Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 County Hospital Health Systems Ltcu during CMS and state inspections, most recent first.
The facility failed to ensure the designated Infection Preventionist completed the required certification, placing residents at risk for lack of infection identification and treatment. The Administrative Nurse responsible for the Infection Prevention and Control Program had not received certification, despite completing training modules. The Infection Preventionist's responsibilities included implementing infection prevention policies, educating staff, and managing quality measures.
Two residents in an LTC facility were at risk due to bed rails with gaps exceeding FDA safety guidelines. One resident with dementia and a history of falls had bed rails with gaps that were not properly assessed, while another resident with severe cognitive impairment had similar issues. Staff confirmed the measurements exceeded safety limits, placing both residents at risk for injury.
Infection Preventionist Lacks Required Certification
Penalty
Summary
The facility failed to ensure that the staff member designated as the Infection Preventionist completed the required specialized training in infection prevention and control. This deficiency was identified during a record review and interview, where it was revealed that the Administrative Nurse responsible for the Infection Prevention and Control Program had not received certification as an Infection Preventionist, despite having enrolled in the program and completed the training modules. The facility's Infection Prevention Plan policy outlined the responsibilities of the Infection Preventionist, which included implementing and updating infection prevention policies, educating staff, assessing competency, and managing quality measures such as Antibiotic Stewardship and surveillance. The policy also required the Infection Preventionist to handle the notification of reportable diseases to State and local health departments, assess patients with symptoms of infection, and determine appropriate cleaning and disinfectant supplies. The Infection Preventionist was expected to conduct surveillance, monitoring, and reporting of infection control practices, as well as participate in risk management and performance improvement activities. The failure to ensure the designated Infection Preventionist completed the required certification placed the residents at risk for lack of identification and treatment of infections.
Improper Bed Rail Gaps Pose Safety Risks
Penalty
Summary
The facility failed to comply with FDA guidelines for bed rail safety, which require gaps to be less than four and three-quarters inches. This deficiency was identified during a survey involving two residents, R2 and R13, who were at risk due to improperly sized bed rail gaps. R2's bed rails had gaps measuring four and three-eighths inches by twenty-one inches on the top rail and four and three-eighths inches by forty-two inches on the bottom rail. Administrative Staff E confirmed these measurements and admitted to only measuring the height of the gaps during assessments, not the width. R2's medical history included dementia, osteoporosis, delusional disorders, anxiety disorder, and insomnia, with a BIMS score indicating moderately impaired cognition. R2 required varying levels of assistance for daily activities and was at high risk for falls, as documented in the Fall Care Plan. Despite these risks, the care plan did not include specific directions for bed rail use, and R2 was observed with bed rails that did not meet safety standards, placing her at risk for injury. Similarly, R13, who had severe cognitive impairment and required substantial assistance with mobility, was found with a bed rail gap measuring four and three-eighths inches by twenty-one and a half inches. The facility's policy required bed rails to be assessed upon admission, but the assessment for R13 did not ensure safe openings. Administrative Nurse E confirmed the gaps exceeded the safety limit and acknowledged only measuring the width in one direction. This oversight placed R13 at risk for preventable entrapment, accident, or injury.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 12 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Beloit
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hilltop Lodge Health And Rehabilitation Center | 0.1 mi | ★★★★★ | 12 | 0 |
| The Nicol Home | 16.4 mi | ★★★★★ | 0 | 0 |
| Downs Care And Rehab | 23.4 mi | ★★★★★ | 0 | 0 |
| Sunset Home Inc | 24.6 mi | ★★★★★ | 0 | 0 |
| Lincoln Park Manor Inc | 28.9 mi | ★★★★★ | 28 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.