Mitchell Care Center
Mitchell Care Center in Mitchell, NE — inspection on September 10, 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
Federal health inspectors cited Mitchell Care Center in Mitchell, NE for a deficiency under regulatory tag F-F0607 during a standard health inspection conducted on 2025-09-10.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of Mitchell Care Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-25.
Federal health inspectors cited Mitchell Care Center in Mitchell, NE for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-09-10.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of Mitchell Care Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-25.
Based on record review and interview, the facility failed to ensure 2 of 5 sampled nurse aides (NA) completed the required 12 hours of ongoing training annually and failed to ensure 5 of 5 sampled NAs had completed 4 hours of Alzheimer's care and dementia care training annually.
This had the potential to affect all residents who reside within the facility.
The facility census was 42.
Findings Are: A record review of a facility document [NAME] Care Center Employee Hire and Release Dates dated 9/7/2025 revealed the following:-NA-C was hired on 6/25/2024,-NA-D was hired on 5/9/2024,-NA-E was hired on 8/10/2023,-NA-F was hired on 7/17/2023, and -NA-G was hired on 7/10/2019. A.A record review of a facility provided document Employee Training Tracker for NA-F for the timeframe of 7/10/2024-7/10/2025 revealed NA-F had completed 8 hours of ongoing training. A record review of a facility provided document Employee Training Tracker for NA-G for the timeframe of 7/17/2024-7/17/2025 revealed NA-G had completed 1 hour of ongoing training. An interview on 9/9/2025 at 9:55 AM with the Director of Nursing (DON) confirmed NA-F and NA-G had not completed the required 12 hours of ongoing training annually. B.A record review of a facility provided document Employee Training Tracker for NA-C for the timeframe of 6/25/2024 through 6/25/2025 revealed NA-C had not completed any Alzheimer's care or dementia care training. A record review of a facility provided document Employee Training Tracker for NA-D for the timeframe of 5/9/2024 through 5/9/2025 revealed NA-D had not completed any Alzheimer's care or dementia care training. A record review of a facility provided document Employee Training Tracker for NA-E for the timeframe of 8/10/2024 through 8/10/2025 revealed NA-E had not completed any Alzheimer's care or dementia care training. A record review of a facility provided document Employee Training Tracker for NA-F for the timeframe of 7/17/2024 through 7/17/2025 revealed NA-F had not completed any Alzheimer's care or dementia care training. A record review of a facility provided document Employee Training Tracker for NA-G for the timeframe of 7/10/2024 through 7/10/2025 revealed NA-G had not completed any Alzheimer's care or dementia care training. An interview on 9/9/2025 at 9:55 AM with the Director of Nursing (DON) confirmed NA-C, NA-D, NA-E, NA-F, and NA-G had not completed the required 4 hours of Alzheimer's care and dementia care training annually.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.