Tag 0677 D Mar 12, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 30, 2020
Tag 0684 D Mar 12, 2020

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

✓ Corrected: Apr 30, 2020
Tag 0689 D Mar 12, 2020

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

✓ Corrected: Apr 30, 2020
Tag 0690 D Mar 12, 2020

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: Apr 30, 2020
Tag 0693 D Mar 12, 2020

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Apr 30, 2020
Tag 0697 D Mar 12, 2020

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Apr 30, 2020
Tag 0758 D Mar 12, 2020

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.

✓ Corrected: Apr 30, 2020
Tag 0923 E Mar 12, 2020

Have enough outside ventilation via a window or mechanical ventilation, or both.

✓ Corrected: Apr 30, 2020

2019 10 violations

Tag 0689 D Jun 25, 2019

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

✓ Corrected: Aug 1, 2019
Tag 0689 E Jun 10, 2019

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

✓ Corrected: Aug 1, 2019
Tag 0755 E Jun 10, 2019

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

✓ Corrected: Aug 1, 2019
Tag 0609 D Mar 19, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 17, 2019
Tag 0689 D Mar 19, 2019

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

✓ Corrected: May 17, 2019
Tag 0677 E Feb 11, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 7, 2019
Tag 0679 D Feb 11, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Mar 7, 2019
Tag 0686 D Feb 11, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 7, 2019
Tag 0729 F Feb 11, 2019

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

✓ Corrected: Mar 7, 2019
Tag 0812 F Feb 11, 2019

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

✓ Corrected: Mar 7, 2019

2018 4 violations

Tag 0585 E Jun 19, 2018

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: Jul 12, 2018
Tag 0690 D Jun 19, 2018

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: Jul 12, 2018
Tag 0758 D Jun 19, 2018

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.

✓ Corrected: Jul 12, 2018
Tag 0583 D Mar 22, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: May 3, 2018

2017 18 violations

Tag 0550 D Dec 4, 2017

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

✓ Corrected: Jan 18, 2018
Tag 0558 D Dec 4, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 18, 2018
Tag 0561 D Dec 4, 2017

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Jan 18, 2018
Tag 0565 E Dec 4, 2017

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Jan 18, 2018
Tag 0583 D Dec 4, 2017

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jan 18, 2018
Tag 0600 D Dec 4, 2017

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jan 18, 2018
Tag 0609 E Dec 4, 2017

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jan 18, 2018
Tag 0610 E Dec 4, 2017

Respond appropriately to all alleged violations.

✓ Corrected: Jan 18, 2018
Tag 0656 E Dec 4, 2017

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

✓ Corrected: Jan 18, 2018
Tag 0689 D Dec 4, 2017

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

✓ Corrected: Jan 18, 2018
Tag 0693 D Dec 4, 2017

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Jan 18, 2018
Tag 0698 D Dec 4, 2017

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jan 18, 2018
Tag 0730 E Dec 4, 2017

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Jan 18, 2018
Tag 0740 D Dec 4, 2017

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Jan 18, 2018
Tag 0741 F Dec 4, 2017

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

✓ Corrected: Jan 18, 2018
Tag 0758 D Dec 4, 2017

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.

✓ Corrected: Jan 18, 2018
Tag 0812 F Dec 4, 2017

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

✓ Corrected: Jan 18, 2018
Tag 0867 F Dec 4, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Jan 18, 2018

2016 9 violations

Tag 0174 E Dec 28, 2016

Provide residents with private access to a telephone.

✓ Corrected: Feb 11, 2017
Tag 0225 D Dec 28, 2016

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Feb 11, 2017
Tag 0253 D Dec 28, 2016

Provide housekeeping and maintenance services.

✓ Corrected: Feb 11, 2017
Tag 0279 D Dec 28, 2016

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

✓ Corrected: Feb 11, 2017
Tag 0282 D Dec 28, 2016

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Feb 11, 2017
Tag 0323 D Dec 28, 2016

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

✓ Corrected: Feb 11, 2017
Tag 0329 D Dec 28, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Feb 11, 2017
Tag 0428 D Dec 28, 2016

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

✓ Corrected: Feb 11, 2017
Tag 0441 E Dec 28, 2016

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Feb 11, 2017
🏥 Facility Summary

Mitchell Care Center is a 3-star nursing home in Mitchell, NE with 50 beds.

Most recent inspection: Data not available. No current violations on record.

📞 3086231212
📍 1723 23rd Street, Mitchell, NE
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About Mitchell Care Center

What violations has Mitchell Care Center received?
Mitchell Care Center has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Mitchell Care Center?
Mitchell Care Center has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
When was Mitchell Care Center last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Mitchell Care Center safe?
Safety at Mitchell Care Center should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Mitchell Care Center?
Phone: 3086231212. Address: 1723 23rd Street, Mitchell, NE. For visiting hours and admission information, call the facility directly.
What services does Mitchell Care Center offer?
Mitchell Care Center is a skilled nursing facility with 50 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near Mitchell, NE?
Compare Mitchell Care Center with other nursing homes in Mitchell, NE on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.