HospitalInspections.org

Based on observation, record review and interview, the hospital failed to ensure:

1. integrity of ceiling tiles for one (Mercy Hospital Logan County) of one facilities
2. receptacle for safe disposal of sharps for one (Omnicell room B) of one sharps boxes
3. maintenance of walls in one (Room 108) of two negative pressure patient rooms


CEILING TILES

On 02/27/25 from 10:16 AM to 11:20 AM, during a tour of the hospital, 12 ceiling tiles were observed to be wet, have brown stains or displaced. Specifically:

1. Room 107 - stained tile at door entrance
2. Swing Bed Activity Room hallway - four stained tiles
3. Room 112 - stained tile at door entrance
4. Hallway at Room 112 - stained tile
5. Hallway at Room 117 - stained tile
6. Rehab Therapy Gym - wet tile
7. ED ambulance entrance - stained tile
8. ED ambulance entrance - two displaced tiles

On 02/27/25 at 11:50 AM, Staff AA observed the ceiling tiles and stated when ceiling tiles are wet, stained or displaced, the smoke barrier is compromised.


SHARPS BOX

On 02/27/25 from 10:16 to 11:20 AM, during a tour of the hospital, a full sharps box was observed in Omnicell room B.

Record review showed no sharps box policy.

On 02/27/25 at 10:52 AM, Staff J observed the full sharps box and stated it posed the risk of a sharps injury to staff.


EXPOSED DRYWALL

On 02/27/25 from 10:16 AM to 11:20 AM, during a tour of the hospital, separation of caulk and paint and exposed drywall was observed at the perimeter of the window of patient room 108. Specifically:

1. Both sides of window sill - approximately 6" x ¼" separation
2. Left side of window - approximately 36" x ½" inch separation
3. Right side of window - approximately 6" x ¼" inch separation

On 02/27/25 at 10:29 AM, Staff J observed the exposed drywall and stated it posed a risk for infection.

Based on observation and interview, the hospital failed to ensure terminally cleaned room for one (Room 108) of two negative pressure patient rooms.

On 02/27/25 from 10:16 AM to 11:20 AM, during a tour of the hospital, separation of caulk and paint and exposed drywall was observed at the perimeter of the window of patient room 108. Specifically:

1. Both sides of window sill - approximately 6" x ¼" separation
2. Left side of window - approximately 36" x ½" inch separation
3. Right side of window - approximately 6" x ¼" inch separation

On 02/27/25 at 10:29 AM, Staff J observed the exposed drywall and stated it posed a risk for infection.

Based on record review and interview, the hospital failed to ensure residents were informed of their rights for 16 (Patients #1, 2, 5, and 13-25) of 16 swing bed patients.

Review of the hospital admission packet showed no resident rights for swing bed patients.

On 02/27/25 at 3:34 PM, Staff J stated acute care inpatients and swing bed patients receive the same hospital admission packet.

On 03/03/25 at 9:06 AM, Staff R stated their ministry (corporate) level was drafting a swing bed patient rights document that will now be given to swing bed patients.

Based on observation and interview, the hospital failed to ensure unexpired items on crash cart for one (B Crash Cart east hall) of one crash carts.

On 02/27/25 from 10:16 AM to 11:20 AM, during a tour of the hospital, expired defibrillator pads were observed on the B Crash Cart in the east hall. Specifically:

1. One package of Regard Adult/Child defibrillator pads that read in part, "LOT # Y040815-01 Use before date: 2018-04-16"

On 02/27/25 at 10:59 AM, Staff J observed the expired defibrillator pads and stated they posed the risk of failing to work during a code blue.