Inspection Reports for
Bedford Care Center of Mendenhall
925 West Mangum Avenue, Mendenhall, MS, 39114
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
47% better than Mississippi average
Mississippi average: 3.8 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 25, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding a Certified Nursing Assistant (CNA) removing a resident's personal cellphone against her wishes.
Complaint Details
The complaint involved a CNA removing a resident's cellphone without consent, deleting photos, and the resident denying voluntary surrender of the phone. The CNA was sent home immediately and terminated. The resident was monitored for psychosocial harm, and the incident was reported to authorities. Staff education was initiated on abuse, neglect, and misappropriation.
Findings
The facility failed to ensure a resident's right to dignity and to retain personal belongings when a CNA took a resident's cellphone without consent, deleted photos, and was subsequently sent home and terminated. The resident was assessed for harm and monitored, and staff received in-service training on abuse, neglect, and misappropriation of property.
Deficiencies (1)
Failed to honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Report Facts
Residents sampled: 3
Resident BIMS score: 14
Date of Incident: Jun 25, 2025
Date of Admission: Jun 3, 2025
Date of Quarterly MDS Assessment: Sep 3, 2025
Date corrective actions completed: Jun 26, 2025
Date deficiency removed: Jun 27, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Involved in removing resident's cellphone and subsequent termination |
| Administrator | Interviewed regarding the incident and corrective actions | |
| CNA #2 | Certified Nursing Assistant | Reported CNA #1's actions and provided interview statements |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Returned the resident's phone and provided interview statements |
| Medical Director | Participated in Emergency Quality Assurance meeting | |
| Nurse Practitioner | Conducted full body audit on resident following incident |
Inspection Report
Routine
Deficiencies: 1
Date: Mar 20, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with professional standards regarding respiratory care, specifically focusing on oxygen therapy management for residents.
Findings
The facility failed to ensure that residents receiving oxygen therapy had their oxygen tubing properly labeled and dated, as required by facility protocol. Observations over multiple days showed that oxygen tubing for Resident #150 was not labeled, indicating a lapse in adherence to care standards.
Deficiencies (1)
Oxygen tubing was undated for three of four days of survey for Resident #150.
Report Facts
Days oxygen tubing undated: 3
Oxygen flow rate: 3
BIMS score: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Interviewed regarding oxygen tubing labeling and change practices | |
| Director of Nursing (DON) | Confirmed facility practice for oxygen tubing and humidifier changes and labeling |
Inspection Report
Routine
Deficiencies: 3
Date: Oct 5, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident assessments, food safety, and infection prevention and control at Bedford Care Center of Petal.
Findings
The facility was found deficient in accurately coding the Minimum Data Set (MDS) for one resident, storing and labeling food items properly in the kitchen, and ensuring residents on contact isolation precautions received disposable tableware and silverware to prevent infection spread.
Deficiencies (3)
Failed to accurately code the Minimum Data Set (MDS) for one resident who had a Stage 2 pressure ulcer but was coded as not having one.
Failed to store food in accordance with professional standards, including food items not dated with a use-by-date, food items without identifying labels, and food items not discarded by the use-by date.
Failed to ensure residents on contact isolation precautions received disposable tableware and silverware, using washable items instead, risking possible spread of infection.
Report Facts
Residents sampled: 21
Unopened packages of bologna: 7
Egg cartons: 6
Kitchen observations: 2
Residents on contact isolation: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Confirmed incorrect MDS coding for Resident #26 | |
| Director of Nursing | DON | Expected accurate MDS coding and confirmed isolation meal protocol issues |
| Dietary Manager | DM | Identified unlabeled and undated food items and confirmed isolation meal tray issues |
| Registered Dietician | RD | Confirmed lack of written policy on food disposal near or past use-by date |
| Certified Nurse Aide #1 | CNA | Delivered non-disposable meal tray to Resident #110 on isolation |
| Certified Nurse Aide #2 | CNA | Delivered non-disposable meal tray to Resident #48 on isolation |
| Administrator | Confirmed awareness of food safety and isolation meal protocols |
Inspection Report
Routine
Deficiencies: 1
Date: Feb 4, 2021
Visit Reason
The inspection was conducted to assess the facility's infection prevention and control program, specifically related to wound care practices and prevention of cross contamination during wound cleansing.
Findings
The facility failed to prevent possible spread of infection due to improper wound care techniques by staff, including failure to change gloves and perform hand hygiene between steps, cleaning wounds with a back and forth motion, and applying ointments directly with gloved fingers instead of using applicators, affecting Residents #7 and #9.
Deficiencies (1)
Failure to prevent possible spread of infection related to cross contamination during wound cleansing, failure to remove soiled gloves and perform hand hygiene prior to starting wound care, and applying ointments directly to open wounds with a gloved hand.
Report Facts
Number of times wound cleaned: 8
Number of times wound cleaned: 10
Dates of RN #2 skill tests passed: RN #2 passed skill tests on 06/24/2020 and 12/3/2020
Date of in-service on Infection Control: RN #2 attended in-service on 11/23/2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Staff Development/Infection Control Nurse | Named in findings for improper wound care techniques including failure to change gloves and improper wound cleaning |
| RN #1 | Director of Nursing (DON) | Provided interview confirming facility policies and severity of RN #2's wound care errors |
Report
December 17, 2025
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February 6, 2025
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August 5, 2024
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December 13, 2023
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September 7, 2023
Report
April 30, 2021
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