Inspection Report
Complaint Investigation
Census: 57
Capacity: 60
Deficiencies: 1
Nov 24, 2025
Visit Reason
The State Agency conducted a Complaint Investigation (CI), MS #504354, at the facility from 11/24/25 through 11/25/25 related to a facility reported incident involving abuse and resident rights.
Findings
The facility failed to ensure a resident's right to dignity and to retain personal belongings when a CNA removed a resident's personal cellphone against her wishes. The CNA was terminated following the incident, and corrective actions including staff education and quality assurance meetings were implemented and completed prior to the survey.
Complaint Details
The complaint investigation was triggered by a facility reported incident involving abuse and resident rights. The investigation found that a CNA took a resident's cellphone without consent, deleted photos, and was subsequently terminated. The resident was assessed for psychosocial harm and monitored. Staff education and quality assurance measures were implemented.
Severity Breakdown
SS = D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure a resident’s right to be treated with dignity and to retain personal belongings when a CNA removed a resident’s personal cellphone against her wishes. | SS = D |
Report Facts
Facility licensed beds: 60
Resident census: 57
Date of incident: Jun 25, 2025
BIMS score: 14
Corrective action completion date: Jun 26, 2025
Deficiency removal date: Jun 27, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Involved in the incident of removing resident's cellphone without consent |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Returned the resident's cellphone after CNA #1 took it |
| Administrator | Interviewed regarding the incident and corrective actions; sent CNA home and notified family |
Inspection Report
Complaint Investigation
Deficiencies: 1
Nov 24, 2025
Visit Reason
The State Agency conducted a Complaint Investigation (CI), MS #504354, at the facility from 11/24/25 through 11/25/25, triggered by a facility reported incident involving abuse and resident rights.
Findings
The facility failed to ensure a resident's right to be treated with dignity and to retain personal belongings when a Certified Nursing Assistant (CNA) removed a resident's personal cellphone against her wishes. The investigation found the CNA exhibited inappropriate behavior, was sent home immediately, and corrective actions including staff education were implemented. The deficiency was determined to be Past Non-Compliance and corrected prior to the survey entrance.
Complaint Details
Complaint Investigation MS #504354 involved allegations of abuse and violation of resident rights related to a CNA forcibly taking a resident's cellphone. The CNA was terminated and corrective actions were implemented. The deficiency was substantiated as Past Non-Compliance and corrected prior to the survey.
Deficiencies (1)
| Description |
|---|
| Failed to ensure a resident’s right to be treated with dignity and to retain personal belongings when a CNA removed a resident’s personal cellphone against her wishes. |
Report Facts
Assessment Reference Date: Sep 3, 2025
Brief Interview for Mental Status (BIMS) score: 14
Date of Incident: Jun 25, 2025
Corrective Actions Completion Date: Jun 26, 2025
Deficiency Removal Date: Jun 27, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Involved in removal of resident's cellphone and subsequent termination |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Returned resident's cellphone and reported incident details |
| Administrator | Reported sending CNA home, notified family, and oversaw corrective actions |
Inspection Report
Annual Inspection
Deficiencies: 0
Apr 30, 2025
Visit Reason
The State Agency conducted a desk review related to the annual survey completed on 2025-03-20 to verify corrective measures and compliance with Medicare and Medicaid participation requirements.
Findings
The facility provided information confirming corrective actions were implemented to address deficient practices, and the State Agency recommended the facility be placed back in compliance effective 2025-04-26.
Report Facts
Survey completion date: Mar 20, 2025
Inspection Report
Annual Inspection
Deficiencies: 0
Apr 30, 2025
Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 2025-03-20 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.
Findings
The facility was confirmed to be in compliance with the Minimum Standards of Operation, and the State Agency recommended the facility be placed back in compliance effective 2025-04-26.
Report Facts
Survey completion date: Mar 20, 2025
Inspection Report
Annual Inspection
Census: 51
Capacity: 60
Deficiencies: 1
Mar 20, 2025
Visit Reason
The State Agency conducted an annual recertification survey from 3/17/25 to 3/20/25 to determine compliance with Medicare and Medicaid participation requirements.
Findings
The facility was found not in compliance due to failure to ensure residents receiving oxygen therapy had their oxygen tubing properly labeled and dated according to professional standards and facility protocols.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Oxygen tubing for Resident #150 was undated for three of four days during the survey. | SS=D |
Report Facts
Licensed beds: 60
Resident census: 51
Oxygen tubing undated days: 3
Oxygen liters per minute: 3
RN Round Checklist frequency: 5
RN Round Checklist duration: 12
Quality Assessment and Assurance Committee review duration: 3
BIMS score: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Calvin Bennett | Surveyor | Conducted the annual recertification survey |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding oxygen tubing labeling and care for Resident #150 |
| Director of Nursing | Confirmed facility practice for oxygen tubing labeling and conducted staff training and audits |
Inspection Report
Annual Inspection
Deficiencies: 1
Mar 20, 2025
Visit Reason
The State Agency conducted an annual recertification survey from 3/17/2025 to 3/20/2025 to assess compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.
Findings
The facility was found not in compliance due to failure to ensure residents receiving oxygen therapy received care according to professional standards, specifically oxygen tubing was undated for three of four days of the survey for Resident #150.
Severity Breakdown
Level II: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Oxygen tubing for Resident #150 was undated for three (3) of four (4) days of the survey. | Level II |
Report Facts
Oxygen tubing undated days: 3
Oxygen flow rate: 3
BIMS score: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding oxygen tubing labeling practices |
| Director of Nursing | Director of Nursing | Confirmed facility practice for oxygen tubing labeling and conducted staff training |
Inspection Report
Deficiencies: 0
Mar 19, 2025
Visit Reason
The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.
Findings
The facility met all applicable emergency preparedness requirements with no deficiencies cited.
Inspection Report
Life Safety
Deficiencies: 0
Mar 19, 2025
Visit Reason
The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).
Findings
The facility met the applicable provisions of the 2012 Edition of the Life Safety Code, and no LSC deficiencies were cited during this survey.
Inspection Report
Complaint Investigation
Census: 56
Capacity: 60
Deficiencies: 0
Sep 9, 2024
Visit Reason
The State Agency conducted a complaint investigation triggered by a Facility Reported Incident regarding a resident fall during a transfer.
Findings
The facility was found to be in compliance with Medicare and Medicaid participation requirements, and no deficiencies were cited.
Complaint Details
Complaint Investigation (CI MS #26070) related to a resident fall during a transfer; no deficiencies were cited.
Report Facts
Census: 56
Total licensed capacity: 60
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 9, 2024
Visit Reason
The State Agency conducted a Complaint Investigation related to a Facility Reported Incident involving a resident fall during a transfer.
Findings
The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited.
Complaint Details
Complaint Investigation MS #26070 was related to a resident fall during a transfer. The complaint was not substantiated as no deficiencies were found.
Inspection Report
Complaint Investigation
Census: 52
Capacity: 60
Deficiencies: 0
Jul 2, 2024
Visit Reason
The State Agency conducted a Complaint Investigation related to quality of care regarding resident rights, resident abuse, and incontinent care.
Findings
The facility was found to be in compliance with Medicare and Medicaid requirements and no deficiencies were cited during the investigation.
Complaint Details
Complaint Investigation (CI MS #25478) was related to quality of care regarding resident rights, resident abuse, and incontinent care. The complaint was investigated and no deficiencies were found.
Report Facts
Licensed beds: 60
Resident census: 52
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 2, 2024
Visit Reason
The State Agency conducted a Complaint Investigation related to quality of care regarding resident rights, resident abuse, and incontinent care.
Findings
The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited.
Complaint Details
Complaint Investigation MS #25478 was investigated related to quality of care regarding resident rights, resident abuse, and incontinent care. The complaint was not substantiated as no deficiencies were cited.
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 27, 2023
Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 2023-10-05 to verify compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.
Findings
The facility was confirmed to be in compliance with the Minimum Standards of Operation, and the State Agency recommended the facility be placed back in compliance effective 2023-11-18.
Report Facts
Annual survey date: Oct 5, 2023
Inspection Report
Plan of Correction
Deficiencies: 0
Oct 27, 2023
Visit Reason
The State Agency conducted a desk review of information related to the annual survey conducted on 2023-10-02 to verify corrective measures taken by the facility.
Findings
The facility had implemented measures to correct the deficient practice and sustain compliance with the 2012 Edition of the Life Safety Code. The State Agency recommended the facility be placed back in compliance effective 2023-10-25.
Inspection Report
Annual Inspection
Deficiencies: 0
Oct 27, 2023
Visit Reason
The State Agency conducted a desk review related to the annual survey conducted on 2023-10-02 to verify correction of deficient practices.
Findings
The facility provided information confirming that measures were put in place to correct the deficient practice and sustain compliance with the 2012 Edition of the Life Safety Code. The State Agency recommended the facility be placed back in compliance effective 2023-10-25.
Inspection Report
Plan of Correction
Deficiencies: 0
Oct 27, 2023
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction related to a facility survey completed on 10/27/2023 at Bedford Care Center of Petal.
Findings
No specific deficiencies or findings are detailed in the document; it primarily serves as a form for reporting deficiencies and the provider's plan of correction.
Inspection Report
Deficiencies: 1
Oct 10, 2023
Visit Reason
The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 10/02/2023 to 10/08/2023 as required by regulation, which has the potential to cause more than minimal harm to all residents.
Severity Breakdown
SS=F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period. | SS=F |
Report Facts
Reporting period: 7
Inspection Report
Annual Inspection
Deficiencies: 2
Oct 5, 2023
Visit Reason
The State Agency conducted an annual recertification survey at Bedford Care Center of Petal from 10/02/2023 through 10/05/2023 to assess compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.
Findings
The facility was found not in compliance with safe food handling procedures due to failure to properly label, date, and discard food items, and with infection control standards due to failure to provide disposable tableware and silverware for residents on contact isolation precautions, potentially risking infection spread.
Severity Breakdown
Level II: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to store food in accordance with professional standards for food service safety related to food items not dated with a use-by-date, food items without an identifying label, and food items not discarded prior to or by the use-by date. | Level II |
| Failed to ensure residents on contact isolation precautions received disposable tableware and silverware to prevent the possible spread of infection for two residents on contact isolation precautions. | Level II |
Report Facts
Unopened packages of bologna: 7
Egg cartons: 6
Frequency of freezer and refrigerator checks: 5
Duration of Quality Assurance Committee review: 3
Duration of DON meal observation: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Dietary Manager | Discarded food items without identifying labels and use-by dates on 10/02/23. | |
| Dietary Manager | Interviewed regarding food storage and isolation meal tray practices; confirmed residents with isolation precautions should receive disposable meal items. | |
| Director of Nursing | DON | Conducted inservice training on transmission based precautions and observed compliance with disposable tableware for residents on isolation. |
| Certified Nurse Aide #1 | CNA | Delivered non-disposable meal tray to Resident #110 on contact isolation. |
| Certified Nurse Aide #2 | CNA | Delivered meal tray with washable dinnerware and silverware to Resident #48 on contact isolation. |
| Administrator | Confirmed awareness of food storage hazards and isolation meal tray requirements. | |
| Registered Dietician | RD | Confirmed facility had no written policy on disposal of food near or past use-by date. |
Inspection Report
Annual Inspection
Census: 58
Capacity: 60
Deficiencies: 3
Oct 5, 2023
Visit Reason
The State Agency conducted an annual re-certification survey at the facility from 10/02/2023 through 10/05/2023 to determine compliance with Medicare and Medicaid participation requirements.
Findings
The facility was found not in compliance with requirements, citing deficiencies in accuracy of resident assessments, food procurement and storage safety, and infection prevention and control practices.
Severity Breakdown
SS=D: 1
SS=E: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to accurately code the Minimum Data Set (MDS) for one resident regarding presence of pressure ulcers. | SS=D |
| Failed to store food in accordance with professional food service safety standards, including food items not dated with use-by dates, lacking identifying labels, and not discarded timely. | SS=E |
| Failed to ensure residents on contact isolation precautions received disposable tableware and silverware to prevent possible spread of infection. | SS=E |
Report Facts
Census: 58
Total licensed capacity: 60
Unopened packages of bologna: 7
Egg cartons: 6
Audit frequency: 20
Audit duration: 12
Food labeling checks: 5
Food labeling check duration: 8
Observation frequency: 5
Observation duration: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Involved in MDS coding accuracy audit, staff inservice, and observation of transmission based precautions compliance |
| Certified Dietary Manager | Certified Dietary Manager (CDM) | Discarded undated and unlabeled food items and responsible for food labeling checks |
| Dietary Manager | Dietary Manager (DM) | Interviewed regarding food storage and meal service practices |
| Staff Development Nurse | Staff Development Nurse | Conducted inservice training on transmission based precautions |
| Certified Nurse Aide #1 | Certified Nurse Aide (CNA) | Observed delivering non-disposable meal trays to resident on isolation |
| Certified Nurse Aide #2 | Certified Nurse Aide (CNA) | Observed delivering non-disposable meal trays to resident on isolation |
Inspection Report
Annual Inspection
Deficiencies: 0
Oct 5, 2023
Visit Reason
The State Agency conducted a desk review of information related to the annual survey completed on 10/5/23 to confirm corrective measures and compliance with Medicare and Medicaid requirements.
Findings
The facility had implemented measures to correct deficient practices and sustain compliance. The State Agency recommended the facility be placed back in compliance effective 11/18/23.
Inspection Report
Life Safety
Deficiencies: 1
Oct 2, 2023
Visit Reason
The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA), specifically focusing on the maintenance and testing of the facility's essential electrical systems including the generator.
Findings
The facility failed to properly document records of weekly inspections and monthly load tests of the generator as required by NFPA standards. This deficiency potentially affected the entire facility on the day of the survey.
Severity Breakdown
SS=F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to properly document records of testing the generator annually as required by NFPA 110 and NFPA 99. | SS=F |
Report Facts
Deficiency completion date: Oct 24, 2023
Generator exercise frequency: 12
Generator exercise duration: 30
Continuous exercise duration: 4
Administrator audit frequency: 1
Audit period: 8
Quality Assurance review period: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Acknowledged the finding and will audit generator inspection documentation | |
| Maintenance Supervisor | Verified the observation of missing generator documentation during exit interview |
Inspection Report
Routine
Deficiencies: 0
Oct 2, 2023
Visit Reason
The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.
Findings
The facility met all applicable Federal, State, and local emergency preparedness requirements with no deficiencies noted.
Inspection Report
Plan of Correction
Deficiencies: 1
Dec 27, 2022
Visit Reason
The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network (NHSN).
Findings
The facility failed to report complete COVID-19 information to the NHSN during a required seven-day reporting period from 12/19/2022 to 12/25/2022, which could potentially cause more than minimal harm to residents.
Severity Breakdown
SS=F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day required reporting period. | SS=F |
Report Facts
Reporting period: 7
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 20, 2022
Visit Reason
The State Agency conducted a desk review related to a complaint survey completed on 2022-11-16 to determine compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.
Findings
The information provided by the facility confirmed compliance with the Minimum Standards of Operation. The State Agency recommended the facility be placed back in compliance effective 2022-12-16.
Complaint Details
Complaint survey was completed on 2022-11-16; the desk review on 2022-12-20 confirmed compliance and recommended placing the facility back in compliance effective 2022-12-16.
Inspection Report
Plan of Correction
Deficiencies: 0
Dec 20, 2022
Visit Reason
The State Agency conducted a desk review related to a complaint survey completed on 2022-11-16 to verify corrective measures taken by the facility.
Findings
The facility provided information confirming corrective actions were implemented to address deficient practices and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2022-12-16.
Complaint Details
The visit was complaint-related, reviewing corrective actions following a complaint survey from 2022-11-16. The facility's corrective measures were confirmed and compliance was restored.
Inspection Report
Complaint Investigation
Census: 56
Capacity: 60
Deficiencies: 1
Nov 16, 2022
Visit Reason
The State Agency completed a complaint investigation (CI MS #19596) at the facility from 11/15/22 through 11/16/22 to determine compliance with Medicare and Medicaid participation requirements.
Findings
The facility was found not in compliance related to resident rights, specifically failing to ensure a resident was treated with dignity and respect. A Certified Nursing Aide (CNA) used profanity toward a resident, which led to the CNA's termination. The incident was investigated and determined not to be abuse but a violation of resident rights.
Complaint Details
The complaint investigation found deficient practice related to resident rights (F557). The CNA used profanity directed at Resident #1 during feeding assistance to another resident. The CNA was terminated, and the facility conducted interviews and education to prevent recurrence. The resident reported no negative emotional impact.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure a resident was treated with dignity and respect, including use of profanity by a staff member toward a resident. | SS=D |
Report Facts
Licensed beds: 60
Census: 56
BIMS score: 15
Number of residents interviewed: 12
Number of residents assessed weekly: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Aide | Used profanity toward resident leading to termination |
| Director of Nursing | Director of Nursing | Conducted assessments and interviews related to the incident |
| Administrator | Administrator | Confirmed investigation details and facility actions |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 60
Deficiencies: 1
Nov 15, 2022
Visit Reason
The State Agency completed a complaint investigation at the facility from 11/15/22 through 11/16/22 due to allegations related to resident rights and verbal abuse.
Findings
The facility was found not in compliance with state licensure requirements related to resident rights. A Certified Nursing Aide (CNA #1) used profanity directed at a resident during a feeding interaction, which led to the CNA's termination. The incident was determined not to be abuse but a violation of facility policy. The facility conducted staff education and resident interviews to ensure respect and dignity for residents.
Complaint Details
The complaint investigation (CI MS #19596) found no verbal abuse but identified deficient practice related to resident rights. The CNA was terminated for using profanity toward a resident. The facility monitored the resident for emotional distress and found none. Staff education on residents' rights and zero tolerance for profanity was conducted.
Deficiencies (1)
| Description |
|---|
| Failure to ensure a resident was treated with dignity and respect, evidenced by a CNA using profanity toward a resident. |
Report Facts
Licensed beds: 60
Resident census: 56
BIMS score: 15
Date range: 2
Staff in-services: 3
Resident interviews: 50
Weekly resident interviews: 2
Quality Assurance meetings: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Aide | Involved in the incident using profanity toward Resident #1 and subsequently terminated |
| Director of Nursing | Director of Nursing | Interviewed regarding the incident, confirmed reporting to State Agency, and oversaw resident monitoring |
| Administrator | Facility Administrator | Interviewed and confirmed details of the investigation and termination of CNA #1 |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 60
Deficiencies: 0
Dec 29, 2021
Visit Reason
The State Agency conducted a complaint survey at the facility from 12/28/21 to 12/29/21 to investigate complaint MS #18402.
Findings
The facility was found to be in compliance with Medicare and Medicaid requirements. The complaint for abuse was not substantiated and no deficiencies were cited.
Complaint Details
Complaint MS #18402 was investigated and found not substantiated for abuse.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 29, 2021
Visit Reason
The State Agency conducted a complaint survey related to one complaint (CI MS #18402) concerning Resident Abuse.
Findings
The investigation found no evidence of abuse by staff. The facility had appropriate background checks, policies, training, and timely reporting procedures in place. The complaint was unsubstantiated and no deficiencies were cited.
Complaint Details
Complaint CI MS #18402 related to Resident Abuse was investigated and found to be unsubstantiated.
Report Facts
Complaint ID: 18402
Inspection Report
Abbreviated Survey
Census: 45
Capacity: 60
Deficiencies: 0
Aug 19, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency on 8/19/21 to assess compliance with infection control regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Aug 19, 2021
Visit Reason
A Covid-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 8/19/21.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness requirements.
Inspection Report
Deficiencies: 0
Mar 1, 2021
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Bedford Care Center of Petal, indicating a regulatory inspection was conducted.
Findings
The report contains initial comments but does not provide specific findings or deficiencies.
Inspection Report
Plan of Correction
Deficiencies: 0
Mar 1, 2021
Visit Reason
A desk review was conducted on 3/1/2021 to assess the facility's compliance status.
Findings
The facility was found to be in substantial compliance as of 3/1/2021.
Inspection Report
Annual Inspection
Census: 55
Capacity: 60
Deficiencies: 0
Feb 4, 2021
Visit Reason
The State Agency conducted Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements inspection from 2/1/21 through 2/4/21.
Findings
The facility was found to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements.
Inspection Report
Annual Inspection
Census: 55
Capacity: 60
Deficiencies: 1
Feb 4, 2021
Visit Reason
The State Agency conducted an annual recertification survey from 2/1/21 to 2/4/21 to determine compliance with Medicare and Medicaid participation requirements.
Findings
The facility was found not in compliance due to deficiencies in infection prevention and control practices, specifically related to wound care procedures that risked cross contamination and improper application of ointments on residents with pressure ulcers.
Severity Breakdown
E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 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. | E |
Report Facts
Facility census: 55
Total licensed beds: 60
Wound care observations: 3
Wound cleansing motions: 8
Wound cleansing motions: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Registered Nurse / Staff Development Nurse / Infection Control Nurse | Named in wound care deficiency for improper infection control practices |
| RN #1 | Director of Nursing | Provided training and oversight related to wound care deficiencies |
Inspection Report
Life Safety
Deficiencies: 0
Feb 1, 2021
Visit Reason
The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).
Findings
The facility met the applicable provisions of the 2012 Edition of the Life Safety Code, and no LSC deficiencies were cited during this survey.
Inspection Report
Deficiencies: 0
Feb 1, 2021
Visit Reason
The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.
Findings
The facility met all applicable Federal, State, and local emergency preparedness requirements. No deficiencies were cited.
Inspection Report
Routine
Census: 55
Capacity: 60
Deficiencies: 0
May 28, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Abbreviated Survey
Deficiencies: 0
May 28, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 5/28/2020.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).
Inspection Report
Complaint Investigation
Census: 54
Capacity: 60
Deficiencies: 0
Dec 31, 2019
Visit Reason
The State Agency conducted a complaint investigation related to possible quality of care concerns including allergic food served to a resident, failure to apply compression hoses, resident hygiene issues, lack of family notification about changes, and missed therapy during quarantine.
Findings
The investigation was unsubstantiated with no deficiencies found. The facility was determined to be in substantial compliance with Medicare and Medicaid participation requirements.
Complaint Details
Concerns included served food resident was allergic to, staff not applying compression hoses, resident uncleanliness, family not informed of changes, and missed therapy during quarantine. The complaint was unsubstantiated with no deficiencies.
Report Facts
Licensed capacity: 60
Census: 54
Inspection Report
Annual Inspection
Census: 57
Capacity: 60
Deficiencies: 0
Apr 17, 2019
Visit Reason
The State Agency conducted an annual recertification survey at the facility from 4/14/19 to 4/17/19 to determine compliance with Medicare and Medicaid regulations.
Findings
The facility was found to be in compliance with Medicare and Medicaid regulations with no deficiencies cited during the annual recertification survey. Additionally, the facility met all applicable Life Safety Code and emergency preparedness requirements with no deficiencies identified.
Report Facts
Census: 57
Total Capacity: 60
Inspection Report
Annual Inspection
Census: 57
Capacity: 60
Deficiencies: 0
Apr 17, 2019
Visit Reason
The State Agency conducted an annual recertification survey at Bedford Care Center of Petal from 04/14/19 to 04/17/19.
Findings
The survey determined the facility was in compliance with the Minimum Standards for the Aged or Infirm requirements for participation.
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