MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU, in BELOIT, Kansas, holds 36 certified beds and has been certified for Medicare and Medicaid since 2008-09-01, averaging 32.7 residents a day.
Has MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU been cited for violations?
CMS lists 14 health-inspection deficiencies for MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU since 2021-11-22, 2 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2025-02-06.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-02-06 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E |
| 2025-02-06 | F0700 | 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. | D |
| 2023-05-31 | F0610, F0656, F0657, F0689, F0692, F0744, F0756, F0758 | Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. | D |
| 2021-11-22 | F0625, F0684, F0756, F0758 | 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. | D |
How is MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU staffed?
| Measure | This facility | KS average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.78531 | 4.06686 |
| Total nursing staff turnover (%) | 27.8 | 48.1 |
| Average number of residents per day | 32.7 | 50.5 |
Who owns MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU?
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU is registered with CMS as Government - County, operates under the legal business name MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS | since 07/01/2005 |
| MANAGING CONTROL - GOVERNING BODY | KIRCHER, JANELLE, MAROZAS, CHRISTINE | since 01/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS, CLEVELAND, NICKI, EILERT, LEANNE, GAVINO, LUIGI, KIRCHER, JANELLE, MAROZAS, CHRISTINE, SIMMONS, STEPHANIE | since 01/01/2021 |
| TRUSTEE OF THE SNF | MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS, MAROZAS, CHRISTINE | since 01/01/2021 |
| ADP OF THE SNF | MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS, KIRCHER, JANELLE, MAROZAS, CHRISTINE | since 05/13/2025 |
Were you or a family member harmed at MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU?