Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mitchell's Nursing Home, Inc during CMS and state inspections, most recent first.
Improper Distribution of Trust Fund Interest: The facility failed to separately account for interest earned on pooled trust fund accounts for 18 residents. Review of trust fund journals showed equal interest deposits were made to resident accounts over multiple months, and the BOM/AA stated she divided the total interest by the number of resident accounts instead of calculating interest based on each resident’s balance. The Administrator stated this was not a fair way to distribute the interest.
Patient trust fund accounts were not properly reconciled or maintained, and quarterly written accountings were not provided to all residents or RP. The BOM/AA stated the account had not been balanced in a while and presented only a bank statement with highlighted transactions instead of a true reconciliation; review also found a resident account with a negative balance, interest split equally instead of prorated, and some accounts over $2,000.00.
Failure to notify residents when trust fund balances reached the $2,000 resource limit. The BOM/AA stated she had not mailed required notices since 2024 because she believed no one had reached the limit, yet survey review found multiple resident accounts over $2,000, including one at $3,000 and another above the limit for nearly 2 months. The BOM/AA also said she overlooked providing written accounting to two residents or their RP, and 14 accounts had funds left in the pooled trust fund account for 4 months after deductions were made for patient liability.
The facility failed to accurately code oxygen use on the MDS for two residents. One resident with CHF, dementia, and depression had a continuous oxygen order and related care plan interventions, but the MDS did not show oxygen use even though staff acknowledged it should have been coded. Another resident with COPD, Parkinson disease, and dementia also had a continuous oxygen order, was observed using oxygen, and had documentation showing continuous oxygen use, yet the MDS still did not reflect oxygen.
The facility failed to ensure the dishwasher machine temperature gauge was in working order. Manual temperature readings were taken for about a month, but the administrator was unaware of the issue. The facility lacked a specific policy for the dish machine, and the temperature log showed exact temperatures recorded despite the gauge being broken.
A resident with unspecified dementia and fall risk was observed using a bed alarm without medical justification. The facility lacked a policy for bed alarms, and staff were unsure of the exact date the alarm was initiated. No other interventions were attempted before the alarm was put in place, highlighting a deficiency in managing the resident's fall risk.
The facility failed to ensure that over-the-counter medications were not expired for medication storage. Expired bottles of N-Acetyl-L-Cysteine, Vitamin and Mineral Supplement, and antiseptic skin cleanser were found. The DON confirmed the absence of a medication storage policy, and an LPN removed the expired medications.
The facility failed to ensure proper hand hygiene practices among its staff, leading to potential infection control issues. Staff members were observed not washing or sanitizing their hands after resident care or between assisting different residents, despite the facility's policy requiring hand hygiene between resident interactions.
Improper Distribution of Trust Fund Interest
Penalty
Summary
The facility failed to provide separate accounting of interest for 18 residents with trust fund accounts in the pooled account. Review of the Patient Trust Fund individual journals showed interest deposits were made to each resident’s individual account in equal amounts, including .37 cents on 08/29/2025, .31 cents on 07/31/2025, .25 cents on 06/30/2025 for all but one account that received .23 cents, and .28 cents on 05/30/2025. This pattern of equal interest deposits was documented from 05/31/2024 through 08/29/2025. During interviews, the Administrator stated the BOM/AA had told her she was dividing the interest paid on the pooled account by the number of residents with trust fund accounts and depositing the interest account-wide, and that this was not a fair way to distribute interest because it should be calculated based on each individual’s money in the account. The BOM/AA stated she had allocated interest by dividing the total interest paid to the pooled account by the number of resident accounts and depositing an equal amount to each account, and acknowledged that residents with more money should receive more of the interest. She also stated she should not have allowed a resident’s account to be depleted to a negative balance because it affected interest rates.
Patient Trust Fund Accounts Not Properly Reconciled or Reported
Penalty
Summary
The facility failed to establish and maintain a system based on generally accepted accounting principles to ensure a full and complete accounting of residents’ personal funds held in the pooled patient trust fund account, and it failed to provide quarterly written accountings to residents or their representatives within 30 days after the end of the quarter. This affected all 18 residents with trust fund accounts in the pooled account. During review, the surveyor requested the bank reconciliation for 08/31/2025, but the Business Office Manager/Assistant Administrator presented a bank statement dated 09/01/2025 and only a portion of resident ledger sheets. She stated she had not balanced the patient trust fund account in a while. When asked for the most recent reconciliation, the BOM/AA presented a bank statement dated 09/01/2023 with transactions highlighted in yellow, but no bank reconciliation, and stated that was the last time she reconciled the statement. The Administrator reviewed the information and stated it was not a bank reconciliation. Review of the trust fund documentation showed one resident account had a negative balance on 05/08/2025, interest had been allocated equally rather than prorated based on each resident’s balance, and some accounts exceeded $2,000.00 at month end. The Administrator stated the facility had no policy on the patient trust fund and that the BOM/AA was responsible for keeping the accounts balanced and maintaining accurate accounting, while the BOM/AA acknowledged that quarterly written statements had not been provided to all residents or responsible parties and that some residents over $2,000.00 had been overlooked.
Failure to Notify Residents When Trust Fund Balances Exceeded Medicaid/SSI Resource Limit
Penalty
Summary
The facility failed to notify residents receiving Medicaid benefits and/or SSI when their trust fund account balances reached the $2,000.00 resource limit that could affect eligibility. During record review and interviews, the Business Office Manager/Assistant Administrator stated she had not mailed notifications when resident accounts were within the $2,000.00 limit since 2024 because she believed no one had reached that limit. Survey review of the Patient Trust Fund account documentation showed multiple accounts were over $2,000.00 at the close of the month, including one account that remained at $3,000.00 from 09/30/2024 through 11/29/2024 and another that was above the allowable limit from 01/30/2025 through 03/21/2025. During a later interview, the Business Office Manager/Assistant Administrator stated she had not provided a written accounting to two residents with account balances over the $2,000.00 resource limit, or to their responsible party, and said she had overlooked it. She also provided a list of 14 individual accounts that had been deducted from on 05/08/2025 but had never been paid to the facility for resident patient liability, leaving $18,470.21 in the pooled trust fund account and allowing those funds to remain in each individual account for four months. The Administrator stated the Business Office Manager/Assistant Administrator was responsible for sending notifications when resident accounts reached the $2,000.00 limit, and the Business Office Manager/Assistant Administrator later stated she had missed sending some of the notifications.
MDS Did Not Accurately Code Oxygen Use for Two Residents
Penalty
Summary
The facility failed to ensure oxygen use was accurately coded on the MDS for two residents. One resident had diagnoses including CHF, dementia, and depression, and a quarterly MDS with a BIMS score of 6 that did not reflect oxygen use despite a physician order for continuous oxygen at 2-4 liters for SOB, a care plan addressing breathing difficulty, and an oxygen saturation documented while receiving oxygen via nasal cannula. During interview, the MDS nurse stated oxygen was not coded because the resident removes the cannula and acknowledged it should have been documented on the quarterly MDS. The second resident had diagnoses including COPD, Parkinson disease, and dementia, and a quarterly MDS with a BIMS score of 13 that also did not reflect oxygen use despite an order for continuous oxygen at 2-4 liters for SOB, a care plan including oxygen administration and monitoring, a progress note stating the resident wore oxygen continuously, and direct observation of the resident in the hallway using oxygen. The DON stated oxygen would be expected to be documented on the MDS if a resident had oxygen, and the Administrator stated the MDS nurses were responsible for coding the MDS correctly.
Dishwasher Machine Temperature Gauge Not Functioning
Penalty
Summary
The facility failed to ensure the dishwasher machine temperature gauge was in working order. During an observation, a dietary aide was seen using the dish machine, and the temperature gauge was not moving, with the glass covering over the gauge being cracked or broken. The dietary manager took manual temperature readings, which were within acceptable ranges, but indicated that the manual readings had been done for about a month. The dietary manager had notified the repair company the day before the observation, but the administrator was unaware of the issue. The facility did not have a policy for the dish machine, and the temperature log showed exact temperatures recorded for most of May, despite the gauge being broken. The dietary manager provided a form titled 'Food Safety Best Practices: Warewashing,' which documented the need to check gauges and compare readings with minimum temperatures. However, the facility lacked a specific policy for the dish machine. The administrator was not informed about the broken gauge, and the facility continued to record exact temperatures in the log, raising concerns about the accuracy and reliability of the recorded data. This deficiency highlights a lapse in communication and adherence to proper procedures for ensuring food safety standards.
Inappropriate Use of Bed Alarm Without Medical Justification
Penalty
Summary
The facility failed to ensure that a bed alarm was not used for a resident without medical justification. The resident, who had a diagnosis of unspecified dementia and was at risk for falls, was observed using a bed alarm pad in both the bed and a recliner. The resident's care plan included the use of a sensor pad due to fall risk, but there was no documented medical justification for the use of the bed alarm. Staff interviews revealed that the bed alarm had been in use since October 2023 following a fall incident, but no other interventions were attempted before the alarm was put in place. The staff, including the LPN, Activity Director, and DON, were unsure of the exact date the alarm was initiated and did not report any physical or psychosocial changes caused by the device. The facility did not have a policy for bed alarms, and the staff were not aware of any specific interventions attempted before the alarm was used. The resident was not hesitant or afraid to move to avoid setting off the alarm, indicating no immediate adverse effects. However, the lack of a medical justification for the use of the bed alarm and the absence of alternative interventions highlight a deficiency in the facility's approach to managing the resident's fall risk. The observations and interviews conducted by the surveyors confirmed the inappropriate use of the bed alarm without proper documentation or justification.
Expired Medications Found in Storage
Penalty
Summary
The facility failed to ensure that over-the-counter medications were not expired for medication storage. During an observation on 05/29/2024 at 01:30 PM, it was noted that there was one bottle of N-Acetyl-L-Cysteine (NAC) 600 mg with an expiration date of April 2024, one bottle of Vitamin and Mineral Supplement with an expiration date of September 2023, and 18 bottles of antiseptic skin cleanser with an expiration date of April 2024. The Director of Nursing (DON) stated on 05/31/2024 at 10:45 AM that the facility did not have a policy for Medication Storage. Licensed Practical Nurse (LPN) #3 removed the expired medications from use and informed the DON.
Failure to Ensure Proper Hand Hygiene Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene practices among its staff, leading to potential infection control issues. On multiple occasions, staff members were observed not washing or sanitizing their hands after resident care or between assisting different residents. For instance, an LPN was seen repositioning a resident and then leaving the room without washing her hands. Similarly, a CNA was observed assisting one resident with eating and then immediately assisting another resident without sanitizing her hands in between. Interviews with staff members, including the Director of Nursing and the Infection Preventionist, confirmed that the facility's policy requires hand hygiene between resident interactions, but this was not consistently followed. Additionally, another staff member was observed leaving a resident's room with a plastic bag and entering the soiled utility room without sanitizing her hands. When questioned, the staff member indicated she planned to wash her hands after emptying the bag. The facility's hand hygiene policy, as provided by the Infection Preventionist, clearly states that handwashing is the primary means to prevent the transfer of infections. Despite this policy, the observed actions of the staff did not align with the required infection control practices, leading to the noted deficiencies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Danville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dardanelle Nursing And Rehabilitation Center,inc | 17.3 mi | ★★★★★ | 4 | 0 |
| Legacy Heights Nursing And Rehab, Llc | 20.7 mi | ★★★★★ | 0 | 0 |
| Russellville Nursing And Rehabilitation Center | 21 mi | ★★★★★ | 8 | 0 |
| Stella Manor Nursing And Rehabilitation Center | 21.3 mi | ★★★★★ | 0 | 0 |
| Paris Health And Rehabilitation Center | 24.5 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.