Inspection Reports for
The Grove

CI MS #3096474 was investigated related to quality of care and accidents/incidents/fall. The SA determined the facility was in compliance with no deficiencies cited.

The survey determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

CI MS #3096474 was investigated related to quality of care and accidents/incidents/fall. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint survey completed on 04/20/26; the facility was found to be in compliance after corrective measures were confirmed.

The facility was found to be in compliance as of 05/29/26 following the corrective measures implemented after the complaint survey.

The facility was found to be in compliance with the Life Safety Code as of 04/24/26. No deficiencies were cited during this survey.

Two complaint investigations (CI MS #2807839 and CI MS #2974450) were conducted regarding accidents/falls. Deficiencies F0656 and F0689 were cited as a result of these complaints.

The facility failed to implement individualized care plan interventions and ensure a safe environment to prevent accidents for two residents with a history of falls. Deficiencies were cited related to failure to follow care plans requiring proper transfer assistance and failure to engage bed alarms.

Two complaint investigations (CI MS #2807839 and CI MS #2974450) were conducted regarding accidents/falls. Deficiency M640 was cited as a result of both complaints.

M0640 - The facility failed to ensure a safe environment and implement interventions to prevent accidents for two residents with a history of falls. Resident #1 fell during a chair-to-bed transfer when staff did not follow the care profile requiring two staff and a full mechanical lift. Resident #2 was found on the floor with the bed alarm not sounding, which could have alerted staff and prevented the fall.

The SA is recommending that your facility be placed back in compliance effective 03/20/26. No deficiencies were cited in this document.

The facility met all applicable Life Safety Code and Emergency Preparedness requirements. No deficiencies were cited during this survey.

The facility was found not in compliance with multiple requirements including resident dignity during feeding, privacy violations, improper restraint identification, unlicensed staff applying medicated products, failure to act on pharmacist medication irregularities, insufficient dietary sanitation practices, and failure to follow infection control precautions.

During survey, the SA determined that the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm.

CI MS #497298 was investigated related to a facility reported incident of an injured resident. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.

CI MS #497298 was investigated related to a facility reported incident of an injured resident. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

CI MS#28103 was investigated related to neglect, quality of care and dietary services. CI MS#28568 was investigated for Nursing Services. The facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited.

Two complaint investigations were conducted: CI MS #27805 regarding grooming, staffing, neglect and illegal drug use, and CI MS #27818 regarding abuse, quality of care and treatment. The facility was found in compliance with no deficiencies cited.

The facility was found in compliance with Medicare participation requirements and no deficiencies were cited.

Complaint Investigation MS #27805 and MS #27818 regarding grooming, staffing, neglect, illegal drug use, abuse, quality of care and treatment. The facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint CI MS #26901 was related to inadequate grooming and oral hygiene. Complaint CI MS #26757 was related to water not being offered to residents and neglect related to monitoring. Both complaints were investigated and no deficiencies were cited.

The facility was found in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint Investigation MS #26901 and MS #26757 involved inadequate grooming, oral hygiene, water not being offered to residents, and neglect related to monitoring. The facility was found in compliance with no deficiencies cited.

The survey determined that the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

The State Agency is recommending that the facility be placed back in compliance effective 10/11/24. No deficiencies were cited in this desk review.

The information provided by the facility confirmed the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm. The SA is recommending that the facility be placed back in compliance effective 10/11/24.

CI MS #26434 was investigated related to Quality of Care for resident safety. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with Medicare and Medicaid requirements during this complaint investigation, with no deficiencies cited.

Complaint number CI MS #26434 was investigated related to Quality of Care for resident safety and was found to be unsubstantiated with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. No deficiencies were cited during this investigation.

The facility was found not in compliance due to failure to safely store hazardous chemicals in a shower room and failure to ensure proper sanitation procedures during dishwashing, including inadequate dishwasher water temperature.

The facility failed to safely store hazardous cleaning chemicals in one shower room and did not maintain proper sanitation procedures during dishwashing, as the dishwasher did not reach the required minimum water temperature during observations.

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code. There were no Life Safety Code deficiencies cited during this survey.

Complaint number CI MS#24464 was investigated related to misappropriation of property and was found to be unsubstantiated with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

CI MS#24464 was investigated related to misappropriation of property. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint number CI MS#21417 investigated related to facility staffing and resident falls; the complaint was determined to be unsubstantiated with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

CI MS #21417: Complaint related to facility staffing and resident falls. The complaint was investigated and the facility was found in compliance with no deficiencies cited.

The facility was found in compliance with the requirements of participation in Medicare and Medicaid and there were no deficiencies cited.

The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period, which has the potential to cause more than minimal harm to all residents.

The SA is recommending that your facility be placed back in compliance effective 02/03/23. No deficiencies were cited in this desk review.

The facility was found not in compliance with Mississippi Minimum Standards due to restricting residents from group activities and use of common areas without clinical justification for three residents, potentially affecting 62 residents.

The facility was found not in compliance with resident rights due to restricting COVID-19 negative residents from common areas without clinical justification, and failed to implement its antibiotic stewardship protocol resulting in unnecessary antibiotic use for one resident.

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code. There were no Life Safety Code deficiencies cited during this survey.

The facility was found in compliance with all emergency preparedness requirements; no deficiencies were cited.

The complaint investigation substantiated that the facility restricted COVID-19 negative residents from common areas without clinical justification and failed to follow antibiotic stewardship protocols, leading to inappropriate antibiotic use.

The facility failed to honor resident rights by restricting COVID-19 negative residents from common areas without clinical justification, affecting multiple residents. Additionally, the facility failed to implement its antibiotic stewardship program, resulting in unnecessary and inappropriate antibiotic use for one resident.

Complaint Investigation CI MS 18512 involved allegations of resident assessment, neglect, and responsible representative notification. The complaint was not substantiated and no deficiencies were cited.

The survey determined the facility was in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm and there were no deficiencies cited.

Complaint number CI MS #18512 involved allegations of resident assessment, neglect, and responsible representative notification; the complaint was not substantiated and no deficiencies were cited.

The facility was found in compliance with Medicare and Medicaid participation requirements. No deficiencies were cited.

Complaint number CI MS# 17519 was investigated and found to be unsubstantiated as no deficiencies were cited.

The facility was found in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm, state licensure requirements and there were no deficiencies cited.

CI MS #17519 involved an allegation regarding medication handling; the complaint was not substantiated due to lack of evidence whether the medication was sent by pharmacy or misplaced by nursing staff.

The facility was found in compliance with no deficiencies cited during the complaint investigation.

The facility was found in compliance with infection control regulations and has implemented the recommended practices by CMS and Centers for Disease Control and Prevention (CDC) to prepare for COVID-19.

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

CI MS #17050 The result of the complaint investigation was unsubstantiated with no deficiencies cited for Quality of Care related to Resident Safety/Falls, Accidents related to Unwitnessed falls, and Physical Environment related to No Proper Medical Equipment.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

The complaint investigation focused on allegations of misappropriation of Resident #61's funds and concerns about resident care and abuse. The investigation found failures in protecting resident funds, failure to investigate allegations, and multiple care and procedural deficiencies.

The facility failed to ensure Resident #61's funds were free from misappropriation and failed to initiate an investigation regarding the allegation. Additional findings included failure to notify families in writing of hospital transfers for Residents #20 and #37, failure to make required PASRR referrals for Residents #44 and #49, failure to follow care plans for Residents #15 and #33, and failure to prevent cross contamination and infection control breaches related to Resident #79.

The survey found deficiencies related to misappropriation of resident funds, failure to investigate allegations of abuse, failure to notify families of hospital transfers, incomplete PASRR referrals, failure to follow care plans for falls and catheter care, and infection control issues.

CI MS #15641: A complaint investigation was conducted and found unsubstantiated with no deficiencies cited.

The investigation was unsubstantiated with no deficiencies cited.

The facility was in substantial compliance with regulatory requirements. No health deficiencies were cited during this survey.